About Reliance ACO

Accountable Care Organizations (ACOs) are healthcare providers that work with Centers for Medicare & Medicaid Services (CMS) to achieve the three-part Aims by reducing cost, improve quality and patient satisfaction. It is important to understand your provider’s participation in an ACO does not change your Medicare benefits.  Patients have the freedom to choose their physicians. Physicians in an ACO agree to participate in an ACO. CMS has developed a shared savings program for physicians. The ACO providers are able to share in any savings that result from providing high-quality, reducing cost and improving patient satisfaction by coordinated care.

Coordinate Your Care
An ACO is not a Medicare Advantage plan or an HMO plan. If you have traditional Medicare, you still have the right to use any doctor or hospital who accepts Medicare, at any time. Your doctor may continue to recommend that you see other particular doctors for your specific health needs, but it’s always your choice about what doctors you use or hospitals you visit.

How will an ACO help my doctor coordinate my care?
You benefit because your doctors will be part of a better coordinated team. You may not have to fill out as many medical forms that ask for the same information. Each of your doctors will not only know about the health issues they’ve treated, they will have a more complete picture of your health through talking with your other doctors.

Questions
If you have questions or concerns, you can talk with your doctor at any time. You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

400

Physicians

30,000

Patients

$29.5M

in Medicare Savings

Shared Savings and Losses Amount of Shared Savings/Losses • Second Agreement Period o Performance Year 2018, $0 o Performance Year 2017, $0 • First Agreement Period o Performance Year 2016, $7,303,914 o Performance Year 2015, $0 o Performance Year 2014, $5,963,625 Shared Savings Distribution • Second Agreement Period o Performance Year 2018  Proportion invested in infrastructure: N/A

Reporting

Quality Performance Results

2019 Quality Performance Results:

ACO# Measure Name Rate  
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.07
ACO-2 CAHPS: How Well Your Providers Communicate 92.03
ACO-3 CAHPS: Patients’ Rating of Provider 90.05
ACO-4 CAHPS: Access to Specialists 84.28
ACO-5 CAHPS: Health Promotion and Education 61.67
ACO-6 CAHPS: Shared Decision Making 59.50
ACO-7 CAHPS: Health Status/Functional Status 72.32
ACO-34 CAHPS: Stewardship of Patient Resources 27.29
ACO-8 Risk Standardized, All Condition Readmission 15.05
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.55
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.10
ACO-11 Use of Certified EHR Technology
ACO-12 Medication Reconciliation Post-Discharge
ACO-13 Falls: Screening for Future Fall Risk
ACO-44 Use of Imaging Studies for Low Back Pain
ACO-14 Preventive Care and Screening: Influenza Immunization 66.54
ACO-15 Pneumonia Vaccination Status for Older Adults
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84.31
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.11
ACO-19 Colorectal Cancer Screening 64.21
ACO-20 Breast Cancer Screening 61.60
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.31
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.36
ACO-41 Diabetes: Eye Exam 58.29
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.50
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 84.99

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

Note: In the Quality Performance Results file(s) above, search for “Reliance ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2198 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.

ACO Praticipants ACO Participants on Joint Venture (Enter Y or N)
Ahmad R. Zeibo, MD. PLLC N
Alka D Aggarwal MD PC N
Associated Physicians Group PLC N
COMMERCE INTERNAL MEDICINE, P.C. N
David G Patterson DO PC N
DETROIT COMMUNITY HEALTH CONNECTION, INC N
DETROIT MEDICAL SERVICE PLC N
Eastside Internal Medicine PC N
EMILY D SMITH MD PLLC N
Franklin Medical Consultants, P.C. N
Hartland Family Physicians PC N
Internal Medicine Assoc Of Mi Pc N
JANE K. SYRIAC MD P.C. N
John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser Associated N
JORAM O MOGAKA MD PC N
Jowher Khaleel M.D. P.C. N
Karma Internists, P.C. N
Lamis, Inc. N
Maan Askar MD, PC N
MD House Calls PLLC N
Metro Shores Internal Medicine, PLLC N
Nizaamuddeen Toofanny, M.D., PLLC N
Norman J Kakos M.D. P.C. N
PARK FAMILY HEALTH CARE, P.C. N
PILLAY INTERNAL MEDICINE ASSOCIATES, PLLC N
PORT HURON INTERNAL MEDICINE ASSOCIATES, P.C. N
PRITI BHARDWAJ MD PC N
Quarry Physicians, PC N
Raed Haddad Md Pllc N
RAGHAD LEPLEY MD PC N
ROSEMARY M AQUILER ANGELES MD PC N
Shenandoah Clinic PC N
Sherwood Medical Center, Inc N
SOUTHGATE MEDICAL CLINIC PC N
Steven J. Serra, D.O. P.C. N
SYLMARA E. CHATMAN M.D. P.C. N
Synergy Medical PC N
T.N. Kakish MD PC N
TANIR MEDICAL CENTER PC N
Vinod Kohli MD PC N
Yassir Attalla Pllc N
ACO Praticipants ACO Participants on Joint Venture (Enter Y or N)
Ahmad R. Zeibo, MD. PLLC N
Alka D Aggarwal MD PC N
Associated Physicians Group PLC N
COMMERCE INTERNAL MEDICINE, P.C. N
David G Patterson DO PC N
DETROIT COMMUNITY HEALTH CONNECTION, INC N
DETROIT MEDICAL SERVICE PLC N
Eastside Internal Medicine PC N
EMILY D SMITH MD PLLC N
Franklin Medical Consultants, P.C. N
Hartland Family Physicians PC N
Internal Medicine Assoc Of Mi Pc N
JANE K. SYRIAC MD P.C. N
John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser Associated N
JORAM O MOGAKA MD PC N
Jowher Khaleel M.D. P.C. N
Karma Internists, P.C. N
Lamis, Inc. N
Maan Askar MD, PC N
MD House Calls PLLC N
Metro Shores Internal Medicine, PLLC N
Nizaamuddeen Toofanny, M.D., PLLC N
Norman J Kakos M.D. P.C. N
PARK FAMILY HEALTH CARE, P.C. N
PILLAY INTERNAL MEDICINE ASSOCIATES, PLLC N
PORT HURON INTERNAL MEDICINE ASSOCIATES, P.C. N
PRITI BHARDWAJ MD PC N
Quarry Physicians, PC N
Raed Haddad Md Pllc N
RAGHAD LEPLEY MD PC N
ROSEMARY M AQUILER ANGELES MD PC N
Shenandoah Clinic PC N
Sherwood Medical Center, Inc N
SOUTHGATE MEDICAL CLINIC PC N
Steven J. Serra, D.O. P.C. N
SYLMARA E. CHATMAN M.D. P.C. N
Synergy Medical PC N
T.N. Kakish MD PC N
TANIR MEDICAL CENTER PC N
Vinod Kohli MD PC N
Yassir Attalla Pllc N

Reliance Preferred Skilled Nursing Facilities

 

County Name City Address Phone Number Company
Wayne Applewood

 

Woodhaven 18500 Van Horn Rd 734.676.7575 Symphony
Oakland Lourdes Rehabilitation     Waterford Twp 2300 Watkins Lake RD 248.673.1720 Lourdes Rehab & Healthcare
St Clair Medilodge of Port Huron

 

     Fort Gratiot Twp 669 Lakeshore Rd 810.385.7260 Medilodge Corp
Wayne Regency at Canton          Canton 45900 Geddes 734.879.4100 Ciena Healthcare
Macomb Regency at St. Clair Shores

 

     St. Clair Shores 22700 Greater Mack Ave 586.443.4910 Ciena Healthcare
Wayne Regency Heights

 

          Detroit 19100 W 7Mile Rd 313.533.5002 Ciena Healthcare
Wayne Rivers of Grosse Pointe Rehab

 

Grosse Pointe Woods 900 Cook Rd 313.885.5005 Riverview Health & Rehab
Macomb Shelby Crossing Health Campus

 

          Shelby 13794 21 Mile Rd 586.532.2100        Trilogy
Oakland WestLake Health

Campus

 

Commerce Charter

TWP

10735 Bogie Lake Rd 248.363.9400 Trilogy

 

ACO governing body:

Member Member’s Voting Power –Expressed as a percentage or number Membership Type – ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Coumarbach Jira Board Member Superior Family Medicine Clinic, PC
Demashkieh Fadi Board Member Rochester Internists, PLLC
Haapaniemi John Board Member John Haapaniemi & Barry Lesser, Ptr., Haapaniemi Lesser Associated
Haque Nazmul CEO/Chairman of the Board
Maitland Conrad Board Member Sherwood Medical Center, Inc.
Siddique Mohamed President
Stone Edwin Board Member M.D. House Calls, PLLC
Hall Harold Member Beneficiary

*All Board Members have voting capacity

Key ACO clinical and administrative leadership:

Eric McBride ACO Executive
Mohammed Siddique Medical Director
Julie Moser Compliance Officer
Josh Hixson Quality Assurance/Improvement Officer

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Finance Committee Neil Belgiano, MD
Quality Committee Mohamed Siddique, MD
Medical Management Greg Berger, MD

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
  • Performance Year 2019, $3,195,465
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $7,303,914
    • Performance Year 2015, $0
    • Performance Year 2014, $5,963,625

 

Shared Savings Distribution

    • Second Agreement Period
    • Performance Year 2019
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 19%
      • Proportion of distribution to ACO participants: 41%
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: 17%
      • Proportion invested in redesigned care processes/resources: 7%
      • Proportion of distribution to ACO participants: 46%

Contact

    Reliance ACOReliance PO