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 that joining an ACO does not change 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
Reporting
| Table 3. 2015 Quality Performance Results Table Template |
| 2014 Reporting Year | 2015 Reporting Year | 2016 Reporting Year | |||||
| Measure Number | Measure Name | Performance Rate | Mean Performance rate (SSP - ACOs) | Performance Rate | Mean Performance rate (SSP - ACOs) | Performance Rate | Mean Performance rate (SSP - ACOs) |
| ACO1 | CAHPS: Getting Timely Care, Appointments, and Information | 77.62 | 80.13 | 82.59 | 80.11 | 79.51 | 80.51 |
| ACO2 | CAHPS: How Well Your Providers Communicate | 91.02 | 92.39 | 92.23 | 92.41 | 94.07 | 93.01 |
| ACO3 | CAHPS: Patients’ Rating of Provider | 92.9 | 91.58 | 93.42 | 91.69 | 93.97 | 92.25 |
| ACO4 | CAHPS: Access to Specialists | 82.77 | 83.97 | 84.25 | 83.50 | 84.86 | 83.49 |
| ACO5 | CAHPS: Health Promotion and Education | 56.91 | 58.29 | 61.75 | 58.98 | 61.79 | 60.32 |
| ACO6 | CAHPS: Shared Decision Making | 75.27 | 74.6 | 77.88 | 74.80 | 75.19 | 75.40 |
| ACO7 | CAHPS: Health Status/Functional Status | 66.16 | 71.1 | 68.94 | 71.92 | 72.83 | 72.30 |
| ACO34 | CAHPS: Stewardship of Patient Resources* | 29.98 | 27.35 | 34.79 | 26.97 | ||
| ACO8 | Risk Standardized, All Condition Readmission | 16.49 | 15.15 | 15.48 | 14.86 | 15.06 | 14.70 |
| ACO35 | Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission | 19.8 | 18.06 | 19.72 | 18.17 | ||
| ACO36 | All-Cause Unplanned Admissions for Patients with Diabetes* | 66.74 | 54.57 | 58.40 | 53.20 | ||
| ACO37 | All-Cause Unplanned Admissions for Patients with Heart Failure* | 91.26 | 76.96 | 84.52 | 75.23 | ||
| ACO38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 71.71 | 62.92 | 65.14 | 59.81 | ||
| ACO9 | Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) | 1.42 | 1.08 | 1.24 | 1.11 | 8.22 | 9.27 |
| ACO10 | Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) | 1.04 | 1.19 | 0.97 | 1.04 | 14.53 | 14.53 |
| ACO11 | Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements | 65.22 | 76.71 | 68.61 | 80.50 | 72.77 | 82.72 |
| ACO39 | Documentation of Current Medications in the Medical Record* | 90.31 | 84.07 | 95.68 | 87.54 | ||
| ACO13 | Falls: Screening for Future Fall Risk | 18.28 | 45.6 | 70.6 | 56.59 | 72.14 | 64.04 |
| ACO14 | Preventive Care and Screening: Influenza Immunization | 37.7 | 57.51 | 62.7 | 62.02 | 65.04 | 68.32 |
| ACO15 | Pneumonia Vaccination Status for Older Adults | 14.07 | 55.03 | 59.65 | 63.78 | 70.22 | 69.21 |
| ACO16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up | 78.56 | 66.75 | 71.85 | 71.17 | 76.76 | 74.45 |
| ACO17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 84.42 | 86.79 | 89.82 | 90.25 | 93.71 | 90.98 |
| ACO18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 25.3 | 39.37 | 68.59 | 45.33 | 68.39 | 53.63 |
| ACO19 | Colorectal Cancer Screening | 32.03 | 56.14 | 45.41 | 60.04 | 52.22 | 61.52 |
| ACO20 | Breast Cancer Screening | 44.58 | 61.41 | 53.75 | 65.65 | 61.63 | 67.61 |
| ACO21 | Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 76.04 | 60.24 | 68.64 | 70.04 | 61.48 | 76.79 |
| ACO40 | Depression Remission at Twelve Months* | 33.33 | 6.13 | ||||
| ACO42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 64.02 | 77.72 | ||||
| ACO27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 35.32 | 20.35 | 20.66 | 20.42 | 17.75 | 18.24 |
| ACO41 | Diabetes: Eye Exam* | 32.94 | 41.14 | 35.87 | 44.94 | ||
| ACO28 | Hypertension: Controlling High Blood Pressure | 64.94 | 68.02 | 66.6 | 69.61 | 68.11 | 70.69 |
| ACO30 | Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic | 53.6 | 80.79 | 87.74 | 83.81 | 87.06 | 85.05 |
| ACO31 | Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) | 97.55 | 82.71 | 85.19 | 87.20 | 83.96 | 88.67 |
| ACO33 | Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) | 57.35 | N/A | 82.04 | 77.74 | 76.98 | 79.67 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
- For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
- For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu
- For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu
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 A76825 in the public use files on data.cms.gov.
CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.
*= Measure required beginning Reporting Year 2015.
N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A
Reliance ACO Participants consist of a network of individual practices of ACO professionals:
- A. Kabir, M.D.
- Advance Primary Care
- Ahmad R. Zeibo M.D. PLLC
- Ali Nasser, M.D., P.C.
- Alka D. Aggarwal, M.D. P.C.
- Allenwood Family Health Care, PC
- Alliance Health Professionals, PLLC
- Amini Healthcare, P.L.L.C.
- Anil R. Patel, MD
- Associated Physicians Group PLC
- B.N. Nandish, M.D., PC
- Better Health PLLC
- Bruce Cassidy, D.O., PC
- Charles G. Godoshian, M.D., P.C.
- David G. Patterson D.O., P.C.
- Dearborn Family Clinic, PC
- Deborah A. Borowski, D.O., P.C.
- Eastside Internal Medicine, PC
- First Choice Medical Center
- Franklin Medical Consultants P.C.
- Hartland Family Physicians PC
- Infinity Primary Care LLC
- Internal Medicine Associates of Michigan PC
- John Haapaniemi & Barry Lesser Ptr, Haapaniemi Lesser Associated
- Jonathan E. Pasko, M.D., PC
- Jowher Khaleel M.D. P.C.
- Karma Internists, P.C.
- Kashif Qureshi, M.D., PC
- Kurt Hesse M.D., P.C.
- Lamis Inc
- M.A. Soofi M.D., P.C.
- M.D. House Calls, PLLC
- Maan Askar, MD PC
- Maheshkumar Patel
- Metro Shores Internal Medicine, PLLC
- Monroe Health Center
- Monroe Medical Associates
- Nizaamuddeen Toofanny, M.D., PLLC
- Norman J. Kakos, M.D., P.C.
- Palakurthi, PLLC
- Quality Medical Group PLC
- Raed Haddad M.D. PLLC
- Rochester Internists, PLLC
- Rodney Poling, M.D.
- Shenandoah Clinic P.C.
- Sherwood Medical Center, PC
- Slim Internal Medicine, PLLC
- South Valley Internal Medicine, P.C.
- Southfield Internists, PC
- Steven J. Serra, D.O., PC
- Superior Family Medicine P.C.
- Synergy Medical, P.C.
- T.N. Kakish, M.D. P.C.
- Vinod Kohli, M.D., P.C.
- Warren Gastroenterology, P.C.
- Yassir Attalla, PLLC
- Yehia I Elsafy M.D. PLC
ACO participants in joint ventures between ACO professionals and hospitals:
* No participants are involved in a joint venture between ACO professionals and hospitals
| Name | Board Designation | |
| Nazmul Haque | CEO, ACO Participant, Bloomfield Medical Center, PLLC | |
| Jerome Finkel | Board Member, ACO Participant, Alliance Health Professionals, PLLC | |
| Amy Goldfaden | Board Member, ACO Participant, Infinity Primary Care, LLC | |
| David Steinberger | Board Member, ACO Participant, Infinity Primary Care, LLC | |
| Jira Coumarbatch | Board Member, ACO Participant, Superior Family Medicine | |
| Charles Godoshian | Board Member, ACO Participant, Alliance Health Professionals, PLLC | |
| Fadi Demashkieh | Board Member, ACO Participant, Rochester Internists, PLC | |
| John Haapaniemi | Board Member, ACO Participant, John Haapaniemi & Barry Lesser, Ptr | |
| Tedd March | Board Member, ACO Participant, Monroe Medical Associates, LLC | |
| Pratibha Modi | Board Member, ACO Participant, Southfield Internists, PC | |
| Mohamed Siddique | President, ACO Participant, Pulsar Medical Associates, PC | |
| Edwin Stone | Board Member, ACO Participant, M.D. House Calls, PLLC | |
| Gene Farber | COO, Board Member |
*All Board Members have voting capacity
| CEO | Dr. Nazmul Haque | |
| President and Medical Director | Dr. Mohamed Siddique | |
| Regional Medical Director | Dr. Neil Belgiano | |
| COO | Gene Farber | |
| Chief Medical Officer | Dr. Gregory Berger |
| Quality Committee | Dr. Neil Belgiano | |
| Care Coordination Committee | Dr. Mohamed Siddique |