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

Reporting

Quality Performance Results

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

79.60

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.88

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.58

92.31

ACO-4

CAHPS: Access to Specialists

82.15

83.32

ACO-5

CAHPS: Health Promotion and Education

65.20

62.30

ACO-6

CAHPS: Shared Decision Making

74.44

75.85

ACO-7

CAHPS: Health Status/Functional Status

70.88

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

34.45

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.26

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.81

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

90.50

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

67.58

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.98

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

65.57

75.32

ACO-13

Falls: Screening for Future Fall Risk

85.62

74.38

ACO-44

Imaging Studies for Low Back Pain

72.55

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

71.28

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

74.38

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

70.14

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

95.16

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

82.31

61.98

ACO-19

Colorectal Cancer Screening

60.70

64.58

ACO-20

Breast Cancer Screening

62.23

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78.82

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.46

16.74

ACO-41

Diabetes: Eye Exam

49.29

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

74.05

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

90.05

86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

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/data

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/data

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.

ACO Participants*

Reliance ACO Participants consist of a network of individual practices of ACO professionals:

Eastside Internal Medicine PC
Maan Askar MD, PC
Ali Nasser MD PC
Rochester Internists, PLLC
B.N. Nandish, M.D., PC, Inc.
MD House Calls PLLC
Warren Gastroenterology, P.C.
Lamis, Inc.
ROSEMARY M AQUILER ANGELES MD PC
Nizaamuddeen Toofanny, M.D., PLLC
Superior Family Medicine Clinic, PC
Metro Shores Internal Medicine, PLLC
Jonathan E Pasko Md Pc
Allenwood Family Health Care, PC
Quarry Physicians, PC
JUNCTION CLINIC
Franklin Medical Consultants, P.C.
Shenandoah Clinic PC
Internal Medicine Assoc Of Mi Pc
Maheshkumar Patel
Kurt Hesse MD PC
Jowher Khaleel M.D. P.C.
John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser Associated
Steven J. Serra, D.O. P.C.
PARK FAMILY HEALTH CARE, P.C.
Sherwood Medical Center, Inc
Vinod Kohli MD PC
Mohamed Soofi Md Pc
Abdul Kabir
David G Patterson DO PC

Monroe Medical Associates Pc
Hartland Family Physicians PC
DOWNRIVER INTERNISTS PC
COMMERCE INTERNAL MEDICINE, P.C.
Associated Physicians Of Southeast Michigan Pc
First Choice Medical Center PC
Monroe Health Center Llc
Bruce A. Cassidy, D.O., PC
PRITI BHARDWAJ MD PC
Alka D Aggarwal MD PC
Norman J Kakos M.D. P.C.
XAVIER MD PC
Advance Primary Care
South Valley Internal Medicine, Pc
Ahmad R. Zeibo, MD. PLLC
Amini Healthcare PLLC
Raed Haddad Md Pllc
T.N. Kakish MD PC
Karma Internists, P.C.
Deborah A. Borowski, D.O., PC
DETROIT MEDICAL SERVICES PLC
BetterHealthPLLC
JORAM O MOGAKA MD PC
Synergy Medical PC
Yassir Attalla Pllc
Associated Physicians Group PLC
GRATIOT FAMILY MEDICINE CENTER PLLC
SOUTHGATE MEDICAL CLINIC PC
Yehia I Elsafy M D P L C

ACO participants in joint ventures between ACO professionals and hospitals:
* No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

Name		Board Designation
Nazmul Haque		CEO, ACO Participant, Bloomfield Medical Center, PLLC
Jira Coumarbatch		Board Member, ACO Participant, Superior Family Medicine
Fadi Demashkieh		Board Member, ACO Participant, Rochester Internists, PLC
John Haapaniemi		Board Member, ACO Participant, John Haapaniemi & Barry Lesser, Ptr
Conrad Maitland		Board Member, ACO Participant, Sherwood Medical Center P.C.
Edwin Stone		Board Member, ACO Participant, M.D. House Calls, PLLC

*All Board Members have voting capacity

Key ACO Clinical and Administrative Leadership:

ACO Executive		Gen Farber
Medical Director		Dr. Mohamed Siddique
Compliance Officer		Gene Farber
Quality Assurance/Improvement Officer		Neil Belgiano

Associated Committees and Committee Leadership:

Quality Committee		Dr. Neil Belgiano
Care Coordination Committee		Gregory Berger

Shared Savings and Losses:

Amount of Shared Savings/Losses

Second Agreement Period
- 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 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 Healthcare

248 715 5400

23900 Orchard Lake Road – Suite 200
Farmington Hills, MI 48336

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	79.60	80.60
ACO-2	CAHPS: How Well Your Providers Communicate	93.88	93.13
ACO-3	CAHPS: Patients’ Rating of Provider	92.58	92.31
ACO-4	CAHPS: Access to Specialists	82.15	83.32
ACO-5	CAHPS: Health Promotion and Education	65.20	62.30
ACO-6	CAHPS: Shared Decision Making	74.44	75.85
ACO-7	CAHPS: Health Status/Functional Status	70.88	73.05
ACO-34	CAHPS: Stewardship of Patient Resources	34.45	25.68
ACO-8	Risk Standardized, All Condition Readmission	15.26	15.01
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	19.81	18.46
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	90.50	79.16
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	67.58	61.74
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.98	1.93
ACO-11	Use of Certified EHR Technology	100.00	98.48
ACO-12	Medication Reconciliation	65.57	75.32
ACO-13	Falls: Screening for Future Fall Risk	85.62	74.38
ACO-44	Imaging Studies for Low Back Pain	72.55	67.32
ACO-14	Preventive Care and Screening: Influenza Immunization	71.28	72.52
ACO-15	Pneumonia Vaccination Status for Older Adults	74.38	72.92
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	70.14	70.69
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	95.16	90.48
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	82.31	61.98
ACO-19	Colorectal Cancer Screening	60.70	64.58
ACO-20	Breast Cancer Screening	62.23	70.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	78.82	79.89
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	16.46	16.74
ACO-41	Diabetes: Eye Exam	49.29	50.37
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	74.05	71.47
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	90.05	86.86