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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.70 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.25 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.34 92.45
ACO-4 CAHPS: Access to Specialists 80.51 81.50
ACO-5 CAHPS: Health Promotion and Education 63.34 59.26
ACO-6 CAHPS: Shared Decision Making 59.33 61.94
ACO-7 CAHPS: Health Status/Functional Status 72.74 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 27.98 26.26
ACO-8 Risk Standardized, All Condition Readmission 15.22 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 20.94 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 39.20 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 83.91 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.13 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.91 1.98
ACO-11 Use of Certified EHR Technology 97.75 98.20
ACO-12 Medication Reconciliation Post-Discharge 86.94 85.91
ACO-13 Falls: Screening for Future Fall Risk 90.76 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 76.92 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 68.45 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 72.53 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 80.85 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84.21 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 80.98 66.74
ACO-19 Colorectal Cancer Screening 69.36 68.27
ACO-20 Breast Cancer Screening 72.47 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.46 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.36 15.51
ACO-41 Diabetes: Eye Exam 58.29 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.50 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 84.99 88.92

 

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.

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Eastside Internal Medicine PC Y
Maan Askar MD, PC Y
Ali Nasser MD PC Y
Rochester Internists, PLLC Y
B.N. Nandish, M.D., PC, Inc. Y
MD House Calls PLLC Y
Warren Gastroenterology, P.C. Y
Lamis, Inc. Y
ROSEMARY M AQUILER ANGELES MD PC Y
Nizaamuddeen Toofanny, M.D., PLLC Y
Superior Family Medicine Clinic, PC Y
Metro Shores Internal Medicine, PLLC Y
Maheshkumar Patel Y
Jonathan E Pasko Md Pc Y
Allenwood Family Health Care, PC Y
Abdul Kabir Y
Quarry Physicians, PC Y
JUNCTION CLINIC Y
Franklin Medical Consultants, P.C. Y
Shenandoah Clinic PC Y
Internal Medicine Assoc Of Mi Pc Y
Kurt Hesse MD PC Y
Jowher Khaleel M.D. P.C. Y
John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser Associated Y
Steven J. Serra, D.O. P.C. Y
PARK FAMILY HEALTH CARE, P.C. Y
Sherwood Medical Center, Inc Y
Vinod Kohli MD PC Y
Mohamed Soofi Md Pc Y
David G Patterson DO PC Y
Monroe Medical Associates Pc Y
Hartland Family Physicians PC Y
DOWNRIVER INTERNISTS PC Y
COMMERCE INTERNAL MEDICINE, P.C. Y
Associated Physicians Of Southeast Michigan Pc Y
First Choice Medical Center PC Y
Monroe Health Center Llc Y
Bruce A. Cassidy, D.O., PC Y
PRITI BHARDWAJ MD PC Y
Alka D Aggarwal MD PC Y
Norman J Kakos M.D. P.C. Y
XAVIER MD PC Y
Advance Primary Care Y
South Valley Internal Medicine, Pc Y
Ahmad R. Zeibo, MD. PLLC Y
Amini Healthcare PLLC Y
Raed Haddad Md Pllc Y
T.N. Kakish MD PC Y
Karma Internists, P.C. Y
Port Huron Internal Medicine Associates, PC Y
DETROIT MEDICAL SERVICES PLC Y
BetterHealthPLLC Y
JORAM O MOGAKA MD PC Y
Synergy Medical PC Y
Yassir Attalla Pllc Y
Associated Physicians Group PLC Y
GRATIOT FAMILY MEDICINE CENTER PLLC Y
SOUTHGATE MEDICAL CLINIC PC Y
Yehia I Elsafy M D P L C Y

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
Kimberly Gray 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 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 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