NEXT GENERATION ACO

Organizational Information

RELIANCE NEXT GENERATION ACO LLC
23900 ORCHARD LAKE ROAD, SUITE 200
FARMINGTON HILLS, MI 48336

Primary Contact

Eric McBride, Chief Operating Officer

Reliance ACO

23900 Orchard Lake Rd.

Farmington Hills, MI 48336 Ste. 200

248.715.5409 Office

248.715.5415 Fax

Preferred Provider List

TIN Legal Name	Physician First Name	Physician Last Name	ACO Participant in Joint Venture (Enter Y or N)
Advantage Health Services	DAVIS	ELIZABETH ANN	N
Advantage Health Services	ROBINSON	ANKE	N
Airport Family Physicians, PLC	SHEEHAN	COLLEEN	N
Airport Family Physicians, PLC	ANTUNANO	EMILIO	N
Alan L. Feldman DO PC	FELDMAN	ALAN	N
Alzohaili Medical Consultants, M.D., PC	KRAKAUER	JESSE	N
Alzohaili Medical Consultants, M.D., PC	ALHUSSEINI	MAHA	N
Alzohaili Medical Consultants, M.D., PC	MIAN	SAADIA	N
Alzohaili Medical Consultants, M.D., PC	ELKADRY	AYMAN	N
Alzohaili Medical Consultants, M.D., PC	ALZOHAILI	OPADA	N
Asadulla Mohammed M.D. PC	TABOH	LAUREN	N
Dearborn Healthcare, PC	HUSSAIN	RAYA	N
Asadulla Mohammed M.D. PC	NAZNEEN	WAHEEDA	N
Asadulla Mohammed M.D. PC	HAQUE	FARZANA	N
Asadulla Mohammed M.D. PC	ALCHAKAKI	ABDULRAZAK	N
Asadulla Mohammed M.D. PC	MOHAMMED	ASADULLA	N
Aydin Turan MD PC	Turan	Aydin	N
Bloomfield Medical Center – Detroit	MARTINEZ	JESSE	N
Bloomfield Medical Center – Farmington Hills	HAQUE	NAZMUL	N
Bloomfield Medical Center – Farmington Hills	MADHAVAN	ARTI	N
Bloomfield Medical Center – Farmington Hills	JALIL	JABIN	N
Charles G. Godoshian, M.D., P.C.	GODOSHIAN	CHARLES	N
David Leszkowitz DO, PC	CHIPAWE	CHAKANETSA	N
David Leszkowitz DO, PC	LESZKOWITZ	DAVID	N
Dean Clinic, P.C.	HARRIS	ROGER	N
Detroit Medical Group – Seven Mile	HAQUE	MOHAMMED	N
Farmington Medical Clinic	AHMAD	MUTAHHAR	N
George Nassif, M.D., PLLC	NASSIF	GEORGE	N
H. Daneshvar, M.D., PC	DANESHVAR	HUDSON	N
Hamtramck Medical Group PC	SAMIR-MOEZ	HAZEM	N
Jay H. Sandberg, D.O., P.C.	SANDBERG	JAY	N
Kamran F. Sheikh, M.D., PC	SHEIKH	KAMRAN	N
Kamran F. Sheikh, M.D., PC	DEAN	GEORGE	N
Kamran F. Sheikh, M.D., PC	CAMERON	MARY	N
Kamran F. Sheikh, M.D., PC	IMRAN	MOHAMMAD	N
Kamran F. Sheikh, M.D., PC	MILLMAN	NEIL	N
Khalid Rao, M.D. P.C.	RAO	KHALID	N
Khalid Rao, M.D. P.C.	MITCHELL	LAURIE ANN	N
Lawrence M. Dell, MD PC	DELL	LAWRENCE	N
Lawrence M. Dell, MD PC	BURKLAND	DEAN	N
Lawrence M. Dell, MD PC	NORRIS	LISA	N
Lawrence M. Dell, MD PC	ROSENBAUM	ERIC	N
Lawrence M. Dell, MD PC	RUBLE	CHERYL	N
Lawrence M. Dell, MD PC	KRUEGER	KRISTEN	N
Legacy Family Medicine, PC	SAYEGH	ANTHONY	N
Legacy Family Medicine, PC	ZIMNY	MATTHEW	N
Macomb Physicians Group, PLLC – Sterling Heights	HUDOCK	STEVEN	N
Macomb Physicians Group, PLLC – Sterling Heights	PATEL	BAKULKUMAR	N
Macomb Physicians Group, PLLC – Sterling Heights	DIVVELA	JAGANNADHARAO	N
Macomb Physicians Group, PLLC – Sterling Heights	BANNA	ELIE	N
Macomb Physicians Group, PLLC – Sterling Heights	STEPHEN	MARK	N
Macomb Physicians Group, PLLC – Sterling Heights	KONERU	LALITHA	N
Macomb Physicians Group, PLLC – Sterling Heights	SABBAQ	MAZEN	N
Macomb Physicians Group, PLLC – Sterling Heights	KONERU	SRINIVAS	N
Macomb Physicians Group, PLLC – Sterling Heights	GUPTA	AMITA	N
Macomb Physicians Group, PLLC – Sterling Heights	Gohel	Narendra	N
Macomb Physicians Group, PLLC – Sterling Heights	AYYOUB	FATEN	N
Macomb Physicians Group, PLLC – Sterling Heights	DIORA	GORDHAN	N
Macomb Physicians Group, PLLC – Sterling Heights	NEELAM	SARABJIT	N
Medical Associates, PC	SIDDIQUI	ATHAR	N
Medical Associates, PC	SIDDIQUI-HAMZAVI	JABEEN	N
Medical Associates, PC	KHAN	SHAHIDA	N
Medical Associates, PC	SIDDIQUI	SULEMAN	N
Michael G. Taylor	TAYLOR	MICHAEL	N
Michigan Neurology Associates, PC	SANTA ANA	JOHN	N
Michigan Neurology Associates, PC	HALPERN	ROSS	N
Michigan Neurology Associates, PC	VOCI	JAMES	N
Michigan Neurology Associates, PC	LIFF	CHRISTINE	N
Michigan Neurology Associates, PC	NABITY	THOMAS	N
Michigan Neurology Associates, PC	GOSALAKKAL	JAYAPRAKASH	N
Michigan Neurology Associates, PC	GIANCARLO	THOMAS	N
Michigan Neurology Associates, PC	ZAFAR	MOHAMMED	N
Michigan Neurology Associates, PC	MOOSAVI	SYED ABBAS	N
Michigan Neurology Associates, PC – DR. CLINTON LOCATION	CLINTON	JAMES	N
Michigan Primary Care PLLC	OLESKY	MAGDALENA	N
Michigan Primary Care PLLC	MILLER	COLLEEN	N
Michigan Primary Care PLLC	Bill	GARY	N
Michigan Primary Care PLLC	TASEVSKI	ALEKSANDRA	N
Michigan Primary Care PLLC	PURZYCKI	ZBIGNIEW	N
Michigan Specialty Clinic PLLC	SINAN	ABDULHADI	N
Muksi, LLC	KING	DENIENE	N
Muksi, LLC	THARP	KIMBERLY	N
Muksi, LLC	SAMAD	MUNZER	N
North Valley Internal Medicine, PC	BELGIANO	NEIL	N
North Valley Internal Medicine, PC	GUIDO	CATHERINE	N
North Valley Internal Medicine, PC	GENSON	BRANDON	N
North Valley Internal Medicine, PC	BRUCE	KATHRYN	N
Nova Medica, PLLC	TAGHAVI	NASSER	N
Nova Medica, PLLC	KRONBERG	STEPHEN	N
Nova Medica, PLLC	REDMOND	ERIC	N
Nova Medica, PLLC	CIEMIEGA	ROBERT	N
Nova Medica, PLLC	PASSOW	MARK	N
Physican HealthCare Network – North	Farrukh	Navqi	N
Physician HealthCare Network – Children Health – Fort Gratiot	NANDAMUDI	DEV	N
Physician HealthCare Network – Children Health – Marysville	NANDI	HEMALTA	N
Physician HealthCare Network – Children Health – Marysville	PAUTZ	RIKKI	N
Physician HealthCare Network – Children Health – Port Huron	PAKNIKAR	SREEDHAR	N
Physician HealthCare Network – Children Health – Port Huron	VAN MAELE	LISA	N
Physician HealthCare Network – Children Health – St Clair	LACKOWSKI	LINDA	N
Physician HealthCare Network – Children Health – St. Clair	GRACE	JESSICA	N
Physician HealthCare Network – Children Health – Yale	NANDI	AMIT	N
Physician HealthCare Network – Children Health – Yale	RUIZ	RENEE	N
Physician HealthCare Network – Gastroenterology	SCHILL	WENDY	N
Physician HealthCare Network – Gastroenterology	VELOCCI	VICTOR	N
Physician HealthCare Network – Gastroenterology	BLANK	TARA	N
Physician HealthCare Network – Gastroenterology	Mahakala-Tumma	Kavita	N
Physician HealthCare Network – Hospitalists	PRAKASH	RAJAT	N
Physician HealthCare Network – Macomb	CAVATAIO	PIETRO	N
Physician HealthCare Network – Macomb	COLOMBO	ANTONINO	N
Physician HealthCare Network – Macomb	ROBINET	CHRISTINE	N
Physician HealthCare Network – Macomb	LACOVIC	SHANNON	N
Physician HealthCare Network – Macomb	SCHWEIGER	MICHELLE	N
Physician HealthCare Network – Macomb	HOLDWICK	KATHERINE	N
Physician HealthCare Network – Macomb	PEACOCK	APRIL	N
Physician HealthCare Network – Marysville	QUINN	DANIELLE	N
Physician HealthCare Network – Marysville	NEDIC	IGOR	N
Physician HealthCare Network – Marysville	ONUFRAK	JESSICA	N
Physician HealthCare Network – Marysville	COLOMBO	JOHN	N
Physician HealthCare Network – Marysville	STACHOWIAK	KATRINA	N
Physician HealthCare Network – Marysville	BRUER	PAUL	N
Physician HealthCare Network – Marysville	STACHOWIAK	TODD	N
Physician HealthCare Network – Marysville	BANNER FRANK	JILL	N
Physician HealthCare Network – Marysville	CAVATAIO	PIETRO A	N
Physician HealthCare Network – Marysville	WRIGHT	KELLY	N
Physician HealthCare Network – McLaren Port Huron Hospital	KHANPARA	VIPUL	N
Physician HealthCare Network – McLaren Port Huron Hospital	WRIGHT	ANTHONY	N
Physician HealthCare Network – McLaren Port Huron Hospital	Koss	Sarah	N
Physician HealthCare Network – North	HOUSER	BEVERLIE	N
Physician HealthCare Network – North	SOUPHIS	DANIEL	N
Physician HealthCare Network – North	BORGIEL	CHRISTOPHER	N
Physician HealthCare Network – North	HILL	STACIE	N
Physician HealthCare Network – North	MCKNIGHT	THERESA	N
Physician HealthCare Network – North	KASZYCA	JUDITH	N
Physician HealthCare Network – South	BAKER	SHAUN	N
Physician HealthCare Network – South	Sabala	Danielle	N
Physician HealthCare Network – South	RAYMOND	MICHELE	N
Physician HealthCare Network – Surgical Division	MCFARLANE	KAREN	N
Praveen Modi, M.D., PC	MODI	PRAVEEN	N
Praveen Modi, M.D., PC	CIPA	DAWN	N
Premier Medicine, PC – Dearborn	AL-SMOUDI	SARIEA	N
Premier Medicine, PC – Hamtramck	TOUMA	MIREILLE	N
Premier Medicine, PC – Livonia	NJITA	HONORINE	N
Premier Medicine, PC – Livonia	AZZAM	HUSSAIN	N
Premier Medicine, PC – Livonia	CHOWDHURY	SOMNATH	N
Premier Medicine, PC – Livonia	ANSARI	SHAHID	N
Premier Medicine, PC – Livonia	QURESHI	SHAHZAD	N
Premier Medicine, PC – Livonia	ISMAIL	IMAN	N
Premier Medicine, PC – Livonia	SULIMAN	NABIL	N
Prestige Health Services	JOHNSON	JAMES	N
Pulmonary & Medicine Associates – Warren	TANKANOW	LARRY	N
Pulmonary & Medicine Associates – Warren	BRENNAN	TERRENCE	N
Pulmonary & Medicine Associates – Warren	OBEID	IMAD	N
Pulmonary & Medicine Associates – Warren	HAMADE	SAM	N
Pulmonary & Medicine Associates – Warren	PARODI ORTIZ DE VILLATE	OSCAR FRANCO	N
Pulmonary & Medicine Associates – Warren	VERTKIN	ALEXANDER	N
Pulmonary & Medicine Associates – Warren	POTTS	KEVIN	N
Pulmonary & Medicine Associates – Warren	ORZECHOWSKI	ROBERT	N
Pulmonary & Medicine Associates – Warren	PEARSON	SHANNA	N
Pulmonary & Medicine Associates – Warren	RAHAL	PEGGY	N
Pulsar Medical Associates, PC	SIDDIQUE	MOHAMED	N
Raj & Associates, M.D., PLC	RAJAGOPAL	RAMEGOWDA	N
Sami Abu Farha, M.D., PC	ABUFARHA	SAMI	N
Sami Abu Farha, M.D., PC	ALHAIDER	EAMAN	N
Sanjay Lakhani, M.D., PC	LAKHANI	SANJAY	N
Surinder Mendiratta PLLC	MENDIRATTA	SURINDER	N
Surinder Mendiratta PLLC	HUSAINI	ZAHERA	N
Surinder Mendiratta PLLC	MACK	MELISSA	N
Tanvir I. Qureshi, M.D., PC	QURESHI	TANVIR	N
Trenton Total Health Care Center, PC	CHANDY	JERRY	N
Trenton Total Health Care Center, PC	SUDHAKARA	KAJOOR	N
Trenton Total Health Care Center, PC	SUDHAKARA	RAMNEET	N
Universal Clinic and Urgent Care, P.C.	SIDDIQUE	NAVEED	N
Waterford Primary Health Services	AHMAD	NAILA	N
Yeva Soskina	SOSKINA	YEVA	N
Quadir Jaleel, M.D., PC	JALEEL	QUADIR	N

Preferred Skilled Nursing Facilities List

Reliance Preferred Nursing Facilities

BELLE FOUNTAIN NURSING & REHABILIATION CENTER INC (Belle Fountain)

EVERGREEN NURSING CENTER JOINT VENTURE (Evergreen)

FRENCHTOWN ACQUISITION COMPANY INC (Fountain View of Monroe)

Hartford Nursing & Rehab Center (Hartford Senior Care)

MANORS OF CANTON, LLC (Heartland Canton)

MILFORD OPCO LLC (Medilodge Milford)

MONROE OPCO, LLC (Medilodge Monroe)

Quest Diagnostic Incorporated (Quest Diagnostic Lab)

Regency at Chene (Regency at Chene)

REGENCY ON THE LAKE-FORT GRATIOT, LLC (Regency on the Lake)

RIVERVIEW ACQUISITION COMPANY, LLC (Regency at Bluffs Park)

SHELBY NURSING CENTER JOINT VENTURE (Shelby Health & Rehab Center))

SHELBY TOWNSHIP CARE CENTER, LLC (Regency at Shelby)

SSC Clinton Township Operating Company LLC (Clinton Aire Healthcare)

ST ANTHONY ACQUISITION COMPANY INC (St. Anthony Healthcare Center)

TRILOGY HEALTHCARE OF ROMEO, LLC (Orchard Grove Health Campus)

SHOREPOINT HEALTH AND REHAB, WBH NCC #1, LLC (ShorePointe Nursing Center)

Key Clinical and Administrative Leaders

Dr. Nazmul Haque, CEO, Bloomfield Medical Center PLLC
Dr. Mohamed Siddique, President, Pulsar Medical Association PC
Eric McBride, Chief Operating Officer, Reliance ACO LLC
Gene Farber, System Chief Operating Officer, Reliance ACO LLC
Dr. Neil Belgiano, Chief Medical Officer, North Valley Internal Medicine PC
Dr. Gregory Berger, Associate Chief Medical Officer, Reliance ACO LLC
Josh Hixson, Senior Director of Quality, Reliance ACO LLC
Julie Moser, Compliance Officer, Reliance ACO LLC
Sarah Goehmann, Emergency Room Program Lead, Reliance ACO LLC

Governing Board

LAST NAME	FIRST NAME	NextGen ACO 2021 Board Designation
Belgiano	Neil	Medical Director, Finance Committee Chair Person and Board Member, NextGen ACO Partipant
Colombo	John	Board Member, NextGen ACO Partipant
Diora	Gordhan	Board Member, NextGen ACO Partipant
Samad	Munzer	Board Member, NextGen ACO Partipant
Milan	Gandi	Board Member
Haque	Nazmul	Chairman of the Board, NextGen ACO Participant
Sheikh	Kamran	Board Member, NextGen ACO Participant
Siddique	Mohamed	President, Quality Committee Chair and Board Member, NextGen ACO Participant,
Siddiqui	Athar	Board Member, NextGen ACO ParticipantBoard Member
Suliman	Nabil	Board Member, NextGen ACO Participant
Taylor	Michael	Board Member, NextGen ACO Participant
Praveen	Modi	Board Member, NextGen ACO Participant
Mike	Finch	Board Member, Consumer Advocate/Beneficiary Representitive

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

Performance Year 2018, $5,853,665.06

Second Agreement Year
- Performance Year 2019, $8,464,756
- 60% participating physicians
- 40% Infrastructure
- Third Agreement Year
  - Performance Year 2020, $8,605,174
  - 60% participating physicians
  - 40% Infrastructure

Quality Performance

Quality Performance Results

2020 Quality Performance Results:

ACO#	Measure Name	Rate
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	N/A
ACO-2	CAHPS: How Well Your Providers Communicate	N/A
ACO-3	CAHPS: Patients’ Rating of Provider	N/A
ACO-4	CAHPS: Access to Specialists	N/A
ACO-5	CAHPS: Health Promotion and Education	N/A
ACO-6	CAHPS: Shared Decision Making	N/A
ACO-7	CAHPS: Health Status/Functional Status	N/A
ACO-34	CAHPS: Stewardship of Patient Resources	N/A
ACO-45	CHAPS: Courteous and Helpful Office Staff	N/A
ACO:46	CHAPS: Care Coordination	N/A
ACO-8	Risk Standardized, All Condition Readmission	15.10
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	56.34
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	0.74
ACO-13	Falls: Screening for Future Fall Risk	88.19
ACO-14	Preventive Care and Screening: Influenza Immunization	57.96
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	77.78
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	73.71
ACO-19	Colorectal Cancer Screening	53.36
ACO-20	Breast Cancer Screening	53.36
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	76.45
ACO-40	Depression Remission at 12 months	8.70
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	26.00
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	71.49

ACOs were not required to field a CAHPS survey due to the Public Health Emergency and will receive full credit for all 10 CAHPS measures: ACO-1, ACO-2 ,ACO-3, ACO-4, ACO-5, ACO-6, ACO-7, ACO-34, ACO-45 and ACO-46.