ACO Name and Location
PMC ACO LLC
2425 S Linden Road
Suite B
Flint, MI 48532
ACO Primary Contact
Mike Grodus
734-302-2108
mgrodus@medicaladvantage.com
Organizational Information
ACO participants:
|
ACO Participants |
ACO Participant in Joint Venture |
|
A. Almansour, M.D., P.C. |
N |
|
Abdul Kabir, M.D. |
N |
|
Abdullah Raffee, M.D. PC |
N |
|
Ahmad Al-Dabagh MD PC |
N |
|
Ahmed A. Arif MD PC |
N |
|
Amanda Winston, MD PLLC |
N |
|
Asif Ishaque, M.D., P.C. |
N |
|
Caro Health Plaza PLC |
N |
|
Caroline D Mathew, MD, PC |
N |
|
Cass River Health Plaza PLLC |
N |
|
Cornerstone Family Medical Center PLLC |
N |
|
E Saeed MD PC |
N |
|
F Khan Md Pc |
N |
|
Fenton Medical Center |
N |
|
Flushing Healthcare, PC |
N |
|
Genesee Family Care PC |
N |
|
Hurley Health Services |
N |
|
Jonathan E Pasko, MD PC |
N |
|
M.W. Eustace M.D. PLC |
N |
|
May Ghalib, MD, PC |
N |
|
Michigan Internal Medicine & Pediatrics, P.C. |
N |
|
Monroe Health Center L.L.C. |
N |
|
Owosso Medical Group |
N |
|
Sports and Regenerative Medicine PLLC |
N |
|
St. Charles Family Clinic PLLC |
N |
|
Vibha |
N |
|
Winsor Clinic, PC |
N |
ACO governing body:
|
Member Last Name |
Member First Name |
Member Title/Position |
Member’s Voting Power: expressed as a percentage or number |
Membership Type |
ACO Participant Legal Business Name/DBA, if applicable |
|
Ishaque |
Asif |
President |
1 |
ACO Participant |
Asif Ishaque, M.D. P.C. |
|
Syed |
Mohammed |
Treasurer |
1 |
ACO Participant |
Ahmed A. Arif MD PC |
|
Duncan |
Deborah |
Vice President |
1 |
ACO Participant |
Fenton Medical Center |
|
Khan |
Farhan |
Medical Director |
1 |
ACO Participant |
F Khan Md Pc |
|
Saeed |
Elmahdi |
Secretary |
1 |
ACO Participant |
E Saeed MD PC |
|
Eustace |
Manoharan |
1 |
ACO Participant |
M.W. Eustace M.D. PLC |
|
|
Jondy |
Mohammad |
1 |
ACO Participant |
Sports and Regenerative Medicine PLLC |
|
|
Hamilton |
Richard |
1 |
Medicare Beneficiary Representative |
N/A |
|
|
Kabir |
Abdul |
1 |
ACO Participant |
Abdul Kabir, M.D. |
|
|
Bhurgri |
Aamer |
1 |
ACO Participant |
Monroe Health Center, L.L.C |
|
|
Jaggi |
Michael |
0 |
Community Stakeholder Representative |
N/A |
|
|
Mahfooz |
Naveed |
1 |
ACO Participant |
Caro Health Plaza PLC |
Key ACO clinical and administrative leadership:
ACO Executive: Asif Ishaque
Medical Director: Farhan Khan
Compliance Officer: Ben Bawcum
Quality Assurance/Improvement Officer: Farhan Khan
Associated committees and committee leadership:
|
Committee Name |
Committee Leader Name and Position |
|
Medical Management Committee |
Asif Ishaque, M.D., Chair |
|
Care Management Oversight Committee |
Farhan Khan, M.D., Chair |
|
Compliance Committee |
Ben Bawcum, Chair |
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:
- Third Agreement Period
- Performance Year 2021, $1,519,476
- Performance Year 2020, $1,631,562
- Second Agreement Period
- Performance Year 2019, $1,599,396
- Performance Year 2018, $0
- Performance Year 2017, $0
- First Agreement Period
- Performance Year 2016, $4,292,165
- Performance Year 2015, $4,176,382
- Performance Year 2014, $0
Shared Savings Distribution:
- Third Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 3.6%
- Proportion invested in redesigned care processes/resources: 27.4%
- Proportion of distribution to ACO participants: 69%
- Performance Year 2020
- Proportion invested in infrastructure: 2.8%
- Proportion invested in redesigned care processes/resources: 31.9%
- Proportion of distribution to ACO participants: 65.3%
- Performance Year 2021
- Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 2.9%
- Proportion invested in redesigned care processes/resources: 30.6%
- Proportion of distribution to ACO participants: 66.4%
- 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
- Performance Year 2019
- First Agreement Period
- Performance Year 2016
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 95%
- Performance Year 2015
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2014
- 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 2016
Quality Performance Results
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface
|
ACO # |
Measure Name |
Rate |
ACO Mean |
|
Measure # 318 |
Falls: Screening for Future Fall Risk
|
84.98 |
87.03 |
|
Measure # 110 |
Preventive Care and Screening: Influenza Immunization
|
72.28 |
80.52 |
|
Measure # 226 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
71.88 |
80.97 |
|
Measure # 134 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
|
79.97 |
74.38 |
|
Measure # 113 |
Colorectal Cancer Screening
|
62.52 |
73.63 |
|
Measure # 112 |
Breast Cancer Screening
|
64.86 |
75.11 |
|
Measure # 438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
81.27 |
84.24 |
|
Measure # 001 |
Diabetes: Hemoglobin A1c Poor Control
|
19.10 |
12.46 |
|
Measure # 236 |
Controlling High Blood Pressure
|
83.06 |
74.87 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.