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
Badar Ahmed 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

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

ACO Executive: Asif IshaqueKey ACO clinical and administrative leadership: 

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 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 2020
    • Proportion invested in infrastructure: 2.8%
    • Proportion invested in redesigned care processes/resources: 31.9%
    • Proportion of distribution to ACO participants: 65.3%
• 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
• 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

Quality Performance Results

2020 Quality Performance Results

ACO #	Measure Name	Rate	ACO Mean
ACO-13	Falls: Screening for Future Fall Risk	82.34	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	59.80	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	85.94	81.67
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	79.41	71.46
ACO-19	Colorectal Cancer Screening	65.52	72.59
ACO-20	Breast Cancer Screening	65.23	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	77.78	83.37
ACO-27	Diabetes: Hemoglobin A1c Poor Control	19.16	14.70
ACO-28	Controlling High Blood Pressure	77.85	72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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.

ACO Name and Location