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

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