ACO Name and Location

PMC ACO LLC
Previous Names: N/A
2425 S Linden Road
Suite B
Flint, MI 48532

ACO Primary Contact

Primary Contact Name Mike Grodus
Primary Contact Phone Number 734-302-2108
Primary Contact Email Address mgrodus@medadvgrp.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Asif Ishaque, M.D., P.C. N
Badar Ahmed M.D., P.C. N
Michigan Internal Medicine & Pediatrics, P.C. N
SAGINAW VALLEY WALK IN CLINIC PLLC N
E Saeed MD PC N
Flushing Healthcare, PC N
Fenton Medical Center N
Abdullah Raffee, M.D., PC N
Genesee Family Care PC N
Hurley Health Services N
Physician Coverage Services, PC N
M.W. Eustace M.D. PLC N
Mary Marshall, MD, PC N
Ahmad Al-Dabagh MD PC N
A. Almansour, M.D., P.C. N
Caroline D Mathew, MD, PC N
F Khan Md Pc N
Ahmed A. Arif MD PC N
CASS RIVER HEALTH PLAZA PLLC N
Vibha N
MOHAMED ALLY HEALTH PLAZA PLLC N
CARO HEALTH PLAZA PLC N
Global Family Care PLC N
COLUMBIAVILLE FAMILY CLINIC PLLC N
ST CHARLES FAMILY CLINIC PLLC N
Josephine C. Bello, M.D., P.L.C N
AMANDA WINSTON MD PLLC N

 

 

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
Ishaque Asif President Voting Member – 1 vote ACO Participant Asif Ishaque, M.D., P.C.
Syed Mohammed Treasurer Voting Member – 1 vote ACO Participant Ahmed A. Arif, M.D., P.C.
Duncan Deborah Vice President Voting Member – 1 vote ACO Participant Fenton Medical Center
Eustace Manoharan Voting Member – 1 vote ACO Participant M.W. Eustace, M.D., PLC
Khan Farhan Medical Director Voting Member – 1 vote ACO Participant F. Khan MD PC
Saeed Seif Voting Member – 1 vote ACO Participant Physician Coverage Services, P.C.
Saeed Elmahdi Secretary Voting Member – 1 vote ACO Participant E. Saeed, M.D., P.C.
Hamilton Richard Voting Member – 1 vote Medicare Beneficiary Representative N/A
Jaggi Michael Non-voting Member – 0 vote Community Stakeholder Representative N/A

 

Key ACO clinical and administrative leadership:

Asif Ishaque ACO Executive
Farhan Khan Medical Director
Ben Bawcum Compliance Officer
Farhan Khan Quality Assurance/Improvement Officer

 

 

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

  • Second Agreement Period
    • 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

  • Second Agreement Period
    • 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 77.06 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 89.78 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 88.60 92.31
ACO-4 CAHPS: Access to Specialists 83.11 83.32
ACO-5 CAHPS: Health Promotion and Education 65.16 62.30
ACO-6 CAHPS: Shared Decision Making 74.16 75.85
ACO-7 CAHPS: Health Status/Functional Status 69.88 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 23.09 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.29 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.59 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 88.85 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.06 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.06 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 99.11 75.32
ACO-13 Falls: Screening for Future Fall Risk 86.30 74.38
ACO-44 Imaging Studies for Low Back Pain 84.42 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 73.33 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 73.11 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 81.37 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.42 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 82.43 61.98
ACO-19 Colorectal Cancer Screening 79.46 64.58
ACO-20 Breast Cancer Screening 81.98 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 65.85 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 21.85 16.74
ACO-41 Diabetes: Eye Exam 60.15 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.12 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.38 86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

 

Note: In the Quality Performance Results file(s) above, search for “PMC ACO LLC” or “PMC ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A40225 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
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