MercyCare ACO Public Reporting
ACO Name and Location
MercyCare Accountable Care Organization, LLC
701 10th Street SE Cedar Rapids, IA 52403
ACO Primary Contact
Matthew Fox, MD
(319) 398-6560
Organizational Information
ACO Participants
|
ACO Participants
|
ACO Participants in Joint Venture
(Enter Y or N)
|
|
Mercy Medical Center
|
N
|
| MercyCare Management, Inc |
N
|
| Mercy Physician Associates, Inc |
N
|
| Radiation Oncology of Cedar Rapids PC |
N
|
ACO Governing Body
|
Member Last Name
|
Member First Name
|
Title/Position
|
Member's Voting Power - Expressed as a percentage or number
|
Membership Type
|
| DeWolf |
Gregory
|
Interim CEO
|
1
|
ACO Participant Representative
|
|
Malas
|
Joseph
|
CFO
|
1
|
ACO Participant Representative
|
|
Fox
|
Matthew
|
CMO
|
1
|
ACO Participant Representative
|
|
Pilcher
|
Fred
|
Medicare Beneficiary
|
1
|
Medicare Beneficiary Representative
|
Key Clinical and Administrative Leadership
- ACO Executive: Gregory DeWolf
- Medical Director: Matthew Fox, MD
- Compliance Officer: Ann Peraud Cooke
- Quality Assurance/Improvement Officer: Jennifer Van Genderen
Associated Committees & Committee Leadership
| Committee Name |
Committee Leader Name and Position |
| Quality Steering Committee |
Paul Thomas, MD |
| PLC Quality Committee |
Fadi Yacoub, MD, Chair |
Type of ACO Participants, or Combinations of Participants, that formed the ACO
- Hospital employing ACO professionals
- ACO professionals in a group practice arrangement
Shared Savings & Losses
Amount of Shared Savings/Losses
- Third Agreement Period:
- Performance Year 2024, $4,140,393
- Performance Year 2023, $2,869,608.65
- Performance Year 2022, $1,593,795.00
- Second Agreement Period
- Performance Year 2021, $1,639,575.61
- Performance Year 2020, $2,470,409.61
- Performance Year 2019, $897,856.89
Shared Savings Distribution
-
- Third Agreement Period:
- Performance Year 2024
- Proportion invested in infrastructure: 2%
- Proportion invested in redesigned care processes/resources: 1%
- Proportion of distribution to ACO participants: 97%
- Performance Year 2023
- Proportion invested in infrastructure: 3%
- Proportion invested in redesigned care processes/resources: 3%
- Proportion of distribution to ACO participants: 94%
- Performance Year 2022
- Proportion invested in infrastructure: 3%
- Proportion invested in redesigned care processes/resources: 3%
- Proportion of distribution to ACO participants: 94%
- Second Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 3%
- Proportion invested in redesigned care processes/resources: 2%
- Proportion of distribution to ACO participants: 95%
- Performance Year 2020
- Proportion invested in infrastructure: 4%
- Proportion invested in redesigned care processes/resources: 1%
- Proportion of distribution to ACO participants: 95%
- Performance Year 2019
- Proportion invested in infrastructure: 11%
- Proportion invested in redesigned care processes/resources: 2%
- Proportion of distribution to ACO participants: 87%
Our ACO pre-entered the Share Savings Program in Performance Year 2019-A under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.
Quality Performance Results
2024 Quality Performance Results
|
Measure #
|
Measure Name
|
Collection Type
|
Reported Performance Rate |
Current Year Mean Performance Rate (SSP ACOs)
|
|
001
|
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]
|
CMS Web Interface
|
6.09 |
9.44
|
|
110
|
Preventative Care and Screening: Influenza Immunization
|
CMS Web Interface
|
73.26 |
68.6
|
|
112
|
Breast Cancer Screening
|
CMS Web Interface
|
90.96 |
80.93 |
|
113
|
Colorectal Cancer Screening
|
CMS Web Interface
|
82.48 |
77.81 |
|
134
|
Preventative Care and Screening: Screening for Depression and Follow-Up Plan
|
CMS Web Interface
|
83.88 |
81.46 |
|
226
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
CMS Web Interface
|
100.00 |
79.98 |
|
236
|
Controlling High Blood Pressure
|
CMS Web Interface
|
82.98 |
79.49 |
|
318
|
Falls: Screening for Future Fall Risk
|
CMS Web Interface |
100.00 |
88.99
|
|
370
|
Depression Remission at Twelve Months
|
CMS Web Interface |
22.06 |
17.35 |
|
438
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
CMS Web Interface |
87.13 |
86.50 |
|
479
|
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
|
Administrative Claims
|
0.1521 |
0.1571 |
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.