MercyCare ACO Public Reporting

ACO Name and Location

MercyCare Accountable Care Organization, LLC

701 10th Street SE Cedar Rapids, IA 52403

ACO Primary Contact

Tony Myers, MD

319-389-6100

tmeyers@mercycare.org

Organizational Information

ACO Participants

ACO Participants

ACO Participants in Joint Venture

(Enter Y or N)

MercyCare Management, Inc

MercyCare Diabetes Center

ACO Governing Body

Member	Title/Position	Member's Voting Power - Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/ DBA, If Applicable
Tim Charles	CEO	1	ACO Participant Representative	MercyCare Management, Inc.
Timothy Quinn, MD	CCO	1	ACO Participant Representative	MercyCare Management, Inc.
Nathan VanGenderen	CFO	1	ACO Participant Representative	MercyCare Management, Inc.
Tony Myers, MD	Executive Medical Director	1	ACO Participant Representative	MercyCare Diabetes Center
Fred Pilcher, MD	Chairman	1	Medicare Beneficiary	NA

Key Clinical and Administrative Leadership

Timothy Quinn, MD, ACO Executive
Tony Myers, MD, Medical Director
Ann Peraud Cooke, Compliance Officer
Jenny Woods, Quality Assurance/Improvement Officer
Fred Pilcher, MD, Medicare Beneficiary Representative

Associated Committees and Committee Leadership

ACO Monitoring and Planning Committee - Tony Myers MD, Executive Medical Director
Physical Leadership Council, Executive Committee - Vince Reid MD, Chairman

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 and Losses

Amount of Shared Savings/Losses

First Agreement Period
- Performance Year 2019, $897,857
  - Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

First Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: 11%
  - Proportion invested in redesigned care processes/resources: 2%
  - Proportion of distribution to ACO participants: 87%
  - Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2019 Quality Performance Results

ACO Quality Measure Number	Measure Name	Rate	ACO Mean
ACO1	CAHPS: Getting Timely Care, Appointments, and information	89.46	85.86
ACO2	CAHPS: How Well your Providers Communicate	95.64	94.11
ACO3	CAHPS: Patients’ Rating of Provider	93.76	92.69
ACO4	CAHPS: Access to Specialists	81.49	81.54
ACO5	CAHPS: Health Promotion and Education	59.49	60.44
ACO6	CAHPS: Shared Decision Making	57.56	62.78
ACO7	CAHPS: Health Status/ Functional Status	76.48	73.79
ACO34	CAHPS: Stewardship of Patient Resources	25	26.17
ACO45	CAHPS: Courteous and Helpful Office Staff	96.62	92.84
ACO46	CAHPS: Care Coordination	89.22	86.89
ACO8	Risk- Standardized All Condition Readmission	14.41	14.86
ACO38	Risk- Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions	53.17	58.15
ACO43	Ambulatory Sensitive Condition Composite (AHRQ Prevention Quality Indicator)	2.08	1.87
ACO13	Falls: Screening for Future Fall Risk	86.69	84.04
ACO14	Preventive Care and Screening: Influenza Immunization	75.85	74.77
ACO17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	75	78.04
ACO18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	68.4	70.40
ACO19	Colorectal Cancer Screening	74.51	70.76
ACO20	Breast Cancer Screening	71.43	73.84
ACO42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	83.98	82.17
ACO27	Diabetes Mellitus: Hemoglobin A1c Poor Control	9.56	13.88
ACO28	Hypertension (HTN): Controlling High Blood Pressure	81.85	75.04

Please note, the ACO-40 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.
Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

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