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
319-398-6474
tmyers@mercycare.org
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
|
ACO Participant Legal Business Name/ DBA, If Applicable
|
|
Quinn
|
Timothy
|
CEO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
VanGenderen
|
Nathan
|
COO/CFO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
Myers
|
Tony
|
Executive Medical Director
|
1
|
ACO Participant Representative
|
MercyCare Diabetes Center
|
|
Pilcher
|
Fred
|
Medicare Beneficiary
|
1
|
Medicare Beneficiary Representative
|
NA
|
Key Clinical and Administrative Leadership
- ACO Executive: Timothy Quinn, MD
- Medical Director: Tony Myers, MD
- Compliance Officer: Ann Peraud Cooke
- Quality Assurance/Improvement Officer: Jennifer Woods
Associated Committees and Committee Leadership
| Committee Name |
Committee Leader Name and Position |
| Physician Leadership Council, Executive Committee |
Vince Reid MD, Chair |
| PLC Quality Committee |
Matthew Fox, 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 and Losses
Amount of Shared Savings/Losses
- Third Agreement Period:
- Performance Year 2025, N/A
- Performance Year 2024, N/A
- 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 2025
- 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 2024
- 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 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
2023 Quality Performance Results
|
Measure #
|
Measure Name
|
Collection Type
|
Reported Performance Rate |
Current Year Mean Performance Rate (SSP ACOs)
|
|
110
|
Preventative Care and Screening: Influenza Immunization
|
CMS Web Interface
|
70.92 |
70.76
|
|
112
|
Breast Cancer Screening
|
CMS Web Interface
|
82 |
80.36 |
|
113
|
Colorectal Cancer Screening
|
CMS Web Interface
|
83.46 |
77.14 |
|
134
|
Preventative Care and Screening: Screening for Depression and Follow-Up Plan
|
CMS Web Interface
|
79.38 |
80.97 |
|
226
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
CMS Web Interface
|
95.24 |
79.29 |
|
236
|
Controlling High Blood Pressure
|
CMS Web Interface
|
79.38 |
77.8 |
|
318
|
Falls: Screening for Future Fall Risk
|
CMS Web Interface |
100 |
89.42
|
|
370
|
Depression Remission at Twelve Months
|
CMS Web Interface |
21.31 |
16.58 |
|
438
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
CMS Web Interface |
82.59 |
87.05 |
|
479
|
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
|
Administrative Claims
|
0.15 |
0.16 |
| 001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control |
CMS Web Interface |
5.93 |
9.84 |
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.