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 Diabetes Center
|
N
|
| MercyCare Management, Inc |
N
|
| Mercy Medical Center |
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
|
| Charles |
Tim
|
CEO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
Quinn
|
Timothy
|
CCO
|
1
|
ACO Participant Representative
|
MercyCare Management, Inc.
|
|
VanGenderen
|
Nathan
|
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 |
| ACO Monitoring and Planning Committee |
Tony Myers, Executive Medical Director |
| Physician 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
- Second Agreement Period
- Performance Year 2020, $2,470,410
- First Agreement Period
- Performance Year 2019, $897,857
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 4%
- Proportion invested in redesigned care processes/resources: 1%
- Proportion of distribution to ACO participants: 95%
- 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
2020 Quality Performance Results
ACO Quality Measure Number
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO-43
|
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91))
|
1.50 |
0.95
|
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
91.97
|
84.97 |
|
ACO-14
|
Preventative Care and Screening: Influenza Immunization
|
87.90 |
76.03 |
|
ACO-17
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
100.00 |
81.67 |
|
ACO-18
|
Preventative Care and Screening: Screening for Depression and Follow-up Plan
|
70.16 |
71.46 |
|
ACO-19
|
Colorectal Cancer Screening
|
78.31 |
72.59 |
|
ACO-20
|
Breast Cancer Screening
|
79.15 |
74.05 |
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
84.75 |
83.37 |
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
9.02 |
14.70 |
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
80.65 |
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.
- 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.
