• Medicare Health Plan Info

Amount of Shared Savings/Losses

  • Agreement period beginning 2014, Performance Year 2014: $0
  • Agreement period beginning 2014, Performance Year 2015: $2,676,462

How Shared Savings are Distributed


Agreement period beginning 2014, Performance Year 2014: $0

Agreement period beginning 2014, Performance Year 2015

  • Proportion invested in infrastructure: 25.6%
  • Proportion invested in redesigned care processes/resources: 5.0%
  • Proportion of distribution to ACO participants: 69.4%

Payment Rule Waivers


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

Measure numberMeasure Name2015 reporting period 
ACO performance rateMean performance rate (SSP- ACOs)
ACO-1CAHPS: Getting Timely Care, Appointments, and Information80.180.61
ACO-2CAHPS: How Well Your Providers Communicate91.0792.65
ACO-3CAHPS: Patients' Rating of Provider89.8691.94
ACO-4CAHPS: Access to Specialists76.7283.61
ACO-5CAHPS: Health Promotion and Education53.559.06
ACO-6CAHPS: Shared Decision Making72.0375.17
ACO-7CAHPS: Health Status/Functional Status73.4672.3
ACO-34CAHPS: Stewardship of Patient Resources*23.5126.87
ACO-8Risk Standardized, All Condition Readmission14.1714.86
ACO-35Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)*16.918.07
 Readmission  
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes*40.9654.6
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure*53.3776.96
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions42.9162.92
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)0.541.11
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)0.691.04
ACO-11Percent of Primary Care Physicians who Successfully Meet Meaningful Use57.5380.14
 Requirements  
ACO-39Documentation of Current Medications in the Medical Record*99.0484.07
ACO-13Falls: Screening for Future Fall Risk24.9656.46
ACO-14Preventive Care and Screening: Influenza Immunization26.6562.03
ACO-15Pneumonia Vaccination Status for Older Adults27.9663.73
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up71.8171.15
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention90.690.16
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan8.5645.25
ACO-19Colorectal Cancer Screening49.2860.06
ACO-20Breast Cancer Screening54.9865.67
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and6070.04
 Follow-Up Documented  
ACO-40Depression Remission at Twelve Months*N/AN/A
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control10020.38
ACO-41Diabetes: Eye Exam*10.5241.05
ACO-28Hypertension: Controlling High Blood Pressure63.9669.62
ACO-30Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 77.3583.82
ACO-31Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 94.5987.22
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)76.0877.73
CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.
*= Measure required beginning Reporting Year 2015.
N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

2012 -2014 Quality Performance Results Table
Measure Number Performance Measure 2012 Reporting Period 2013 Reporting Period 2014 Reporting Period
ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs ACO Performance Rate Mean Performance Rate for All ACOs
ACO-1Getting Timely Care, Appointments, and Information not in operationsnot in operationsnot in operationsnot in operations76.9980.13
ACO-2How Well Your Doctors Communicate not in operationsnot in operationsnot in operationsnot in operations90.5892.39
ACO-3Patients' Rating of Doctor not in operationsnot in operationsnot in operationsnot in operations89.3191.58
ACO-4Access to Specialists not in operationsnot in operationsnot in operationsnot in operations80.9983.97
ACO-5Health Promotion and Educationnot in operationsnot in operationsnot in operationsnot in operations51.2358.29
ACO-6Shared Decision Making not in operationsnot in operationsnot in operationsnot in operations70.6574.60
ACO-7Health Status/Functional Status not in operationsnot in operationsnot in operationsnot in operations70.6871.10
ACO-8Risk Standardized, All Condition Readmissions MandatoryMandatoryMandatoryMandatory14.5415.15
ACO-9ASC Admissions: COPD or Asthma in Older AdultsMandatoryMandatoryMandatoryMandatory0.701.08
ACO-10ASC Admission: HFMandatoryMandatoryMandatoryMandatory0.901.19
ACO-11Percent of Primary Care Providers Who Successfully Attested for the EHR Incentive Program Incentive PaymentMandatoryMandatoryMandatoryMandatory72.0076.71
ACO-12Medication Reconciliation not in operationsnot in operationsnot in operationsnot in operations36.8482.61
ACO-13Falls: Screening for Fall Risk not in operationsnot in operationsnot in operationsnot in operations25.3145.60
ACO-14Influenza Immunizationnot in operationsnot in operationsnot in operationsnot in operations23.7857.51
ACO-15Pneumococcal Vaccinationnot in operationsnot in operationsnot in operationsnot in operations30.0755.03
ACO-16Adult Weight Screening and Follow-upnot in operationsnot in operationsnot in operationsnot in operations62.6866.75
ACO-17Tobacco Use Assessment and Cessation Interventionnot in operationsnot in operationsnot in operationsnot in operations86.6086.79
ACO-18Depression Screeningnot in operationsnot in operationsnot in operationsnot in operations7.6339.27
ACO-19Colorectal Cancer Screeningnot in operationsnot in operationsnot in operationsnot in operations45.6356.14
ACO-20Mammography Screeningnot in operationsnot in operationsnot in operationsnot in operations56.2461.41
ACO-21Proportion of Adults who had blood pressure screened in past 2 yearsnot in operationsnot in operationsnot in operationsnot in operations57.6460.24
Diabetes CompositeBeneficiaries with diabetes who met of all the following criteria: not in operationsnot in operationsnot in operationsnot in operations12.5725.41
ACO-22Hemoglobin A1c Control (HbA1c) (<8 percent) not in operationsnot in operationsnot in operationsnot in operations43.89N/A
ACO-23Low Density Lipoprotein (LDL) (< 100 mg/dL)N/AN/AN/AN/A35.22N/A
ACO-24Blood Pressure (BP) < 140/90 not in operationsnot in operationsnot in operationsnot in operations69.03N/A
ACO-25Tobacco Non-Use not in operationsnot in operationsnot in operationsnot in operations74.87N/A
ACO-26Aspirin Use not in operationsnot in operationsnot in operationsnot in operations74.14N/A
ACO-27Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)not in operationsnot in operationsnot in operationsnot in operations50.5320.35
ACO-28Percent of beneficiaries with hypertension whose BP < 140/90not in operationsnot in operationsnot in operationsnot in operations64.3368.02
ACO-29Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dlN/AN/AN/AN/A33.7357.29
ACO-30Percent of beneficiaries who use Aspirin or other antithromboticnot in operationsnot in operationsnot in operationsnot in operations78.5180.79
ACO-31Beta-Blocker Therapy for LVSDnot in operationsnot in operationsnot in operationsnot in operations85.7182.71
CAD CompositePercent of beneficiaries with CAD who met all of the following criteria:not in operationsnot in operationsnot in operationsnot in operations39.4266.90
ACO-32Drug Therapy for Lowering LDL-CholesterolN/AN/AN/AN/A44.19N/A
ACO-33(ACE) Inhibitor or (ARB) Therapy for Patients with CAD and Diabetes and/or (LVSD)not in operationsnot in operationsnot in operationsnot in operations70.64N/A
Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease,, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.