ACO Name and Location

McLaren High Performance Network, LLC
2701 Cambridge Court
Suite 200
Auburn Hills, MI 48326

ACO Primary Contact

Kim Hamm
800-822-4950
[email protected]

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

ADVANCED CARDIOVASCULAR CLINIC PC

N

ALBERT A. PRZYBYLSKI, D.O, PC

N

AMMAR GHANEM MD PLLC

N

ARJA MD PC

N

ASHRAF MOSTAFA MD PLLC

N

BARBARA ANN KARMANOS CANCER HOSPITAL

N

BEECHER SURGICAL ASSOCIATES, PLLC

N

BLUE WATER OB & GYN PC

N

Capital Area Anesthesia PC

N

CAPITOL AREA PULMONARY ASSOCIATES PC

N

CARDIOLOGY ASSOC OF PORT HURON

N

CARDIOLOGY ASSOCIATES OF MICHIGAN, P.C.

N

CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC

N

CARDIOLOGY INSTITUTE OF MICHIGAN, PLLC

N

CARO COMMUNITY HOSPITAL

N

Chest And Sleep Medicine Consultants, Plc

N

COMPREHENSIVE MEDICAL GROUP PC

N

COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC

N

EAGER INTERNAL MEDICINE PLLC

N

ELK RAPIDS MEDICAL CLINIC, P.C.

N

Esa M Ali MD PC

N

Foremost Podiatry Pc

N

FRED WURSTER DO PC

N

Gary E Hosey DPM PC

N

Gladstone A Payton DO PC

N

GLOBAL HOSPITALISTS PLLC

N

HAROLD ROTH

N

HEALTH PARTNERS OF CENTRAL MICHIGAN PLLC

N

Heart & Vascular Institute of MI PC

N

HEART RHYTHM CLINIC OF MICHIGAN PC

N

Hesham E Gayar MD PC

N

HISHAM I AHMED MD PC

N

HURON MEMORIAL HOSPITAL

N

JAPHET JOSEPH, MD PC

N

JEFFREY POTTS

N

John D Arsen DPM Inc

N

JOHN KETNER

N

K MOHAN MD PC

N

Kellam & Associates, P. C.

N

LANSING SURGICAL ASSOCIATES, P.L.L.C.

N

Lapeer Pediatrics PC

N

LAPEER WOMENS HEALTH PLLC

N

Larkin Family Medicine PLC

N

LIGHTHOUSE FAMILY MEDICINE, PLLC

N

Looking Glass Foot & Ankle Pc

N

LUNG HEALTH CENTER PLLC

N

Macomb Internal Medicine Pc

N

MASON MEDICAL GROUP PC

N

MCLAREN FLINT

N

MCLAREN GREATER LANSING

N

MCLAREN LAPEER REGION

N

MCLAREN MACOMB

N

McLaren Medical Group

N

McLaren Northern Michigan

N

McLaren Port Huron

N

MEDPARTNERS PLC

N

Michael A Kia Do Pc

N

MICHAEL J MUELLER MD PC

N

MICHIGAN INTERNAL MEDICINE ASSOCIATES, P.C.

N

MICHIGAN ORTHOPEDIC CENTER PC

N

MID MICHIGAN INTERNAL MEDICINE PC

N

MUHAMMED MIRZA

N

Mt Morris Medical Group Pllc

N

Najjar Infectious Disease PC

N

NORTH OAKLAND NORTH MACOMB IMAGING INC

N

Northeast Surgical Group PC

N

Northern Michigan Hematology and Oncology

N

Northern Michigan Medical Management

N

Northern Michigan Pain Specialists PC

N

Northpointe OB-GYN PC

N

OPDYKE MEDICAL PLLC

N

Orthopedic Associates of Port Huron PC

N

PARTNERS IN FAMILY MEDICINE, PLLC

N

PERRY MLK MEDICAL CENTER P.C.

N

Petoskey Family Medicine PC

N

PETOSKEY RADIATION ONCOLOGY PLC

N

Preecha Supanwanid, Md Pc

N

PULMONARY & CRITICAL CARE ASSOCIATES PC

N

Pulmonary & Critical Care Medicine Consultants Pc

N

Pulmonary Associates PC

N

ROBERT J FRANCHI D O P C

N

ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC

N

SARDELLI ORTHOPAEDICS

N

SHARMA CLINIC PLLC

N

Sunil K Kaushal, MD, P.C.

N

Surgical Consultants PLLC

N

THE DIGESTIVE DISEASE INSTITUTE PC

N

THOMAS C HOSEY DPM & ASSOCIATES PC

N

TOTAL FAMILY HEALTHCARE P.C.

N

Vascular Surgery Assoc PC

N

WILFREDO RIVERA, M.D., P.C.

N

X-RAY ASSOCIATES OF PORT HURON PC

N

ACO governing body:

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
David Pinelli Chairman 10 ACO Participant Representative McLaren Lapeer Region
Brad Ropp Vice Chairman 10 ACO Participant Representative McLaren Medical Group
Justin Klamerus Secretary 10 ACO Participant Representative McLaren Northern Michigan
Brian Balutanski Treasurer 10 ACO Participant Representative McLaren Macomb
Esa Ali Voting Member 10 ACO Participant Representative Esa M Ali MD PC
Lawrence Cowsill Voting Member 10 ACO Participant Representative McLaren Port Huron
Mary Hayes Voting Member 10 Medicare Beneficiary N/A
Jessica Cromer Voting Member 10 Other N/A
Gary Wentzloff Voting Member 10 ACO Participant Representative McLaren Greater Lansing
Michael Ziccardi Voting Member 10 ACO Participant Representative McLaren Flint

Key ACO Clinical and Administrative Leadership:

ACO Executive: Gary Wentzloff

Medical Director: Michael Ziccardi, DO

Compliance Officer: Dawn Smith

Quality Assurance/Improvement Officer: Kim Hamm

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality and Clinical Integration Committee

Emily Smith, D.O., Chair

Utilization Management Committee

Michael Ziccardi, D.O., Chief Medical Officer, Chair

Finance Committee

Brian Balutanski, VP/Corporate Controller

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2023, $0
    • Performance Year 2022, $0
    • Performance Year 2021, $5,361,143
    • Performance Year 2020, $4,779,012
  • First Agreement Period
    • Performance Year 2019, $17,316,006
    • Performance Year 2018, $6,395,854
    • Performance Year 2017, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2023
      • 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 2022
      • 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 2021
      • Proportion invested in infrastructure: 33%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 57%
    • Performance Year 2020
      • Proportion invested in infrastructure: 38% 
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 52%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 20% 
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2018
      • Proportion invested in infrastructure: 58% 
      • Proportion invested in redesigned care processes/resources: 18%
      • Proportion of distribution to ACO participants: 24%
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A 
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface

ACO Quality Measure Number

Measure Name

Rate

ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 10.42 9.84
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 82.72 80.97
236 Controlling High Blood Pressure 79.94 77.80
318 Falls: Screening for Future Fall Risk 97.12 89.42
110 Preventative Care and Screening: Influenza Immunization 70.52 70.76
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.3 79.29
113 Colorectal Cancer Screening 73.81 77.14
112 Breast Cancer Screening 79.69 80.36
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.30 87.05
370 Depression Remission at Twelve Months 22.50 16.58
321 CAHPS for MIPS 5.67 6.25
479 Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.17 0.16
 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] N/A 35.39 
CAHPS-1 Getting Timely Care, Appointments, and Information 81.57 83.68
CAHPS-2 How Well Providers Communicate 93.30 93.69
CAHPS-3 Patient's Rating of Provider 91.81 92.14
CAHPS-4 Access to Specialists 73.07 75.97
CAHPS-5 Health Promotion and Education 65.38 61.60
CAHPS-6 Shared Decision Making 65.35 61.60
CAHPS-7 Health Status and Functional Status 71.80 74.12
CAHPS-8 Care Coordination 84.20 85.77
 CAHPS-9 Courteous and Helpful Office Staff 92.35 92.31
 CAHPS-11 Stewardship of Patient Resources 25.56 26.69

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov

Payment Rule Waivers

  • Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Archives of Shared Savings Program