ACO Name and Location:

Mercy Health Select, LLC
1701 Mercy Health Place
Cincinnati, Ohio 45237

ACO Primary Contact:

Primary Contact Name Stephanie Savicki
Primary Contact Phone Number 513-952-4533
Primary Contact Email Address SSavicki0@mercy.com

Organizational Information:

ACO Participants ACO Participant in Joint Venture
Mercy Health St Charles Hospital Llc N
Tri-State Pain Management Service Inc. N
First Care Medical, Inc. N
Springfield Heart Surgeons Llc N
Nephrology Associates of Greater Cincinnati, LLC N
Mccarty Family Foot & Ankle N
Bhargava Ravi MD, LLC N
Adult Hypertension And Kidney Specialists Llc N
Sylvan Lakes Family Physicians, LTD N
MERCY HEALTH LOURDES HOSPITAL LLC Y
Paducah Women's Clinic PSC N
GJ INTERNATIONAL CONSULTANTS, INC N
Youngstown Internal Medicine, L.L.C. N
Mark Akers MD Inc. N
MAHJABEEN ISLAM N
GREGORY J. FACEMYER, M.D., LLC N
RS MEDICAL GROUP PC N
GERICARE ASSOCIATES INC N
BRUCE WILLNER DO LLC N
HORSTMAN & KLIR MDS INC N
Cheviot Medical Center, Inc. N
STAY HOME I WILL, LLC N
Mercy Health - Defiance Hospital Llc N
MERCY HEALTH PHYSICIANS SPRINGFIELD PRIMARY CARE LLC N
George G. Ellis, Jr., M.D., Inc. N
MERCY HEALTH PHYSICIANS LIMA, LLC N
Bruce Willner N
NORTH COLLEGE HILL INTERNAL N
Regency Urological Associates Inc. N
David D Powell, D.O. P.C. Inc. N
CD Sears MD, Inc. N
Springfield Urology LLC N
Midwest Infectious Disease N
Mercy Health Physicians Kentucky Llc N
Mercy Health Physicians - North, Llc. N
GI Physicians, Inc. N
Mercy Health Physicians Lorain LLC N
Jewish Hospital LLC N
Mercy Health-Anderson Hospital, LLC N
Mercy Health-Fairfield Hospital LLC N
Community Mercy Health Partners N
Mercy Health-Clermont Hospital, LLC N
Clermont Internists Associates, Inc. N
Mercy Health Physicians Cincinnati LLC N
Physicians & Surgeons For Women, Inc N
Mercy Health -West Hospital, LLC N
Oncology Hematology Care, Inc. N
Nephrology Assoc. of S.W. Ohio, Inc. N
Mt. Auburn Nephrology, Inc. N
Moin A Ranginwala MD, Inc N
Greater Cincinnati Digestive Health Network N
PHYSICAL MEDICINE ASSOCIATES OF N.W. OHIO, INC. N
Mercy Health St Anne Hospital Llc N
GCGA PHYSICIANS INC. N
Jyothi Puram MD Inc N
Advanced Pelvic Surgery, LLC N
Obstetrics And Gynecology Associates Inc N
Ohio Foot Inc N
Mercy Health Physicians Youngstown LLC N
Mercy Medical Partners Northern Region, LLC N
Advanced Nephrology & Hypertension N
Mercy Health Youngstown LLC N
Mercy Health Regional Medical Center Llc N
Mercy Health - Allen Hospital Llc N
Arrowhead Plastic Surgeons, Inc N
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC Y
Family Medical Clinic, Inc. N
Nephrology Associates, Inc. N
Gastro-Intestinal Associates, Inc. N
Nephrology Associates of Toledo, Inc. N
Raj K. Bhatia MD Inc. N
Dr. Frank A. Rich Inc. N
Pulmonary Rehabilitation Associates N
West Market Street Family Phys N
Auglaize Family Practice Center, LLC N
Mercy Health-Willard Hospital, Llc N
Toledo Surgical Associates, Inc N
Pulmonary Medicine Consultants N
Robert E. Bisel, DO and Associates, LLC N
Internal Medicine Specialties, Inc. N
Northwest Advance Cardiology Inc N
Toledo Cardiology Consultants, Inc. N
Krishna M Ragothaman, MD, Inc. N
Maumee Bay Family Practice, Inc. N
Cardiac Arrhythmia Associates of Ohio, Inc. N
Renal Services of Toledo, Inc. N
Reema Taneja MD Inc N
Mercy Health- St. Vincent Medical Center Llc N
Mercy Health - Tiffin Hospital, Llc N

ACO Governing Body:

MemberLastName MemberFirstName MemberTitle/Position Member’s Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Green Marvis Voting Member 1 Medicare beneficiary representative N/A
Tremoulis Edward Voting Member 1 ACO participant representative West Market Street Family Phys
Kravec Cynthia Voting Member 1 ACO participant representative Mercy Health Physicians Youngstown
Nallapaneni Sudhir Voting Member 1 ACO participant representative Youngstown Internal Medicine LLC
Fries Erin Voting Member 1 ACO participant representative Mercy Health Physicians Cincinnati, LLC
DeGuzman Bernadette Voting Member 1 ACO participant representative Mercy Health Physicians Cincinnati, LLC
Ownes Matthew Voting Member 1 ACO participant representative MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Wright Alex Voting Member 1 ACO participant representative Mercy Health Physicians Kentucky LLC
Johnston Gregory Voting Member 1 ACO participant representative Mercy Health Physicians – North, LLC
Anthony James Voting Member 1 ACO participant representative Mercy Health Physicians Lorain LLC
Kirkham Mark Voting Member 1 ACO participant representative Mercy Health Physicians Cincinnati, LLC
Hariharan Parameswaran Voting Member 1 ACO participant representative Clermont Internists Associates, Inc.
Nowiski Dave Voting Member/Treasurer 1 Other N/A
Lucius Staci Voting Member/President MHP 1 Other N/A
Ikezuagu Mbonu Voting Member 1 ACO participant representative Mercy Health Physicians – North, LLC
Holland Rebecca Voting Member 1 Other N/A
White Richard Voting Member 1 ACO participant representative Mercy Health Physicians Lorain LLC

Key ACO Clinical and Administrative Leadership:

ACO Executive: Stephanie Savicki
Medical Director: Bernadette DeGuzman, MD
Compliance Officer: Matthew Potter, JD
Quality Assurance/Improvement Officer: Bernadette DeGuzman, MD

Associated Committees and Committee Leadership:

Quality Assurance and Process Improvement Committee Penny Hogan, MD, Chair
Finance and Contracting Committee Cynthia Kravec, MD, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Rural Health Clinic (RHC)
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period

  • Performance Year 2020, $28,471,325
  • Performance Year 2019, $8,457,634

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.

Second Agreement Period

  • Performance Year 2019, $8,457,634
  • Performance Year 2018, $(6,101,212)
  • Performance Year 2017, $(2,349,055)
  • Performance Year 2016, $5,878,225

First Agreement Period

  • Performance Year 2015, $0
  • Performance Year 2014, $6,518,339
  • Performance Year 2013, $0

Shared Savings Distribution

Third Agreement Period

Performance Year 2020

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

Performance Year 2019

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

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.

Second Agreement Period

Performance Year 2019

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

Performance Year 2018

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

Performance Year 2017

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

Performance Year 2016

  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%

First Agreement Period

Performance Year 2015
  • 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 2014
  • Proportion invested in infrastructure: 50%
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: 50%
Performance Year 2013
  • 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

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-13 Falls: Screening for Future Fall Risk 83.53  84.97
ACO-14 Preventive Care and Screening: Influenza Immunization  75.74
76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.33  81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 80.63 71.46
ACO-19 Colorectal Cancer Screening 72.76  72.59
ACO-20 Breast Cancer Screening 80.58  74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79.56

83.37

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%) 

12.10

14.70

ACO-28

Controlling High Blood Pressure

85.08

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

Fraud and Abuse Waivers

  • ACO Participation Waiver:

    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

    • Parties to the arrangement: Mercy Health Select, LLC and Dispatch Health Holdings, Inc.
    • Date of arrangement: 10/07/2021
    • Items, services, goods, or facility provided: certain non-emergent mobile health care professional services and care coordination services within a patient’s home
    • Date and nature of any amendments to the arrangement, if applicable: N/A

    • Parties to the arrangement: Mercy Health Select, LLC and The City of Willard
    • Date of arrangement: 08/05/2021
    • Items, services, goods, or facility provided: provide eligible Willard residents who suffer from certain non-emergent medical conditions (e.g., CHF, diabetes, COPD, and other chronic or problematic conditions) a limited number of scheduled home visits by a licensed WFR paramedic and a certified MHW community health worker.
    • Date and nature of any amendments to the arrangement, if applicable: N/A