Mercy Health Select, LLC, our clinically integrated network, was accepted to participate in the Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organization (ACO), a multifaceted program sponsored by the Centers for Medicare and Medicaid Services (CMS). Mercy Health Select includes hospitals and physicians across the Mercy Health system.

Through the Shared Savings Program, Mercy Health Select will work with CMS to provide Medicare fee-for-service beneficiaries with high quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.

Helpful Links:

For more information about the Shared Savings Program, visit the CMS ACO website at www.medicare.gov/acos.html.

For more information about Physician Compare, visit the Medicare website at
http://www.medicare.gov/physiciancompare/search.html

For Frequently Asked Questions about ACOs, visit the Medicare website at
https://www.medicare.gov/Pubs/pdf/11588-Accountable-Care-Organizations-FAQs.pdf

If you need to report a compliance concern, please call the Mercy Health Report Line at 1-888-302-9224 or submit the compliance concern through the Mercy Health Report Line website.

For MSSP compliance training, please see video link.

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 SSavicki@mercy.com

Organizational Information:

ACO Participants (ACO Participant in Joint Venture - Yes or No)

  • Cheviot Medical Center, Inc. (N)
  • Mercy Health - Defiance Hospital LLC (N)
  • Bruce Willner (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)
  • Pairadocs Consulting (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 Northwest Ohio Inc. (N)
  • Kidney And Hypertension Center Inc. (N)
  • Mercy Health St Anne Hospital LLC (N)
  • GCGA Physicians (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)
  • NeuroSpinecare, Inc. (N)
  • MERCY HEALTH-ST RITAS MEDICAL CENTER LLC (Y)
  • Family Medical Clinic, Inc. (N)
  • Gastro-Intestinal Associates, Inc. (N)
  • Nephrology Associates of Toledo, Inc. (N)
  • Raj K. Bhatia MD Inc. (N)
  • James M. Felton, MD (N)
  • Pulmonary Rehabilitation Associates (N)
  • Krishnaiah C. Garlapati, MD (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)
  • Dipakkumar Amin, MD (N)
  • Internal Medicine Specialties, Inc. (N)
  • Primary Care Associates (N)
  • Northwest Advance Cardiology (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)
  • Mercy Health- St. Vincent Medical Center LLC (N)
  • Mercy Health - Tiffin Hospital, LLC (N)
  • Mercy Health St Charles Hospital LLC (N)
  • Tri-State Pain Management Service Inc. (N)
  • Springfield Regional Cancer Center, LLC (N)
  • First Care Medical, Inc. (N)
  • Springfield Heart Surgeons LLC (N)
  • Findlay Women's Care 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 P.S.C. (N)
  • Paducah Primary Care, P.S.C. (N)
  • GJ International Consultants Inc. dba MN Angels (N)
  • Youngstown Internal Medicine, LLC (N)
  • Mark Akers MD Inc. (N)
  • George G. Ellis, Jr., M.D., Inc. (N)
  • Nephrology Associates, Inc. (N)
  • Dr. Frank A. Rich Inc. (N)
  • Patsy Buccino, D.O. Inc. (N)
  • William Bartels, M.D., Inc. (N)
  • Reema Taneja MD Inc. (N)
  • Mahjabeen Islam (N)
  • Gregory J. Facemyer, M.D., LLC (N)
  • Firestone Health Care Inc. (N)
  • Livingston Hospital & Healthcare Services, Inc. (N)
  • RS Medical Group PC (N)
  • GERICARE ASSOCIATES INC (N)
  • BRUCE WILLNER DO LLC (N)
  • TERRENCE L. JOHNSON & ROBERT C.ADAMS PTR (N)
     

ACO Governing Body:

Last Name, First Name - Title/Position: Member's Voting Power, Membership Type (ACO Participant TIN Legal Business Name/DBA, if Applicable)

  • Bauer, Janice - Voting Member: 1, Medicare beneficiary representative
  • Tremoulis, Edward - Voting Member: 1, ACO participant representative (West Market Street Family Physicians)
  • 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)
  • Owens, Matthew - Voting Member: 1, ACO participant representative (Mercy Health Physicians Lima, 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/Chair: 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)

Key ACO Clinical and Administrative Leadership:

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

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
  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period

  • Performance Year 2019, $8,457,634

Second Agreement Period

  • 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 2019

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

Second Agreement Period

Performance Year 2018

  • 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 2017

  • 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 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

2019 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

87.27

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

93.57

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

91.91

92.69

ACO-4

CAHPS: Access to Specialists

85.76

81.54

ACO-5

CAHPS: Health Promotion and Education

60.21

59.26

ACO-6

CAHPS: Shared Decision Making

70.34

62.78

ACO-7

CAHPS: Health Status/Functional Status

71.83

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

31.72

26.17

ACO-45CAHPS: Courteous and Helpful Office Staff92.3492.84
ACO-46CAHPS: Care Coordination
86.95 86.89
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions65.86 58.15
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.18 1.87
ACO-13Falls: Screening for Future Fall Risk86.57 84.04
ACO-14Preventive Care and Screening: Influenza Immunization 71.37
74.77
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention31.75 78.04
ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan79.0570.40
ACO-19Colorectal Cancer Screening72.92 70.76
ACO-20Breast Cancer Screening78.70 73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.23

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%) 

16.40

13.88

ACO-28

Controlling High Blood Pressure

84.43

75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

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

Note: In the Quality Performance Results file(s) above, search for “Mercy Health Select, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A1215 in the public use files on data.cms.gov. 

Arrangements Disclosed

Waiver Arrangements Reasonably Related To MSSP Purposes:

Assistance with Electronic Health Record provided to:
  • Bhargava Ravi, MD, LLC
  • Clermont Internists Associates
  • Nephrology Associates of Toledo, Inc.
  • Sylvan Lakes Family Physicians, LTD
  • Tri-State Pain Management Service Inc.
  • West Market Street Physicians
  • Regency Urological Associates
  • Mark Akers, MD
  • CD Sears MD Inc.
  • Dipakkumar Amin, MD
  • James Felton
  • Krishna Ragothaman, MD, Inc.
  • Pairadocs Consulting
  • GJ International Consultants Inc. dba MN Angels
  • Maumee Bay Family Practice
  • Nephrology Associates of Greater Cincinnati, LLC
  • Pulmonary Rehabilitation Associates
  • Renal Services of Toledo, Inc.
  • Toledo Surgical Associates, Inc.
  • Moin A Ranginwala, MD Inc
  • NeuroSpinecare, Inc.
  • Raj K. Bhatia MD Inc.
  • Springfield Heart Surgeons Llc
  • Primary Care Associates
  • Lourdes Ambulatory Surgery Center, LLC
  • Youngstown Internal Medicine, L.L.C.
  • Advanced Nephrology & Hypertension
  • Family Medical Clinic, Inc.
  • Cheviot Medical Center, Inc.
  • Robert E. Bisel, DO and Associates, LLC
  • James K. Matheson DO, LLC
  • Bruce D. Willner, DO
  • Pulmonary Medicine Consultants
  • William Bartels, M.D., Inc.
  • Patsy Buccino, D.O. Inc
  • RS Medical Group PC

For more information on how to interpret scores on the above quality performance measures, see
http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.