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

ACO Name and Location:

Mercy Health Select, LLC
Previous Names: N/A
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. (No)
  • Mercy Health - Defiance Hospital LLC (No)
  • Bruce Willner (No)
  • Abdul Razack, MD (No)
  • Kris A. Kostrzewski, MD, PhD Family Practice, LLC (No)
  • Regency Urological Associates Inc. (No)
  • Springfield Orthopaedic and Sports Medicine Institute LLC (No)
  • David D Powell, D.O. P.C. Inc. (No)
  • CD Sears MD, Inc. (No)
  • Robert Morris (No)
  • Gastroenterology of West Central Ohio, Inc. (No)
  • Springfield Urology LLC (No)
  • Midwest Infectious Disease (No)
  • Mercy Health Physicians Lima, LLC (No)
  • Pairadocs Consulting (No)
  • Mercy Health Physicians Kentucky LLC (No)
  • Regina Hill, MD Inc. (No)
  • Mercy Health Physicians - North, LLC (No)
  • GI Physicians, Inc. (No)
  • Northwest Ohio Primary Care Physicians, Inc. (No)
  • Mercy Health Physicians Lorain LLC (No)
  • Jewish Hospital LLC (No)
  • George Bescak (No)
  • Mercy Health-Anderson Hospital, LLC (No)
  • Mercy Health-Fairfield Hospital LLC (No)
  • Community Mercy Health Partners (No)
  • Mercy Health-Clermont Hospital, LLC (No)
  • Clermont Internists Associates, Inc. (No)
  • Mercy Health Physicians Cincinnati LLC (No)
  • Physicians & Surgeons For Women, Inc. (No)
  • Mercy Health -West Hospital, LLC (No)
  • Oncology Hematology Care, Inc. (No)
  • Nephrology Assoc. of S.W. Ohio, Inc. (No)
  • Mt. Auburn Nephrology, Inc. (No)
  • Moin A Ranginwala MD, Inc. (No)
  • Greater Cincinnati Digestive Health Network (No)
  • Physical Medicine Associates of Northwest Ohio Inc. (No)
  • CEI Physicians, PSC, Inc. (No)
  • Kidney And Hypertension Center Inc. (No)
  • Mercy Health St Anne Hospital LLC (No)
  • GCGA Physicians (No)
  • Jyothi Puram MD Inc. (No)
  • Gericare Associates, Inc. (No)
  • Advanced Pelvic Surgery, LLC (No)
  • Obstetrics And Gynecology Associates Inc. (No)
  • Ohio Foot Inc. (No)
  • Mercy Health Physicians Youngstown LLC (No)
  • Mercy Medical Partners Northern Region, LLC (No)
  • Advanced Nephrology & Hypertension (No)
  • Mercy Health Youngstown LLC (No)
  • Mercy Health Regional Medical Center LLC (No)
  • Mercy Health - Allen Hospital LLC (No)
  • Arrowhead Plastic Surgeons, Inc. (No)
  • NeuroSpinecare, Inc. (No)
  • St. Ritas Medical Center, LLC (Yes)
  • Family Medical Clinic, Inc. (No)
  • Gastro-Intestinal Associates, Inc. (No)
  • Nephrology Associates of Toledo, Inc. (No)
  • Raj K. Bhatia MD Inc. (No)
  • James M. Felton, MD (No)
  • Pulmonary Rehabilitation Associates (No)
  • Krishnaiah C. Garlapati, MD (No)
  • Jagdish H Patel MD, Inc. (No)
  • West Market Street Family Phys (No)
  • Auglaize Family Practice Center, LLC (No)
  • Mercy Health-Willard Hospital, LLC (No)
  • Toledo Surgical Associates, Inc. (No)
  • Pulmonary Medicine Consultants (No)
  • Robert E. Bisel, DO and Associates, LLC (No)
  • OUTREACH PROFESSIONAL SERVICES Inc. (No)
  • Dipakkumar Amin, MD (No)
  • Internal Medicine Specialties, Inc. (No)
  • Primary Care Associates (No)
  • Hematology Oncology Center Inc. (No)
  • Northwest Advance Cardiology (No)
  • Toledo Cardiology Consultants, Inc. (No)
  • Regional Infectious Diseases and Infusion Center Inc. (No)
  • Krishna M Ragothaman, MD, Inc. (No)
  • Community Hospitalist, LLC (No)
  • Maumee Bay Family Practice, Inc. (No)
  • James K. Matheson DO, LLC (No)
  • Cardiac Arrhythmia Associates of Ohio, Inc. (No)
  • Oberlin Internal Medicine Associates, Inc. (No)
  • Renal Services of Toledo, Inc. (No)
  • Mercy Health- St. Vincent Medical Center LLC (No)
  • Mercy Health - Tiffin Hospital, LLC (No)
  • Mercy Health St Charles Hospital LLC (No)
  • Tri-State Pain Management Service Inc. (No)
  • Springfield Regional Cancer Center, LLC (No)
  • First Care Medical, Inc. (No)
  • Springfield Heart Surgeons LLC (No)
  • Respiratory Disease Clinic (No)
  • Findlay Women's Care LLC (No)
  • Avon Mediclinic, LLC (No)
  • Nephrology Associates of Greater Cincinnati, LLC (No)
  • Mccarty Family Foot & Ankle (No)
  • Bhargava Ravi MD, LLC (No)
  • Adult Hypertension and Kidney Specialists LLC (No)
  • Taj Medical Inc. (No)
  • Sylvan Lakes Family Physicians, LTD (No)
  • Ravi Kamepalli, MD (No)
  • Mercy Health Partners-Lourdes, Inc. (Yes)
  • Paducah Women's Clinic P.S.C. (No)
  • Western Kentucky Hematology & Oncology Group P.S.C. (No)
  • Paducah Primary Care, P.S.C. (No)
  • GJ International Consultants Inc. dba MN Angels (No)
  • Youngstown Internal Medicine, LLC (No)
  • Mark Akers MD Inc. (No)
  • George G. Ellis, Jr., M.D., Inc. (No)
  • Surgical Associates of Springfield, Inc. (No)
  • Elmore Medical Associates, Inc. (No)
  • Nephrology Associates, Inc. (No)
  • Dr. Frank A. Rich Inc. (No)
  • Patsy Buccino, D.O. Inc (No)
  • William Bartels, M.D., Inc. (No)
  • Reema Taneja MD Inc (No)
     

ACO Governing Body:

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

  • Cockley, Mark - Voting Member: 1, ACO participant representative (Mercy Health Physicians North, LLC)
  • Frankowski, Amy - Voting Member: 1, Other (N/A)
  • Bauer, Janice - Voting Member: 1, Medicare beneficiary representative
  • Bowers, Jeffery - Voting Member: 1, ACO participant representative (Mercy Health Physicians Cincinnati, LLC)
  • Dyehouse, Karyn - Voting Member: 1, ACO participant representative (Oncology and Hematology Care)
  • Tremoulis, Edward - Voting Member: 1, ACO participant representative (West Market Street Family Physicians)
  • El-Dalati, Sam - Voting Member: 1, ACO participant representative (Mercy Health Physicians Lorain LLC)
  • Butrey, Charles - Voting Member: 1, ACO participant representative (Mercy Health Physicians Lorain LLC)
  • 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)
  • Newman, Georgia - Voting Member: 1, ACO participant representative (Oberlin Internal Medicine Associates, Inc.)
  • 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)
  • Wilson, Richard Scott - Voting Member: 1, ACO participant representative (Paducah Primary Care, PSC)
  • 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)

Key ACO Clinical and Administrative Leadership:

Stephanie Savicki ACO Executive
Amy Frankowski, MD Medical Director
Brian Wells Compliance Officer
Amy Frankowski, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Quality Assurance and Process Improvement Committee Amy Frankowski, MD, Chair
Finance and Contracting Committee James Anthony, 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)

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • 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

Second Agreement Period

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

Quality Performance Results

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.23

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.68

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.82

92.31

ACO-4

CAHPS: Access to Specialists

81.48

83.32

ACO-5

CAHPS: Health Promotion and Education

60.59

62.30

ACO-6

CAHPS: Shared Decision Making

75.93

75.85

ACO-7

CAHPS: Health Status/Functional Status

74.16

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

24.50

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.28

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.70

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

58.27

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

90.61

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

69.96

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.43

1.93

ACO-11

Use of Certified EHR Technology

99.83

98.48

ACO-12

Medication Reconciliation

87.22

75.32

ACO-13

Falls: Screening for Future Fall Risk

81.27

74.38

ACO-44

Imaging Studies for Low Back Pain

63.33

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

73.19

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

84.78

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

88.43

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

92.62

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

61.99

61.98

ACO-19

Colorectal Cancer Screening

70.04

64.58

ACO-20

Breast Cancer Screening

76.95

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.89

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.59

16.74

ACO-41

Diabetes: Eye Exam

51.80

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

86.10

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

91.05

86.86

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

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 A58588 in the public use files on data.cms.gov.

Payment Rule Waivers

Yes, our ACO does use the SNF 3-Day Rule Waiver.

Arrangements Disclosed

Waiver Arrangements Reasonably Related To MSSP Purposes:

Assistance with Electronic Health Record provided to:
  • Bhargava Ravi, MD, LLC
  • Gericare Associates, Inc.
  • 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
  • Kris A. Kostrzewski, MD, PhD Family Practice, LLC
  • Pulmonary Rehabilitation Associates
  • Renal Services of Toledo, Inc.
  • Toledo Surgical Associates, Inc.
  • Moin A Ranginwala, MD Inc
  • Regina Hill, MD Inc.
  • Northwest Ohio Primary Care Physicians, 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

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.