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



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:

 First Name  Last Name  Member Title / Position  Member Voting Power (Expressed as a Percentage) Membership Type  ACO Participant Legal Business Name, If Applicable 
Marvis Green

Voting Member

5.88%

Medicare beneficiary representative

NA
Edward Tremoulis Voting Member
5.88%

ACO participant representative

West Market Street Family Phys

Cynthia Kravec Voting Member
5.88%
ACO participant representative
Mercy Health Physicians Youngstown
Sudhir Nallapaneni Voting Member
5.88%
ACO participant representative
Youngstown Internal Medicine LLC
Erin Hurlburt Voting Member
5.88%
ACO participant representative
Mercy Health Physicians Cincinnati, LLC
Bernadette DeGuzman Voting Member
5.88%
ACO participant representative
Mercy Health Physicians Cincinnati, LLC
Matthew Owens Voting Member
5.88%
ACO participant representative
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Alex Wright Voting Member
5.88%
ACO participant representative Mercy Health Physicians Kentucky LLC
Gregory Johnston Voting Member
5.88%
ACO participant representative
Mercy Health Physicians – North, LLC
James Anthony Voting Member
5.90%
ACO participant representative / Board Chair
Mercy Health Physicians Lorain LLC
Mark Kirkham Voting Member
5.88%
ACO participant representative
Mercy Health Physicians Cincinnati, LLC
Parameswaran Hariharan Voting Member
5.88%
ACO participant representative
Clermont Internists Associates, Inc.
Sharon Wolf Voting Member/Treasurer
5.90%
Other NA
Staci  Lucius Voting Member/President MHP
5.88%
Other NA
Mbonu Ikezuagu Voting Member
5.88%
ACO participant representative
Mercy Health Physicians – North, LLC
Rebecca Holland Voting Member
5.88%
Other NA
Richard White Voting Member
5.88%
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 Edward Tremoulis, MD, Chair
Finance and Contracting Committee Emmett Roper, 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 2021, $25,394,341
  • 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 2021

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

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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

ACO#

Measure Name

Rate

ACO Mean

134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 81.54  74.38
236 Controlling High Blood Pressure
84.69
74.87
318
Falls: Screening for Future Fall Risk
91.97
87.03
110
Preventative Care and Screening: Influenza Immunization
78.85
80.52
226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
90.70
80.97
113
Colorectal Cancer Screening
80.53
73.63
112
Breast Cancer Screening
79.22
75.11
438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81.40
84.24
MCC1
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2
40.12
33.94
CAHPS-1
Getting Timely Care, Appointments, and Information
88.39
84.67
CAHPS-2
How Well Providers Communicate
93.68
93.56
CAHPS-3
Patient’s Rating of Provider
93.50
92.19
CAHPS-4
 Access to Specialists
86.16
78.80
CAHPS-5
Health Promotion and Education
64.65
61.61
CAHPS-6
Shared Decision Making
66.75
60.89
CAHPS-7
Health Status and Functional Status
71.20
71.78
CAHPS-8
Care Coordination
87.71
85.66
CAHPS-9
Courteous and Helpful Office Staff
93.17 
91.88
CAHPS-11
Stewardship of Patient Resources
26.77
24.71

 Please note the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size

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

Parties to arrangement: Mercy Health Select, LLC (ACO) and Patients of ACO Providers
Date of arrangement: August 4, 2022
Items, services, good, or facility provided: The program provides transitional care management services upon hospital discharge to beneficiaries with medical and/or psychosocial problems requiring moderate or high complexity medical decision-making. Patients transitioning from the ambulatory environment will receive comprehensive assessment with interventions and a plan of care documented. 
Date and nature of any amendments to the arrangement, if applicable: N/A

Parties to arrangement: Mercy Health Select, LLC (ACO) and Patients of ACO Providers
Date of arrangement: August 4, 2022
Items, services, good, or facility provided: The program provides chronic care management to participating providers with high risk and rising risk patients in collaboration with a patient-centered team approach. Care managers work with patients and an interdisciplinary team to create and support implementation of an individualized care plan for patients.  They engage patients to manage patient care more effectively and efficiently to reduce potentially avoidable utilization and readmissions. 
Date and nature of any amendments to the arrangement, if applicable: N/A

Parties to the arrangement: Mercy Health Select, LLC and Clermont Internists Associates, Inc.
Date of arrangement: 01/24/2011
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Gericare Associates, Inc.
Date of arrangement: 06/17/2013
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Nephrology Associates of Greater Cincinnati, LLC
Date of arrangement: 05/11/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Tri-State Pain Management Service Inc.
Date of arrangement: 12/08/2014
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Nephrology Assoc. of S.W. Ohio, Inc.
Date of arrangement: 03/01/2019
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Cheviot Medical Center, Inc.
Date of arrangement: 08/15/2016
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Adult Hypertension and Kidney Specialists LLC
Date of arrangement: 09/01/2020
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and West Market Street Family Physicians
Date of arrangement: 03/19/2012
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Horstman & Klir MDS INC
Date of arrangement: 04/13/2021
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Sylvan Lakes Family Physicians, LTD
Date of arrangement: 05/19/2014
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Nephrology Associates of Toledo, Inc.
Date of arrangement: 04/28/2014
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Krishna M Ragothaman, MD, Inc.
Date of arrangement: 06/24/2013
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and CD Sears MD, Inc.
Date of arrangement: 01/26/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Regency Urological Associates Inc.
Date of arrangement: 12/01/2014
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and GJ International Consultants Inc.
Date of arrangement: 03/23/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Mark Akers MD Inc.
Date of arrangement: 01/26/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Maumee Bay Family Practice, Inc.
Date of arrangement: 04/20/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Renal Services of Toledo, Inc.
Date of arrangement: 06/04/2012
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and RS Medical Group PC
Date of arrangement: 07/15/2019
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Pulmonary Medicine Consultants
Date of arrangement: 06/01/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Pulmonary Rehabilitation Associates
Date of arrangement: 06/01/2015
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Youngstown Internal Medicine, L.L.C.
Date of arrangement: 01/18/2016
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Family Medical Clinic, Inc.
Date of arrangement: 11/17/2016
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Robert E. Bisel, D.O. and Associates, LLC
Date of arrangement: 01/09/2017
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A


Parties to the arrangement: Mercy Health Select, LLC and Bruce Willner DO LLC
Date of arrangement: 10/23/2017
Items, services, goods, or facility provided: CarePATH software, licensing, implementation and training
Date and nature of any amendments to the arrangement, if applicable: N/A