Accountable Care Organization

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
1701 Mercy Health Place                               
Cincinnati, Ohio 45237

 

ACO Primary Contact:

Jeff Copeland
Co-President, Mercy Health Select, LLC
JRCopeland@mercy.com 
513-952-4077
 


Organizational Information:

Mercy Health Select Participants:

Hospitals/Facilities

  • Mercy Health - Allen Hospital LLC
  • Community Mercy Health Partners (Springfield Regional Medical Center)
  • Jewish Hospital LLC
  • Mercy Health Partners Lourdes Inc*
  • Mercy Health Youngstown, LLC
  • Mercy Health – Anderson Hospital, LLC
  • Mercy Health – Defiance Hospital LLC
  • Mercy Health – Tiffin Hospital, LLC
  • Mercy Health –West Hospital, LLC
  • Mercy Health – St. Anne Hospital LLC
  • Mercy Health – Willard Hospital, LLC
  • Mercy Health – St. Charles Hospital LLC
  • Mercy Health – St. Vincent Medical Center LLC
  • St. Rita's Medical Center, LLC*
  • Mercy Health – Clermont Hospital, LLC
  • Mercy Health – Fairfield Hospital LLC
  • Springfield Cancer Center, LLC

  Physicians

  • Abdul T. Razack, M D, Inc.
  • Andrew J. Gase, M.D., Inc.
  • Auglaize Family Practice Center, LLC
  • CD Sears MD, Inc.
  • Clermont Internists Associates, Inc.
  • Mercy Health Physicians Lorain LLC
  • Dipakkumar Amin, MD
  • First Care Medical, Inc.
  • GCGA Physicians
  • Gericare Associates, Inc.
  • GJ International Consultants Inc.
  • Greater Cincinnati Digestive Health Network
  • Hematology Oncology Center, Inc.
  • Internal Medicine Specialties, Inc.
  • James M. Felton, MD
  • John C. Baker, D.O.
  • Kris A. Kostrzewski, MD, PhD Family Practice, LLC
  • Krishna M Ragothaman, MD, Inc.
  • Krishnaiah C. Garlapati, MD
  • Mercy Health Physicians Kentucky Llc
  • Mark Akers MD Inc.
  • Mercy Health Physicians Youngstown LLC
  • Mercy Health Physicians Cincinnati LLC
  • Mercy Medical Partners Northern Region LLC
  • Mid West Infectious Disease, Inc. 
  • Mercy Health Physicians - North, LLC
  • MRG Associates, LLC
  • Nephrology Associates of Greater Cincinnati, LLC
  • Nephrology Associates of Toledo, Inc.
  • Oberlin Internal Medicine Associates, Inc.
  • Oncology Hematology Care, Inc.
  • Paducah Primary Care, P.S.C.
  • Pairadocs Consulting
  • Physical Medicine Associates of Northwest Ohio Inc.
  • Pulmonary Medicine Consultants
  • Pulmonary Rehabilitation Associates
  • Raj K. Bhatia MD Inc.
  • Regency Urological Associates Inc.
  • Regina Hill, MD Inc.
  • Regional Infectious Diseases and Infusion Center Inc.
  • St. Rita's Professional Services, LLC
  • Sylvan Lakes Family Physicians, LTD
  • Sylvania Family Health and Wellness Center Inc
  • The Kidney and Hypertension Center Inc
  • Toledo Cardiology Consultants, Inc.
  • Urocare Associates – Thomas Zaciewski MD-LLC
  • West Market Street Family Physicians
  • Women’s Professional Services Corp.
  • Youngstown Internal Medicine, L.L.C.
  • Tri-State Pain Management Service Inc.
  • Mt. Auburn Nephrology, Inc.
  • Obstetrics & Gynecology Associates, Inc.
  • Advanced Pelvic Surgery, LLC
  • Integrative Pain Management
  • CEI Physicians, PSC, INC
  • Nephrology Assoc. of S.W. Ohio, Inc.
  • Cheviot Medical Center, Inc.
  • Springfield Heart Surgeons LLC
  • Advanced Nephrology & Hypertension
  • Springfield Urology LLC
  • Springfield Orthopedic & Sports Medicine Institute
  • Northside Family Physicians, Ltd.
  • Physician and Surgeons for Women, Inc.
  • Moin A Ranginwala, MD Inc
  • Taj Medical Inc
  • Tedros Andom, MD, LLC
  • Northwest Advance Cardiology
  • NeuroSpinecare, Inc.
  • Avon Mediclinic, LLC
  • Dr. George M. Bescak DO, Inc.
  • Erie Coast Chest Physicians, Inc.
  • A Woman's Answer, LLC
  • Maumee Bay Family Practice, Inc.
  • Robert Morris
  • Surendra Kumar MD INC
  • Northwest Ohio Primary Care Physicians, Inc.
  • Toledo Surgical Associates, Inc.
  • Ohio Foot Inc
  • Renal Services of Toledo, Inc.
  • Family Medical Clinic, Inc.
  • Primary Care Associates
  • Jagdish Patel MD, Inc.
  • Bhargava Ravi, MD, LLC
  • Jyothi Puram MD Inc
  • Adult Hypertension And Kidney Specialists Llc
  • Gastro-Intestinal Associates, Inc.
  • GI Physicians, Inc.
  • Gastroenterology Of West Central Ohio, Inc.
  • David D Powell, D.O. P.C. Inc.
  • Mccarty Family Foot & Ankle
  • Community Hospitalist, LLC
  • James K. Matheson DO, LLC
  • OUTREACH PROFESSIONAL SERVICES INC
  • Respiratory Disease Clinic
  • Paducah Women's Clinic PSC
  • Western Kentucky Hematology & Oncology Group Psc
  • Findlay Women's Care LLC
  • Arrowhead Plastic Surgeons, Inc
  • Robert E. Bisel, DO and Associates, LLC
  • Cardiac Arrhythmia Associates of Ohio, Inc.
  • Bruce Willner


ACO Participants in Joint Ventures Between ACO Professionals and Hospitals:

  • Participants involved in a joint venture are identified by the (*) next to their names on the participant list.


Mercy Health Select Governing Body:

  • Dr. Ed Herzig, Voting Member and Chair, Mercy Health Physicians (ACO participant representative)
  • Dr. Mark Cockley, Voting Member, Mercy Health Physicians North, LLC (ACO participant representative)
  • Dr. Amy Frankowski, Voting Member, Mercy Health Physicians (ACO participant representative)
  • Dr. Stephen Wilson, Voting Member, Mercy Health Physicians (ACO participant representative)   
  • Dr. Jeffery J. Bowers, Voting Member, Mercy Health Physicians (ACO participant representative)
  • Dr. Karyn Dyehouse, Voting Member, Oncology and Hematology Care (ACO participant representative)
  • Dr. Edward Tremoulis, Voting Member, West Market Street Family Physicians (ACO participant representative)
  • Dr. Imran Andrabi, Voting Member, Chief Operating Officer and President/Chief Network Integration Officer, Northern Market (ACO participant representative)
  • Dr. Sam El-Dalati, Voting Member, Community Health Partners Physicians, Inc. (ACO participant representative)
  • Dr. Charles Butrey, Voting Member, Mercy Health Physicians Lorain LLC, (ACO participant representative)
  • Dr. Cynthia Kravec, Voting Member, Mercy Health Physicians Youngstown (ACO participant representative)
  • Dr.  Sudhir Nallapaneni, Voting Member, Youngstown Internal Medicine LLC (ACO participant representative)
  • Dr. Erin Fries, Voting Member, Mercy Health Physicians (ACO participant representative)
  • Dr. Brian Hawkins, Voting Member, Mercy Health Physicians Kentucky Llc (ACO participant representative)
  • Dr. Georgia Newman, Voting Member, Oberlin Internal Medicine Associates, Inc. (ACO participant representative)
  • Dr. Bernadette DeGuzman, Voting Member, Mercy Health Physicians Cincinnati, LLC (ACO participant representative)
  • Dr. Matthew Owens, Voting Member, St. Rita’s Professional Services, LLC (ACO participant representative)
  • Dr. Alex Wright, Voting Member, Mercy Health Physicians Kentucky Llc (ACO participant representative)
  • Dr. Gregory Johnston, Voting Member, Mercy Health Physicians - North, Llc. (ACO participant representative)
  • Dr. James Anthony, Voting Member, Mercy Health Physicians Lorain LLC (ACO participant representative)
  • Dr. Mark Kirkham, Voting Member, Mercy Health Physicians Cincinnati, LLC (ACO participant representative)
  • Dorothy Luciano, Voting Member, Medicare Beneficiary
  • Jeff Copeland, Voting Member, Co-President, Mercy Health Select, Mercy Health
  • Dr. Anton Decker, Voting Member, CCO and President Mercy Health Physicians
  • Dave Nowiski, Voting Member, Chief Financial Officer, Mercy Health Physicians, Chief Financial Officer
  • R. Ramalingam, Voting Member, Chief Quality Officer & President, Mercy Health Select, Mercy Health


Key Clinical and Administrative Leadership:

  • ACO Executive: Mr. Jeff Copeland
  • Medical Director: Amy Frankowski, MD
  • Compliance Official: Mrs. Christi Knox
  • Quality Assurance/Improvement Officer: Amy Frankowski, MD

 

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
  • Hospitals employing ACO professionals
  • Rural Health Clinics (RHCs)



Shared Savings and Losses:


Amount of Shared Savings/Losses:

  • Agreement period beginning 2012, Performance Year 1: $0
  • Agreement period beginning 2012, Performance Year 2014: $6,518,339.40
  • Agreement period beginning 2012, Performance Year 2015: $0


How Shared Savings Are Distributed:

  • Agreement period beginning 2012, Performance Year 1
    • Proportion invested in infrastructure (includes proportion invested in redesigned care processes/resources): 50%
    • Proportion of distribution to ACO participants: 50%
  • Agreement period beginning 2012, Performance Year 2014, 2015
    • Proportion invested in infrastructure (includes proportion invested in redesigned care processes/resources): 50%
    • Proportion of distribution to ACO participants: 50%


Payment Rule Waivers

Yes, Our ACO utilizes the SNF 3-Day Rule Waiver

  • Rand Loveland Llc
  • Chs - Ohio Valley, Inc
  • Chesterwood Nursing Care, Ltd
  • Heritagespring Health Care Center
  • Quantum Healthcare, Inc.
  • Chs - Colerain, Inc.
  • Harborside Swanton, Llc
  • Huron Health Care Center, Inc.
  • Harborside Point Place, Llc
  • Kingston Of Vermilion, Llc
  • Chs - Goshen Inc
  • SEM Haven, Inc.
  • Orion Blossom LLC
  • Main Street Care Center, Ltd.
  • Heartland of Perrysburg OH, LLC
  • Hcf Of Findlay, Inc.
  • Covenant Village Of Green Township Llc
  • Episcopal Retirement Homes, Inc.
  • St. Margaret Hall
  • Mt. Healthy Christian Home, Inc.
  • James D. INC.
  • Community Mercy Health Partners
  • Sunrise Manor & Convalescent Center Inc
  • Friends Health Care Association, Inc
  • H & G Nursing Homes, INC
  • Ebenezer Road Corporation
  • C. Micah Rand, Inc
  • Eastgate Healthcare Center LLC
  • Judson Care Center, Inc.
  • Trinity Healthcare Corporation
  • Mercy Franciscan Senior Health And Housing Services, Inc.
  • Boyko Management, Inc.
  • The Ohio Masonic Home
  • Twin Lakes
  • Kingston Care Center Of Perrysburg Llc
  • Covenant Care Ohio, Inc.
  • Assumption Village
  • West Liberty Care Center Inc
  • Shepherd of the Valley Lutheran Retirement Services inc.
  • Spring Meadows Extended Care Facility, Inc.
  • Hilty Memorial Home
  • Amherst Manor, Inc.
  • Austinwoods Nursing Center, INC
  • Kendal At Oberlin
  • North Shore Retirement Community
  • Elms Retirement Village, Inc.
  • Vancrest, Ltd
  • West Branch Nursing Home LTD
  • Otterbein Saint Marys
  • Otterbein Cridersville
  • Kingston Care Center Of Sylvania, Llc
  • Sunset Retirement Communities, Inc.
  • Oprs Communities
  • County of Ottawa
  • Guardian Elder Care At Lima I Llc
  • Clermont Health Care
  • Oregon Opco Llc
  • Chs - Springdale, Inc
  • Chs - Mt. Healthy, Inc
  • Hcf Of Fox Run, Inc.
  • Hcf Of Perrysburg, Inc.
  • Hcf Of Wapakoneta, Inc.
  • Essex Healthcare Corporation
  • Shawneespring Health Care Center, LLC

 

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
  • Oncology Hematology Care (OHC)
  • 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
  • Andrew Gase, MD
  • James Felton
  • Sylvania Family Health and Wellness Center Inc.
  • 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.
  • Tedros Andom, MD, LLC
  • Springfield Heart Surgeons Llc
  • Primary Care Associates
  • Lourdes Ambulatory Surgery Center, LLC
  • Youngstown Internal Medicine, L.L.C.
  • Advanced Nephrology & Hypertension 
  • Integrative Pain Management 
  • Ohio Cardiothoracic and Vascular Surgeons Inc.
  • Family Medical Clinic, Inc.
  • Cheviot Medical Center, Inc.
  • Robert E. Bisel, DO and Associates, LLC
  • James K. Matheson DO, LLC
             

Quality Performance Results

  • See 2015 Quality Performance Results Table here
  • See 2012 -2014 Quality Performance Results Table here.


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.