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:

 

Primary Contact Name S. Ramalingam, MD 
Primary Contact Phone Number 513-952-5021
Primary Contact Email Address sramalingam@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)
  • A Woman's Answer, LLC (No)
  • Tedros Andom, MD, LLC (No)
  • St. Rita's Professional Services, LLC (No)
  • Pairadocs Consulting (No)
  • Sylvania Family Health and Wellness Center Inc. (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)
  • MRG Associates, LLC (No)
  • John C. Baker DO (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)
  • Ohio Cardiothoracic and Vascular Surgeons 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)
  • Andrew J. Gase, M.D., 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)
  • George Bescak (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)
  • Abdul T. Razack M D Inc. (No)
  • Hematology Oncology Center Inc. (No)
  • Northwest Advance Cardiology (No)
  • Bruce Willner (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)
  • Erie Coast Chest Physicians, Inc. (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)
  • Integrative Pain Management (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)
  • Surendra Kumar (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)

ACO Governing Body:

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

  • Herzig, Ed - Voting Member/Chair: 1, Other (N/A)
  • Cockley, Mark - Voting Member: 1, ACO participant representative (Mercy Health Physicians North, LLC)
  • Frankowski, Amy - Voting Member: 1, Other (N/A)
  • 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 (St. Rita’s Professional Services, 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/Vice-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)
  • Nowiski, Dave - Voting Member/Treasurer: 1, Other (N/A)
  • Ramalingam, S. - Voting Member/Chief Quality Officer & President: 1, Other (N/A)
  • Combs, Claire - Voting Member/Secretary: 1, Other (N/A)
  • Lucius, Staci - Voting Member/President MHP: 1, Other (N/A)

Key ACO Clinical and Administrative Leadership:

S. Ramalingam, MD  ACO Executive
Amy Frankowski, MD Medical Director
Christi Knox 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 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 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

2016 Quality Performance Results:

ACO#    Measure Name = Rate (ACO Mean)

  • ACO-1   CAHPS: Getting Timely Care, Appointments, and Information = 84.68 (79.9)
  • ACO-2   CAHPS: How Well Your Providers Communicate = 93.74 (92.63)
  • ACO-3   CAHPS: Patients' Rating of Provider = 92.74 (91.93)
  • ACO-4   CAHPS: Access to Specialists = 81.22 (83.52)
  • ACO-5   CAHPS: Health Promotion and Education = 59.25 (60)
  • ACO-6   CAHPS: Shared Decision Making = 76.19 (75.28)
  • ACO-7   CAHPS: Health Status/Functional Status = 71.79 (71.82)
  • ACO-34 CAHPS: Stewardship of Patient Resources  = 27.64 (27.52)
  • ACO-8   Risk-Standardized, All Condition Readmission = 14.34 (14.7)
  • ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) = 19.25 (18.17)
  • ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes = 60.23 (53.2)
  • ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure = 84.51 (75.23)
  • ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions = 68.33 (59.81)
  • ACO-9   Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) = 9.05 (9.27)
  • ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) = 17.52 (14.53)
  • ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements = 97.75 (82.72)
  • ACO-39 Documentation of Current Medications in the Medical Record = 87.89 (87.54)
  • ACO-13 Falls: Screening for Future Fall Risk = 65.83 (64.04)
  • ACO-14 Preventive Care and Screening: Influenza Immunization = 79.08 (68.32)
  • ACO-15 Pneumonia Vaccination Status for Older Adults = 80.5 (69.21)
  • ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up = 68.73 (74.45)
  • ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention = 80.92 (90.98)
  • ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan = 44.49 (53.63)
  • ACO-19 Colorectal Cancer Screening = 52.02 (61.52)
  • ACO-20 Breast Cancer Screening = 65.11 (67.61)
  • ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented = 70.59 (76.84)
  • ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease = 88.18 (77.72)
  • ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control  = 14.79 (18.24)
  • ACO-41 Diabetes: Eye Exam = 35.21 (44.94)
  • ACO-28 Hypertension (HTN): Controlling High Blood Pressure = 80.15 (70.52)
  • ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic = 90.36 (85.05)
  • ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) = 92.99 (88.67)
  • ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) = 86.71 (79.67)

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.

  • Rand Loveland Llc doing business as (d/b/a) Loveland Health Care
  • Chs - Ohio Valley, Inc d/b/a Terrace View Gardens
  • Chesterwood Nursing Care, Ltd d/b/a Chesterwood Village
  • Heritagespring Health Care Center d/b/a Heritagespring of West Chester
  • Quantum Healthcare, Inc. d/b/a Mill Manor Care Center
  • Chs - Colerain, Inc. d/b/a Veranda Gardens Nursing & Rehabilitation Center
  • Harborside Swanton, Llc d/b/a Swanton Valley Center
  • Huron Health Care Center, Inc. d/b/a Admiral’s Pointe Nursing & Rehabilitation
  • Harborside Point Place, Llc d/b/a Point Place Care and Rehabilitation
  • Kingston Of Vermilion, Llc d/b/a Kingston of Vermilion
  • Chs - Goshen Inc d/b/a Venetian Gardens
  • SEM Haven, Inc. d/b/a SEM Haven Health Care Center
  • Orion Blossom LLC d/b/a Blossom Nursing and Rehabilitation
  • Main Street Care Center, Ltd. d/b/a Main Street Care Center
  • Heartland of Perrysburg OH, LLC d/b/a Heartland of Perrysburg
  • Hcf Of Findlay, Inc. d/b/a Fox Run Manor
  • Covenant Village Of Green Township Llc d/b/a Covent Village of Green Township
  • Episcopal Retirement Homes, Inc. d/b/a Marjorie P. Lee Retirement Community
  • St. Margaret Hall
  • Mt. Healthy Christian Home, Inc. d/b/a The Christian Village at Mt. Healthy
  • James D. INC. d/b/a Hillebrand Nursing and Rehabilitation Center
  • Community Mercy Health Partners d/b/a Oakwood Village
  • Sunrise Manor & Convalescent Center Inc
  • Friends Health Care Association, Inc d/b/a Friends Care Community of Yellow Springs
  • H & G Nursing Homes, INC d/b/a Morris Nursing Home
  • H & G Nursing Homes, INC d/b/a Adams County Manor
  • Ebenezer Road Corporation d/b/a Western Hills Retirement Center
  • C. Micah Rand, Inc d/b/a Brookwood Retirement Community
  • Eastgate Healthcare Center LLC d/b/a Eastgatespring of Cincinnati
  • Judson Care Center, Inc. d/b/a Judson Care Center
  • Trinity Healthcare Corporation d/b/a Meadowbrook Care Center
  • Mercy Franciscan Senior Health And Housing Services, Inc. d/b/a Mercy Health – West Park
  • Boyko Management, Inc. d/b/a The Lodge Nursing & Rehab
  • The Ohio Masonic Home d/b/a Springfield Masonic Community
  • Twin Lakes
  • Kingston Care Center Of Perrysburg Llc d/b/a Kingston Rehab of Perrysburg
  • Covenant Care Ohio, Inc. d/b/a Villa Springfield
  • Covenant Care Ohio, Inc. d/b/a Edgewood Manor Nursing Center
  • Assumption Village
  • West Liberty Care Center Inc d/b/a Green Hills Center
  • Shepherd of the Valley Lutheran Retirement Services inc. d/b/a Shepherd of the Valley: Niles
  • Shepherd of the Valley Lutheran Retirement Services inc. d/b/a Shepherd of the Valley: Howland
  • Hilty Memorial Home
  • Amherst Manor, Inc. d/b/a Amherst Manor
  • Austinwoods Nursing Center, INC d/b/a Woodlands at Austinwoods
  • Kendal At Oberlin
  • North Shore Retirement Community d/b/a Otterbein North Shore
  • Elms Retirement Village, Inc. d/b/a Elms Retirement Village
  • Vancrest, Ltd d/b/a Vancrest of Delphos
  • West Branch Nursing Home LTD d/b/a Auburn Skilled Nursing and Rehabilitation
  • Otterbein Saint Marys d/b/a Otterbein Saint Marys Lifestyle Community
  • Otterbein Cridersville
  • Kingston Care Center Of Sylvania, Llc
  • Sunset Retirement Communities, Inc. d/b/a Sunset Village
  • Oprs Communities d/b/a Swan Creek Retirement Village
  • County of Ottawa d/b/a Ottawa County Riverview Nursing Home
  • Guardian Elder Care At Lima I Llc d/b/a Lost Creek Healthcare and Rehabilitation Center
  • Clermont Health Care d/b/a Florentine Gardens
  • Oregon Opco Llc d/b/a Arbors at Oregon
  • Chs - Springdale, Inc d/b/a The Home at Taylor’s Pointe
  • Chs - Mt. Healthy, Inc d/b/a The Home at Hearthstone
  • Hcf Of Fox Run, Inc. d/b/a St. Catherine’s Manor of Findlay
  • Hcf Of Perrysburg, Inc. d/b/a Manor at Perrysburg
  • Hcf Of Wapakoneta, Inc. d/b/a Wapakoneta Manor
  • Essex Healthcare Corporation d/b/a Meridian Arms Living Center
  • Shawneespring Health Care Center, LLC d/b/a Shawneespring of Harrison

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
  • Bruce D. Willner, DO
                  

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.