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Accountable Care Coalition of Southeast Wisconsin, LLC

ACO Details

ACO Service Area(s):  WI 

Accountable Care Coalition of Southeast Wisconsin, LLC

6767 West Greenfield Avenue, Suite 300MilwaukeeWisconsin 53214 

Executive Contact

Jim Korry
Request Contact Details

Public Contact

Jim Korry
(713) 770-1121
jkorry@universalamerican.com
Overview

Accountable Care Coalition of Southeast Wisconsin, LLC was started in April 2012. In its second year, this organization spent $14,605 on average for each of its 11,396 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $15,633 per beneficiary, a difference of $1,028. The ACO successfully reported, having earned its participants $4,425,989 of the $11,715,745 saved for Medicare.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$4,425,989

Cost Reduction

6.6%

Quality Points

39.7 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

80-90th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

30-40th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

70-80th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

70-80th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

50-60th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

Below 30th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

Below 30th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

80-90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

70-80th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

40-50th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

40-50th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

40-50th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

70-80th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

60-70th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

40-50th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

30-40th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

40-50th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

30-40th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

60-70th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

30-40th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

40-50th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

70-80th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

70-80th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

Below 30th
ACO Statistics
Participants
Luma Healthcare Inc.
Kevin A. Weidman, M.D.
Rajit Saluja, MD
Samir Mullick, MD, S.C.
Shorehaven Behavioral Health, Inc.
Interpedia, S.C.
Lee Chiropractic, LLC
Lee Medical Clinic, S.C.
Wisconsin Neurology Clinic
Draggoo Chiropractic, SC
Salim A Torania, M.D,. S.C.
Edith A McFadden MD
Milwaukee Cardiac Care
Watertower Pain Consultants SC
Port Washington Podiatry, Inc.
Wisconsin Neuropathy Center
Ravindra Karmarkar, MD LLC
SJK Geriatric & Pallative Care Inc.
Medved Ent, SC
Radiation Oncology Associates
Layton Avenue Dermatology Associates, S.C.
Retina & Vitreous Consultants of WI, Ltd.
Farzad Kamrani, MD, SC
Charles J. Waisbren MD SC
Ophthalmology Associates, S.C.
Kaushalya Beniwal MD SC
Patrick A. Krzyzewski, DPM
Dr K F Nassif & Assoc SC
Barry K. Gimbel, M.D., S.C.
Foot & Ankle Specialists
Vascular Lab Associates
Wisconsin Bone & Joint, SC
Maqbool Arshad MD
C.M.M. Sundaram, M.D., SC
Richard N. Evans, Jr MD SC
Milos Tomich, DPM SC
Paddock Lake Family Practice SC
Samara Services, LLC
Greater Milwaukee Otolaryngology
Kornely Podiatry, LLC
Karen S. Shimshak, M.D.
Advanced Foot & Ankle of WI, LLC
James M Bury, MD, Ltd.
Katzoff Rihawi Sc
Chiropractic & Wellness Group, SC
Great Lakes Family Medical Center
Milwaukee Internal Medicine Associates, Inc.
Chiropractic Care Center Racine, S.C.
Neurology Alliance SC
Quality Sleep Institute LLC
Tosa Medical Group, LLC
TAHA MEDICAL CENTER
Abdul G Durrani MD SC
South Shore Family Chiropractic
YOMEX
Dr Turgut Zia SC
Dr Nadeem Najam SC
Raed Hamed, MD, LLC
Shabbar Sajjad, MD SC
Advanced Interventions, SC
Hugo Goitia MD SC
Infectious Disease Specialists Sc
Midwest Infectious Disease Assoc
Absolute Pain Solutions, S.C.
Wisconsin Bariatrics Sc
Podomedik Clinics
Walter Melnyczenko
Baylon Family Physicians, Ltd.
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Eye Physician Associates, SC
North Shore Orthopaedics
Milwaukee Clinic Of Orthopedic
Milwaukee Ear Nose Throat Clinic Limited
DJ Kontra, MD & Associates, SC
Eye Clinic of Racine, Ltd.
Allergy and Asthma Clinic of Kenosha, SC
Blount Orthopedic Clinic, Ltd
Drs. Fabric, Shafrin and Bloom, S.C.
Dr. Varona Family Prac. Clinic
Eddy D. Co, MD, SC
DR. JOSEPH S KOSTRZEWSKI SC
Dr. Ronald Z. Arnold, SC
Clinica Latina, SC
Infectious Disease Consultants
Richard Davenport, MD & Assoc. SC
Northeast OB/GYN, S.C.
Greenfield Pediatrics
Jack Hughes, MD SC
Affiliated Podiatrists, SC
Clinic of Neurology, Ltd.
Muhammad Y Khan MD SC
Marc S. Lewis, DPMSC
Suhas K Shelgikar, MD, SC
Steven Frydman DPM SC
Eye Care Specialists, SC
Homestead Family Health Center
Richard Steliga, MD, SC
V G LUBSEY, MD, SC
PROCARE MEDICAL GROUP SC
Mysore Shivaram, MD, SC
JEREMIAS B. VINLUAN M.D. S.C.
Raymond W. Moy, MD SC
Progressive Community Health Centers, Inc.
Milwaukee Health Services, Inc.
Outreach Community Health Services
16TH STREET COMMUNITY HEALTH CENTER INC.
James Langenkamp
Thomas Slota, MD
Lingam V Kumar MD SC
Anilkumar Singh, MD SC
DeCarlo Eye Center
MEDICAL GENETICS INSTITUTE SC
Milwaukee Eye Care Associates
Milwaukee Kidney Assoc Sc
Pain Management Center of WI, SC
Steven E. Kaufman, D.P.M., S.C.
MILWAUKEE IMMEDIATE CARE CORPORATION
Steven M. Brown, MD, S.C.
Rheumatic Disease Center
John A Roffers, MD, SC
Allergy & Asthma Centers, S.C.
Neurodiagnostic Clinic of Milwaukee SC
Great Lakes Foot & Ankle Centers, Inc
Medpoint Family Care Center
PEDIATRIC AND ADULT MEDICINE ASSOCIATES S.C.
HISPANIC MEDICAL CENTER
Jeffrey A. Fischer, DPM
Paul Mandel, MD, SC
Wisconsin Heart Center, SC
THIENSVILLE FAMILY HEALTH CARE SC
Ram K. Mittal, MD, S.C.
Medical Management Assoc.
Joan T. Gnadt, MD, SC
Sarbjeet Sandhu
Roumani Medical Clinic
Pulmonary & Critical Care Associates, SC
Community Foot and Ankle Clinic Inc
KARIM BAKHTIAR MD SC
Pain Management & Treatment Center, S.C.
Lakeshore Eye Care Professionals, S.C.
Amani A. Maguid, MD SC
Lake Country Pediatrics, S.C.
Glenn Caine DO
Drs. Khan & Almas
HLS Medical Services
Rising Phoenix Heart Institute SC
The McIver Foot Clinic, Inc.
Roger C Mixter MD, SC
BARBARA A HUMMEL, MD SC
Heart Institute of Wisconsin
Gita Baruah, MD SC
GERALD L IGNACE INDIAN HEALTH CENTER INC
Central Medical Clinic, SC
Mala Thenappan, MD
Mark P. Hastings, DPM SC
Advanced Foot Specialists
Surya Medical Group, S.C.
MILWAUKEE FAMILY PRACTICE SC
Kenneth S. Scher, MD
Rieter Podiatry Associates, SC
MAGO MEDICAL INC
OMNI FAMILY MEDICAL CLINIC SC
Family Doctors, S. C.
Ozaukee Medical Group, LLC
J.E.I.D., S.C.
Great Midwest Foot & Ankle Centers, S.C.
Integrated Pain & Health Center, SC
Sheboygan Physicians Group S.C.
Milwaukee Urology Specialists, S.C.
Milwaukee Medical Assocates Sc
Neda Esmaili, MD SC
Unger Eye MD, SC
Westwood Chiropractic
Lakeshore Urology
Gerald Dorff MD
Davis Medical Clinic, SC
Carolina G. Conti, M.D., S.C.
Carlos Rodriguez, MD SC
Hematology, Oncology Specialty
Ninette A. Nassif MD, SC
Oak Creek Urgent Care, LLC
Compassionate Doctors, Inc