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Circle Health Alliance, LLC

ACO Details

ACO Service Area(s):  MA NH 

Circle Health Alliance, LLC

295 Varnum AvenueLowellMassachusetts 01854 

Executive Contact

Gerri Vaughan
Request Contact Details

Public Contact

Karen Grossman
(978) 788-7376
karen.grossman@lowellgeneral.org
Overview

Circle Health Alliance, LLC was started in July 2012. In its second year, this organization spent $10,164 on average for each of its 10,910 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $10,852 per beneficiary, a difference of $687. The ACO successfully reported, having earned its participants $3,240,503 of the $7,498,724 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

$3,240,503

Cost Reduction

6.3%

Quality Points

51.1 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 
 
 
 
 
 
 
 

Above 90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

40-50th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

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

Below 30th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

30-40th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

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

70-80th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

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

80-90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

60-70th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

50-60th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

60-70th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

60-70th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

60-70th
 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 
 
 
 
 
 
 
 

80-90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

80-90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

80-90th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

80-90th
 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 
 
 
 
 
 
 
 

80-90th
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 
 
 
 
 
 
 
 

Above 90th
ACO Statistics
Participants
Merrimack Urology Associates, PC
DINELI, A PROFESSIONAL CORPORATION
DRUM HILL PRIMARY CARE, LLC
CHELMSFORD FAMILY PRACTICE, P.C.
LOWELL SURGICAL ASSOCIATES, P.C.
KEVIN S TOMANY MD PC
VASCULAR ASSOCIATES OF THE MERRIMACK VALLEY, P.C.
Carlos A. Del Rio, MD, PC
Riverside Medical Group, PC
Jack Chang, MD., PC
MEDICAL HEALTHCARE SPECIALISTS, P.C.
JOSHI MEDICAL SERVICES, P.C.
CARLOS MADRID, P.C.
LGH Merrimack Valley Cardiology Associates, LLC.
Merrimack Radiology - CRA, LLC
Jason A Silva MD PC
Westford Vein and Aesthetic Solutions
Michael Rosenbaum, MD
New England Inpatient Specialist, LLC
NORTHEAST MEDICAL GROUP, INC.
Lowell Community Health Center, Inc.
Sepulveda & Associates, PC
N.M. Estella, MD, PC
Vijaya N. Swamy, MD PC
ZEUS CORPORATION, THE
MASSACHUSETTS E.N.T. ASSOCIATES, INC.
Pathology Associates of Lowell, P.C.
Orthopaedic Surgical Associates of Lowell, PC
Abdul Ghaffar, MD
Nasim Ghaffar, MD
PETER S BRADSHAW, MD
MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, INC.
LUNG SPECIALISTS OF THE MERRIMACK VALLEY, P.C.
Hayward Zwerling, M.D.
Damian Folch
LOWELL GENERAL HOSPITAL, THE
David Sidebottom, MD
Terry Howard, MD
LAWRENCE P JOHNSON MD PC
PETER D ROMAN MD PC
KEVIN MALONE DO PC
New England Foot & Ankle, P.C.
Chelmsford Primary Care, LLC
Northeast Plastic Surgery, PC
LGH WomanHealth, Inc.
Stony Brook Primary Care
Pelham Healthcare Associates, LLC
DRACUT FAMILY HEALTHCARE LLC.
NESC LPHO, LLC
Mill City Medical Group, Ltd
LGH Medical Group, Inc.
Spyridon Kantas, MD, PC