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John Muir Health Medicare ACO

ACO Details

ACO Service Area(s):  CA 

John Muir Health Medicare ACO

1450 Treat Blvd., Suite 350Walnut CreekCalifornia 94597 

Executive Contact

Ute Burness
Request Contact Details

Public Contact

Ben Drew
(925) 947-5387
Ben.Drew@johnmuirhealth.com
Overview

John Muir Health Medicare ACO was started in July 2012. In its second year, this organization spent $10,577 on average for each of its 22,479 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $10,938 per beneficiary, a difference of $361. The ACO successfully reported, having earned its participants $3,496,096 of the $8,112,768 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

$3,496,096

Cost Reduction

3.3%

Quality Points

45.2 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 
 
 
 
 
 
 
 

70-80th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

80-90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

50-60th
 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 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

70-80th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

50-60th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

Above 90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

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

70-80th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

60-70th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

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

50-60th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

50-60th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

40-50th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

50-60th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

30-40th
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 
 
 
 
 
 
 
 

70-80th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

70-80th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

70-80th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

70-80th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

40-50th
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
J Arias Medical Corporation
Drs. Musco Inc.
Tri Valley Medical Center
Wise Medical, Inc.
Maureen Mbadike Obiora, MD
Diablo Valley Primary Care
Fredric C. Morgan, MD, Inc.
Brian A. Reyes, M.D.
Muir Family Physicians Medical Group, Inc.
Kenneth Bowers, MD
Walter Zaks, MD
Louis Enrique, MD
Family Health Center of Benicia
Clayton Valley Medical Group
Blackhawk Medical Group
John Muir Physician Network
Walnut Creek Medical Group
Neil R. Okamura
Solano Primary Care Medical Group
Julia S. Hohman, MD
Erik M. Gracer, MD
Yogesh K. Trehan, MD
Tighe O''Hanrahan, M.D.
Baldomero DeLeon, MD
Michael T. Temkin, DO, Inc.