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MaineHealth Accountable Care Organization

ACO Details

ACO Service Area(s):  ME NH 

MaineHealth Accountable Care Organization

110 Free StreetPortlandMaine 04101 

Executive Contact

Francis McGinty
Request Contact Details

Public Contact

Katie Harris
(207) 661-7559
blissj@mainehealth.org
Overview

MaineHealth Accountable Care Organization was started in July 2012. In its first year, this organization spent $566,879,683 total on its 48,273 individual beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $586,076,506 per beneficiary, a difference of $19,196,823. The ACO successfully reported, having earned its participants $9,598,412.

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. If the ACO spends less than 2.22% per-beneficiary compared to the benchmark years, the participants will be paid 50% of the savings.

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

The 48,273 individual beneficiaries spent a total 40,909 person-years in the ACO. Partial years are frequently due to things such as new medicare members entering the ACO and death.

2013 Performance

Earned Savings

$9,406,443

Cost Reduction

3.3%

Quality Points

49.15 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 
 
 
 
 
 
 
 
80-90th
 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 
 
 
 
 
 
 
 
60-70th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 
50-60th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 
30-40th
 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 
 
 
 
 
 
 
 
60-70th
 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 
 
 
 
 
 
 
 
50-60th
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 
 
 
 
 
 
 
 
60-70th
 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 
 
 
 
 
 
 
 
70-80th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 
60-70th
 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 
 
 
 
 
 
 
 
60-70th
ACO Statistics