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Midwest Health Coalition ACO

ACO Details

ACO Service Area(s):  IA NE 

Midwest Health Coalition ACO

7500 Mercy Road, Suite 1300OmahaNebraska 68124 

Executive Contact

Dr. Gamini Soori
Request Contact Details

Public Contact

Ann Jones
(402) 658-8765
mip.llc2012@gmail.com
Overview

Midwest Health Coalition ACO was started in January 2014. In its first year, this organization spent $8,967 on average for each of its 4,634 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $8,897 per beneficiary, a difference of -$70. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $323,418 compared to its benchmark year.

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

$0

Cost Reduction

(0.8)%

Quality Points

47 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 
 
 
 
 
 
 
 

40-50th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

30-40th
 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 
 
 
 
 
 
 
 

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

40-50th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

80-90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

50-60th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

60-70th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

Above 90th
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 
 
 
 
 
 
 
 

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 
 
 
 
 
 
 
 

80-90th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

80-90th
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
Participants
Kakish MD PC
Margarita Rodriguez-Escobar MD, LLC
Family Physicians Group, PC
Arbor Heights Family Medicine
Williams Family Medicine
Family Practice of Grand Island, PC
Dr. Meera Dewan, PC
Skyline Medical Center, PC
Family Medicine Associates Millard Gretna, PC
Midwest Ob/Gyn Clinic, PC
North Lincoln Family Medical Center PC
Joan Borrege MD
Family Medicine and Surgery, PC
Elvira Rios, MD, PC
James V. Ortman, MD, PC
Georgetown Medical, PC
McGill Family Practice
Primary Care Physicians, LLP
Internal Medicine Associates
Dr. Brown''s Healthcare
West Broadway Clinic
Health Care for the Family
Omaha Family Medicine, PC
Beacom Family Health Connection, LLC
Capital Medical Clinic, LLP
Ross Internal Medicine, PC
Family Physician Specialists, Pllc
Wellington Medical Clinic
FP Associates, PC
Internal Medicine Physicians, PC