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National Rural ACO

ACO Details

ACO Service Area(s):  CA IN MI 

National Rural ACO

P.O. Box 1330Nevada CityCalifornia 95959 

Executive Contact

Douglas Pollock
Request Contact Details

Public Contact

Georgia Green
(916) 500-4777
admin@ruralaco.com
Overview

National Rural ACO was started in January 2014. In its first year, this organization spent $10,495 on average for each of its 14,050 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $9,860 per beneficiary, a difference of -$635. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $8,917,492 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

(6.4)%

Quality Points

39.85 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 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Below 30th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

60-70th
 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 
 
 
 
 
 
 
 

60-70th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

50-60th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

50-60th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

Below 30th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

70-80th
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 
 
 
 
 
 
 
 

50-60th
 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 
 
 
 
 
 
 
 

40-50th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

50-60th
 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 
 
 
 
 
 
 
 

40-50th
Participants
Margaret Mary Community Hospital Inc.
Mary S. Robertson MD
Alcona Citizens for Health, Inc.
McKenzie Memorial Hospital
John C. Fremont Healthcare District
Southern Mono Healthcare District
Southern Inyo Hospital