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North Coast Medical ACO, Inc.

ACO Details

ACO Service Area(s):  CA 

North Coast Medical ACO, Inc.

4002 Vista WayOceansideCalifornia 92056 

Executive Contact

Wayne Knight
Request Contact Details

Public Contact

Wayne Knight
(760) 940-5771
KnightWR@tcmc.com
Overview

North Coast Medical ACO, Inc. was started in July 2012. In its second year, this organization spent $9,731 on average for each of its 5,571 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $9,810 per beneficiary, a difference of $79. The ACO successfully reported, but failed to earn its participants any savings. This ACO saved Medicare $437,982 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

43.2 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 
 
 
 
 
 
 
 

30-40th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Below 30th
 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 
 
 
 
 
 
 
 

80-90th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

70-80th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

50-60th
 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 
 
 
 
 
 
 
 

80-90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

40-50th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

40-50th
 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 
 
 
 
 
 
 
 

60-70th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

40-50th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

60-70th
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 
 
 
 
 
 
 
 

80-90th
ACO Statistics
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