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Physician Direct Accountable Care Organization

ACO Details

ACO Service Area(s):  MI 

Physician Direct Accountable Care Organization

2360 Orchard Lake Road, Suite 105Sylvan LakeMichigan 48320 

Executive Contact

Rodger Prong
Request Contact Details

Public Contact

Rodger Prong
(248) 682-0088 ext. 119
rprong@opns.org
Overview

Physician Direct Accountable Care Organization was started in January 2014. In its first year, this organization spent $8,812 on average for each of its 5,261 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $9,028 per beneficiary, a difference of $216. The ACO successfully reported, but failed to earn its participants any savings. This ACO saved Medicare $1,138,048 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

2.4%

Quality Points

42.7 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 
 
 
 
 
 
 
 

70-80th
 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 
 
 
 
 
 
 
 

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

30-40th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

80-90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

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

Below 30th
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 
 
 
 
 
 
 
 

60-70th
 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 
 
 
 
 
 
 
 

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 
 
 
 
 
 
 
 

Below 30th
 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 
 
 
 
 
 
 
 

50-60th
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 
 
 
 
 
 
 
 

60-70th
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
Participants
Malik E McKany MD
Clarkston Internal Medicine PC
Premiere Pediatrics PC
Danny F Watson MD PLC
Michael L Hicks MD PC
James Heinsimer MD PC
Faiz Mansour MD PC
Alaa Owainati MD PC
Facial Pain and Sleep Center PLC
Kristen Roy
Karmo Aesthetic Center PC
Oakland Digestive Diseases PLLC
Aljundi Medical PLLC
University Eye Care PC
Dr. Khalifa Reda
Thomas Mathew MD PLLC
Sudha N. Purohit MD PC
Saad Naaman MD PC
James A Gibson MD PC
Dov Schuchman MD PC
Aydin Turan MD PC
Bashar Yaldo MD PC
Michael E. Stachecki
Davinder Kakar MD
Care With Compassion Physicians Group PC
Michigan Infectious Disease Consultants
S E T Footcare PC
Paunel Grivej MD PC
Waterford Anesthesia PLLC
Nashwan Yousif
Suha Kassab DPM PC
Nitin C Doshi MD
Ghalib Y Talia MD
Todd T Best MD
David Bradlee DO
Digestive Disease Consultants PC
Wilkinson Eye Center PC
Edward L Herman MD PC
Childrens Eye Care PC
Robert S Levine MD PC
Martin Hart MD PC
Mindlinkoh Ctr For Ophthalmic Med Surg
Frank J Greene
Bashar Succar MD PC
Medical Associates Inc
Ned Z Winkelman MD PC
Adnan M Matta MD PC
David L Harold MD PC
Associated Obstetrics Gynecology
Ala E Imam MD PC
Bharat Tolia MD PC
Bloomfield Internal Medicine
Yatinder M Singhal MD PC
Safiul Hasan MD PC
Northwest Pathology Consultants
Waterford Family Physicians PC
Edward A Tashjian MD
Oakland Orthopedic Partners PC
Rick H Siegel
David A Forster
Lung Associates
Allergy and Asthma Associates of MI PC
Harold M Koehler DPM PC
Oakland Physiatry
Michigan Neurosurgical Specialists
Ingida Asfaw MD PC
Twin Lakes Medical Associates
SJMH Medical Practice
Thabet Abbarah MD ENT PC
Oakland Infectious Disease Associates
Tanir Medical Center PC
Midoakland Foot Care
Michigan Internal Medicine And Cardiology Associates
Dimitrios Apostolou MD PC
M Azhar Ali MD PC
James Caralis DO PC