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ProHealth Solutions, LLC

ACO Details

ACO Service Area(s):  WI 

ProHealth Solutions, LLC

2000 Pewaukee Road, Suite CWaukeshaWisconsin 53188 

Executive Contact

Peter Bacon
Request Contact Details

Public Contact

Peter Bacon
(262) 696-4075
peter.bacon@phci.org
Overview

ProHealth Solutions, LLC was started in July 2012. In its second year, this organization spent $8,045 on average for each of its 19,126 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $8,380 per beneficiary, a difference of $335. The ACO successfully reported, having earned its participants $2,825,360 of the $6,408,302 saved for Medicare.

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

$2,825,360

Cost Reduction

4%

Quality Points

47.05 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 
 
 
 
 
 
 
 

80-90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Above 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 
 
 
 
 
 
 
 

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

Above 90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

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

70-80th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

60-70th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

70-80th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

40-50th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Below 30th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

70-80th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

70-80th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

40-50th
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 
 
 
 
 
 
 
 

Above 90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

Above 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 
 
 
 
 
 
 
 

Above 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
ACO Statistics
Participants
Emergency Medical Associates of Waukesha
Timothy G McAvoy MD
West Suburban Center for Arthritis
Medicine Associates
Tosa Pediatrics
Nezih Z Hasanoglu DO
Pediatric Healthcare
Elmbrook Pediatrics
Metropolitan Urology Group
Alka Kohli MD
Cardiology Associates of Waukesha
Waukesha Heart Institute
Kelly Medical Services
Kenneth Condon MD
Bruce A Brown MD
The Caring Team
Waukesha Family Practice Clinic
Infectious Disease Specialists of SE WI
Lake Country Emergency Physicians
Midwest Nephrology Associates
Nephrology Associates of Waukesha
Associates of Neurological Surgery
SE WI Radiation Oncology Associates
Moreland Family Medicine Associates
Anex, S.C.
Greater Milwaukee Plastic Surgeons
Mary M Milbrath MD
Plastic Surgery Associates - Thomas Korkos, MD
Foot & Ankle Associates of Wisconsin
Practice Management Group
Arnavaz Dua MD
Regional General & Vascular Surgeons
Padmaja Doniparthi MD
Wisconsin Neurosurgery
Lake Country Pathologists
Allergy Research & Care
Jane L Neumann MD
Donald Strong MD
Mark A Klaas MD
Richard Neils MD
Michael Jay Phillips MD
Childrens Eye Center
Neurological Wellness Clinic
ProHealth Home Care, Inc.
ProHealth Care - Oconomowoc Memorial Hospital
Doenier Family Medicine
Plastic Surgery Associates - Christopher Hussussian, MD
Central Otologic
Philip M Marden MD
Womens Health Care
Waukesha Surgical Specialists
Moreland OB/GYN Associates
Gastroenterology Specialists
Moreland ENT Group
Aspen Orthopaedic & Rehab Specialists
Neurologic Associates of Waukesha
Waukesha Pediatric Associates
Radiology Waukesha
Orthopaedic Associates of Wisconsin
Medical Eye Associates
Urology Associates Ltd
Lake Country Plastic & Hand Surgery
Advanced ENT Specialists
Wisconsin Vein Center & Medispa
Ronald J Cooper MD
Paul B Doenier MD-DEL
Alliance ENT & Hearing Center
Professional Pain Management SC
Metro Milwaukee Medical
Milwaukee Kidney Institute
Trinity Integrative Family Medicine
Lake Country Private Medical
ProHealth Care Medical Associates Inc
ProHealth Care - Waukesha Memorial Hospital