About CCA ACO

Accountable Care Organizations (ACOs) are healthcare providers that work with Centers for Medicare & Medicaid Services (CMS) to achieve the three-part Aims by reducing cost, improve quality and patient satisfaction. It is important to understand your provider’s participation in an ACO does not change your Medicare benefits.  Patients have the freedom to choose their physicians. Physicians in an ACO agree to participate in an ACO. CMS has developed a shared savings program for physicians. The ACO providers are able to share in any savings that result from providing high-quality, reducing cost and improving patient satisfaction by coordinated care.

Coordinate Your Care
An ACO is not a Medicare Advantage plan or an HMO plan. If you have traditional Medicare, you still have the right to use any doctor or hospital who accepts Medicare, at any time. Your doctor may continue to recommend that you see other particular doctors for your specific health needs, but it’s always your choice about what doctors you use or hospitals you visit.

How will an ACO help my doctor coordinate my care?
You benefit because your doctors will be part of a better coordinated team. You may not have to fill out as many medical forms that ask for the same information. Each of your doctors will not only know about the health issues they’ve treated, they will have a more complete picture of your health through talking with your other doctors.

Questions
If you have questions or concerns, you can talk with your doctor at any time. You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

300+

Physicians

15,000+

Patients

$51.8M

in Medicare Savings

Public Reporting

ACO Name and Location:
CCA ACO, LLC
23900 Orchard Lake Road, Suite 200
Farmington Hills, MI 48336
ACO Primary Contact:

Dawn Johnson

248-715-5400

DawJohnson@commonwealthcare.org

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Rate ACO Mean
1 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 12.1 10.71
Preventative Care and Screening: Screening for Depression and Follow-up Plan
134 CMS Web Interface 74.12 76.97
Controlling High Blood Pressure
236 Falls: Screening for Future Fall Risk CMS Web Interface 76.29 76.16
318 CMS Web Interface 92.51 87.83
Preventative Care and Screening: Influenza Immunization
110 CMS Web Interface 75.32 77.34
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
226 CMS Web Interface 77.78 79.27
Colorectal Cancer Screening
Breast Cancer Screening
113 CMS Web Interface 65.58 75.32
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
112 CMS Web Interface 70.47 78.07
Depression Remission at Twelve Months
438 CMS Web Interface 89.21 86.37
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
370 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 2.22 16.03
479 CMS Web Interface 0.1696 0.151
484 CMS Web Interface 34.96 30.97

APP – CAHPS for MIPS Measures

Measure ID Measure Name Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
CAHPS-1 Getting Timely Care, Appointments, and Information 82.26 83.96
CAHPS-2 How Well Providers Communicate 92.25 93.47
CAHPS-3 Patient’s Rating of Provider 89.56 92.06
CAHPS-4 Access to Specialists 78.63 77.00
CAHPS-5 Health Promotion and Education 58.41 62.68
CAHPS-6 Shared Decision Making 58.41 60.97
CAHPS-7 Health Status and Functional Status 72.55 73.06
CAHPS-8 Care Coordination 83.09 85.46
CAHPS-9 Courteous and Helpful Office Staff 91.87 91.97
CAHPS-11 Stewardship of Patient Resources 24.46 25.62

 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

 

Fraud and Abuse Waivers

  • ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

 

Parties to the arrangement: Ideal Home Health Services LLC.

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services.

Parties to the arrangement: CenterWell Home Care

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services, Hospice Services.

Parties to the arrangement: Absolute Home Health & Hospice.

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services, Hospice Services.

Parties to the arrangement: Residential Home Health Care.

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services, Hospice Services.

Parties to the arrangement: Optimal Home Care and Hospice

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services, Hospice Services.

Parties to the arrangement: Home Care Experts

Date of arrangement: N/A

Items, services, goods, or facility provided: Home Health Services, Hospice Services.

2021 Quality Performance Results:
ACO# Measure Name Rate Mean
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1587 0.154
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 39.33 33.99
318 Falls: Screening for Future Fall Risk 90.41 87.03
110 Preventive Care and Screening: Influenza Immunization 80.04 80.52
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82.86 80.97
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 66.27 74.38
113 Colorectal Cancer Screening 65.12 73.63
112 Breast Cancer Screening 66 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.88 84.24
1 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 22.22 14.7
236 Controlling High Blood Pressure 74.11 74.87
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For  2021 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2020
For 2020 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2020
For 2019 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2019-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data 
For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
Note: In the Quality Performance Results file(s) above, search for “CCA ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2198 in the public use files on data.cms.gov.
 Table 4. APP – CAHPS for MIPS Measures
Measure ID Measure Name Eligible For Scoring Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
CAHPS-1 Getting Timely Care, Appointments, and Information Y 86.89 84.67
CAHPS-2 How Well Providers Communicate Y 91.57 93.56
CAHPS-3 Patient’s Rating of Provider Y 91.33 92.19
CAHPS-4 Access to Specialists N 81.57 78.80
CAHPS-5 Health Promotion and Education Y 61.15 61.61
CAHPS-6 Shared Decision Making Y 56.33 60.89
CAHPS-7 Health Status and Functional Status N 71.47 71.78
CAHPS-8 Care Coordination Y 83.65 85.66
CAHPS-9 Courteous and Helpful Office Staff Y 89.70 91.88
CAHPS-11 Stewardship of Patient Resources Y 26.35 24.71

Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

ACO Participants ACO Participants on Joint Venture (Enter Y or N)
AHMAD ABDEL-HALIM MD PLLC N
AHMAD R. ZEIBO, MD. PLLC N
AIRPORT FAMILY PHYSICIANS LLC N
ALAN L FELDMAN DO PC N
ALAN P GOLDBERG MD PC N
ALZOHAILI MEDICAL CONSULTANTS MD PC N
ASADULLA MOHAMMED MD PC N
ASSOCIATED PHYSICIANS GROUP PLC N
B.P. RAJESH, MD, PLLC N
BARRY S. MEYER,D.O., P.C. N
BLOOMFIELD MEDICAL CENTER PLC N
CHARLES G GODOSHIAN MD PC N
COMMERCE INTERNAL MEDICINE, P.C. N
DAMAYANTHI PANDRANGI MD PC N
DAVID LESZKOWITZ DO PC N
DAVISON MEDICAL PRACTICE PLC N
DETROIT MEDICAL GROUP PLLC N
EASTSIDE INTERNAL MEDICINE PC N
EDWIN L DELANGE, DO PC N
EMILY D SMITH MD PLLC N
FRANKLIN MEDICAL CONSULTANTS, P.C. N
GEORGE NASSIF MD PLLC N
GOODRICH MEDICAL CENTER PC N
H DANESHVAR M D P C N
HARTLAND FAMILY PHYSICIANS PC N
HEALTHWAYS MICHIGAN GROUP PLC N
HINDI AHMED MD PLC N
INDIRA ALLURU MD PC N
INTERNAL MEDICINE HEALTH CENTER PC N
JANE K. SYRIAC MD P.C. N
JAY H SANDBERG DO PC N
JITENDRA P KATNENI MD PC N
JOHN HAAPANIEMI& BARRY LESSER PTR,HAAPANIEMI LESSER ASSOCIATED N
JOWHER KHALEEL M.D. P.C. N
KAMRAN F SHEIKH MD PC N
KARMA INTERNISTS, P.C. N
LAMIS, INC. N
MAAN ASKAR MD, PC N
MACOMB PHYSICIANS GROUP PLLC N
MARIA E SMITH MD PLC N
MEDICAL ASSOCIATES PC N
MICHAEL E. STACHECKI, M.D., P.L.L.C. N
MICHAEL TAYLOR N
MICHIGAN INTERNAL MEDICINE PC N
MICHIGAN NEUROLOGY ASSOCIATES PC N
MICHIGAN SPECIALTY CLINIC PLLC N
MUKSI, LLC N
NAILA AHMAD MD PLC N
NORMAN J KAKOS M.D. P.C. N
NORTH VALLEY INTERNAL MEDICINE PC N
NOVA MEDICA PLLC N
PILLAY INTERNAL MEDICINE ASSOCIATES, PLLC N
PRAVEEN MODI, MD, PC N
PREMIER MEDICAL CLINICS PC N
PREMIER MEDICINE PC N
PRITI BHARDWAJ MD PC N
PULMONARY AND MEDICINE ASSOCIATES N
PULSAR MEDICAL ASSOCIATES PC N
PULSAR MEDICAL GROUP MD PC N
QUARRY PHYSICIANS, PC N
RAGHAD LEPLEY MD PC N
RAJAKUMARI L SWAMY MD PC N
REDDY & KUNADI MD PLC N
ROSEMARY M AQUILER ANGELES MD PC N
SAED J SAHOURI MD PLLC N
SAGINAW VALLEY MEDICAL CENTER PLLC N
SAMASANDRAPALYA KIRAN MD PC N
SHERWOOD MEDICAL CENTER, INC N
SIMED PC N
SIVA SANKARAN MD PC N
SOUTHFIELD FAMILY PRACTICE PLLC N
SOUTHGATE MEDICAL CLINIC PC N
STEVEN J. SERRA, D.O. P.C. N
SURINDER MENDIRATTA PLLC N
SYLMARA E. CHATMAN M.D. P.C. N
T.N. KAKISH MD PC N
TANVIR I QURESHI MD PC N
TRENTON TOTAL HEALTH CARE CENTER PC N
UNIVERSAL CLINIC AND URGENT CARE PC N
WECARE GLOBAL HEALTH NETWORK N
YASSIR ATTALLA PLLC N
YEVA SOSKINA N

1. Chris Palmieri, Voting Member, Commonwealth Care Alliance, Voting Power 8.32%
2. Don Stiffler, Voting Member, Commonwealth Care Alliance, Voting Power 8.32%
3. Open, Voting Member, ACO Participant, Voting Power 8.34%
4. Neil Belgiano, Voting Member, ACO Participant, North Valley Internal Medicine, Voting Power 8.34%
5. Munzer Samad, Voting Member, ACO Participant, Muksi LLC, Voting Power 8.34%
6. Conrad Maitland, Voting Member, ACO Participant, Sherwood Medical Center, Inc., Voting Power 8.34%
7. Nabil Suliman, Voting Member, ACO Participant, Premier Medicine PC, Voting Power 8.34%
8. Praveen Modi, Voting Member, ACO Participant, Praveen Modi MD PC, Voting Power 8.34%
9. Gordhan Diora, Voting Member, ACO Participant, Macomb Physicians Group PLLC, Voting Power 8.34%
10. Edwin DeLange, Voting Member, ACO Participant, Edwin DeLange, DO PC, Voting Power 8.34%
11. Saed Sahouri, Voting Member, ACO Participant, Saed J Sahouri MD PLLC, Voting Power 8.34%
12. Open, Voting Member, Member Beneficiary Representative/Consumer Advocate, Voting Power 8.32%

Key ACO clinical and administrative leadership:

Dawn Johnson ACO Executive/Main Contact
Saed Sahouri Medical Director
Annie Bheecham Compliance Officer
Jeffrey Whitten Quality Assurance/Improvement Officer

Associated leadership:

Committee Name Committee Leader Name and Position
Finance Lead Frank Scalise
Quality Assurance and Improvement Lead Jeffrey Whitten
Medical Management Lead Saed Sahouri

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Fourth Agreement Period

  • Performance Year 2022, $3,637,207

Third Agreement Period

  • Performance Year 2021, $0
  • Performance Year 2020, $2,306,990

Second Agreement Period

  • Performance Year 2019, $ 3,195,465
  • Performance Year 2018, $0
  • Performance Year 2017, $0

First Agreement Period

  • Performance Year 2016, $ 7,303,914
  • Performance Year 2015, $0
  • Performance Year 2014, $5,963,625

Shared Savings Distribution

     

  • Fourth Agreement Period
    • Performance Year 2022
    • Proportion invested in infrastructure: 16%
    • Proportion invested in redesigned care processes/resources: 34%
    • Proportion of distribution to ACO participants: 50%
  • Third Agreement Period
    • Performance Year 2021
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 52%

Second Agreement Period

Performance Year 2021

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

Performance Year 2020

  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes / resources: 20%
  • Proportion distributed to participants: 52%

Performance Year 2019

  • Proportion invested in infrastructure: 12%
  • Proportion invested in redesigned care processes/resources: 20%
  • Proportion of distribution to ACO participants: 47%

Performance Year 2018

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

Performance Year 2017

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

First Agreement Period

Performance Year 2016

  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 19%
  • Proportion of distribution to ACO participants: 41%

Performance Year 2015

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

Performance Year 2014

  • Proportion invested in infrastructure: 17%
  • Proportion invested in redesigned care processes/resources: 7%
  • Proportion of distribution to ACO participants: 46%

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