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Great Lakes ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location     

AdvantagePoint Health Alliance - Great Lakes, LLC

330 Seven Springs Way, Brentwood, TN 37027

 

ACO Primary Contact

  Julie Kelly

  (906) 361-5678

  Julie.Kelly1@LPNT.net

 

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Acquisition Bell Hospital, LLC (UP Health System - Bell)

N

Anesthesiology of Marquette, P.C.

N

Bell Physician Practices Inc (UP Health System - Bell)

N

Dickinson County Healthcare System (Marshfield Medical Center)

N

DLP Marquette General Hospital, LLC (UP Health System - Marquette)

N

DLP Marquette Physician Practices Inc (UP Health System - Marquette)

N

Heritage Health PC 

N

Medical Acne & Skincare

N

Medical Laboratories of Marquette, PC

N

Munising Memorial Hospital Association (Bay Care Medical Center)

N

OB-GYN Assoc of Marquette PC

N

Orthopedic Surgery Associates of Marquette PC (Advanced Center of Orthopedic & Plastic Surgery)

N

Portage Hospital, LLC (UP Health System – Portage)

N

Portage Physician Practices, Inc

N

Superior Ear, Nose & Throat – Audiology & Allergy PC

N

Superior Imaging Specialists PC

N

Upper Great Lakes Family Health Center

N

Upper Peninsula Imaging PC

N

 

ACO Governing Body:

Member
First Name

Member
Last Name

Member Title / Position

Member’s Voting Power

(As a %)

Membership Type

ACO Participant Legal Business Name, if applicable

Eliza

Bischof, PA-C

Member

9.375%

ACO Participant Representative

DLP Marquette Physician Practices Inc (UP Health System - Marquette)

Roy 

Brown

Member

8.334%

Medicare Beneficiary

N/A

John

Bartlett, MD

Member

9.375%

ACO Participant Representative

Dickinson County Healthcare System (Marshfield Medical Center)

Dexter

Clark, DO

Member

9.375%

ACO Participant Representative

DLP Marquette Physician Practices Inc (UP Health System - Marquette)

Chris

Dehlin, MD

Member / V. Chair

8.334%

Community Stakeholder Representative

N/A

Lynn

Hartman, DO

Member

9.375%

ACO Participant Representative

DLP Marquette Physician Practices Inc (UP Health System - Doctors Park)

Catherine

Kroll, DO

Member

9.375%

ACO Participant Representative

Upper Great Lakes Family Health Center

Christopher

Smith, MD

Member / Chair

9.375%

ACO Participant Representative

DLP Marquette Physician Practices Inc (UP Health System - Bell)

Allison

Bivens

Member

8.334%

Community Stakeholder Representative

N/A

Trevor

Hodges

Member

9.375%

ACO Participant Representative

Upper Great Lakes Family Health Center

Lisa

Long, MD

Member

9.375%

ACO Participant Representative

DLP Marquette General Hospital, LLC (UP Health System - Marquette)

 Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Julie Kelly

Medical Director: Lisa Long, DO

Compliance Officer: Ashlie Heald

Quality Assurance/Improvement Officer: Carol Ann Hudson

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Performance & Improvement

Dexter Clark, D.O., Committee Chair

Contracting & Finance

Peter Camilli, Regional VP Physician Services, Committee Chair

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Federally Qualified Health Center (FQHC)
  • ACO Professionals in a group practice arrangement
  • Hospital Employing ACO Professionals
  • Network of individual practices of ACO professionals
  • Rural Health Center (RHC)
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
    • Performance Year 2024, N/A
  • First Agreement Period
    • Performance Year 2023, $0.00
    • Performance Year 2022, $0.00
    • Performance Year 2021, $0.00
    • Performance Year 2020, $0.00
    • Performance Year 2019, $0.00

Shared Savings Distribution:

Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs collection type.

Measure #

Measure Name

Collection Type

Reported Performance Rate

 Current Year Mean Performance Rate (SSP ACOs)

001  

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]

MIPS CQM

40.60

41.62

134

Preventive Care and Screening: Screening for Depression and Follow-up Plan

eCQM

60.88

31.79

236

Controlling High Blood Pressure

MIPS CQM

76.19

65.61

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]

Administrative Claims

0.1363

0.1538

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

83.47

83.70

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.67

93.96

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

92.64

92.43

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

75.21

75.76

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

72.60

65.48

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

62.52

62.31

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

74.41

74.14

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

87.58

85.89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

94.19

92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

28.38

26.98

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

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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.
  •  

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