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 (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Allison Bivens Member 8.333% Community Stakeholder Representative N/A
Christopher Smith Chair 8.334% ACO Participant Representative DLP MARQUETTE PHYSICIAN PRACTICES INC
Christopher Dehlin Vice Chair 8.334% Community Stakeholder Representative N/A
Christopher Faber Member 8.333% ACO Participant Representative MUNISING MEMORIAL HOSPITAL ASSOCIATION
Dexter Clark Member 8.333% ACO Participant Representative DLP MARQUETTE PHYSICIAN PRACTICES INC
Eliza Bichof Member 8.333% ACO Participant Representative DLP MARQUETTE PHYSICIAN PRACTICES INC
John Bartlett Member 8.333% ACO Participant Representative DICKINSON COUNTY HEALTHCARE SYSTEM
Kathy Kroll Member 8.334% ACO Participant Representative UPPER GREAT LAKES FAMILY HEALTH CENTER
Lisa Long Member 8.334% ACO Participant Representative BELL PHYSICIAN PRACTICES INC
Lynn Hartman Member 8.333% ACO Participant Representative DLP MARQUETTE PHYSICIAN PRACTICES INC
Roy Brown Member 8.333% Medicare Beneficiary Representative N/A
Trevor Hodges Member 8.333% ACO Participant Representative UPPER GREAT LAKES FAMILY HEALTH CENTER

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.