UMass Memorial ACO Focuses on Quality Care

Participating in the Medicare ACO is our commitment to providing the Worcester and Central Massachusetts region with quality, personalized and innovative care. Our Medicare ACO leverages our resources to focus on providing Medicare patients (also called Medicare Fee-for-Service beneficiaries) with the best possible experience of timely, appropriate and high-quality health care services.

• Providing personalized care coordination services across the health continuum
• Facilitating more effective physician visits and communication among your doctors and providers
• Providing you with targeted health information and wellness programs that focus on disease prevention
• Helping you coordinate timely appointments, manage medications and determine appropriate follow-up care
• Improving the efficiency of your health care

Learn more below, or call our toll-free number at 844-549-0213.

For additional resources: Please visit www.medicare.gov or call 800-MEDICARE (800-633-4227) or (TTY users should call 877-486-2048) for general questions or additional information about Accountable Care Organizations. 

The Health Policy Commission (HPC) Accountable Care Organization (ACO) Certification Program

We are honored to receive ACO Certification from the Massachusetts Health Policy Commission.  This program is designed to accelerate care delivery transformation in Massachusetts and promote a high quality, efficient health system. The purpose of the HPC Accountable Care Organization ACO certification program is to complement existing local and national care transformation and payment reform efforts, encourage value-based care delivery, and promote investments by all payers in high-quality and cost-effective care across the continuum. 

Beneficiary Notices: 

• English and Spanish Versions

ACO Name and Location      

UMASS Memorial Accountable Care Organization, INC.

One Biotech Park
365 Plantation Street, 3rd Floor
Worcester, MA 01605

ACO Primary Contact

Caryn Sweeney
508-334-1364
UMMACOprimarypubliccontact@umassmemorial.org

Organizational Information

ACO Participants:

ACO Governing Body:

Key ACO Clinical and Administrative Leadership:

• ACO Executive: John Greenwood
• Medical Director: Thomas Scornavacca, DO
• Compliance Officer: Jennifer Heil
• Quality Assurance/Improvement Officer: Tracey Wilkie

Associated Committees and Committee Leadership:

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

• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Third Agreement Period

  • Performance Year 2022, $5,181,428

• Second Agreement Period

  • Performance Year 2021, $0

  • Performance Year 2020, $6,732,247

  • Performance Year 2019, $0

  • Performance Year 2018, $0

• First Agreement Period

  • Performance Year 2017, $9,105,746

  • Performance Year 2016, $0

  • Performance Year 2015, $0

Shared Savings Distribution:

• Third Agreement Period

  • Performance Year 2022

  • Proportion invested in infrastructure: 25%

  • Proportion invested in redesigned care processes/resources: 25%

  • Proportion of distribution to ACO participants: 50%
     

• Second Agreement Period

o   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

o   Performance Year 2020

• Proportion invested in infrastructure: 21%
• Proportion invested in redesigned care processes/resources: 29%
• Proportion of distribution to ACO participants: 50%

o   Performance Year 2019

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

o   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

• First Agreement Period​

  • Performance Year 2017

• Proportion invested in infrastructure: 26%
• Proportion invested in redesigned care processes/resources: 24%
• Proportion of distribution to ACO participants: 50%

o   Performance Year 2016

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

o   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

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

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