UMass Memorial Medicare Accountable Care Organization (ACO)
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:
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 Participants |
ACO Participant in Joint Venture |
Aesclepion Healthcare LLC |
N |
Associates in Otolaryngology Head and Neck Surgery, PC |
N |
Athol Memorial Hospital, Inc |
N |
Benjamin Grajales, MD |
N |
Center for Digestive Wellness PC |
N |
Centmass Imaging, Inc |
N |
Chair City Family Medicine, PC |
N |
Charles A. Birbara, MD |
N |
Charlton Family Practice |
N |
Christopher I Bechara MD PC |
N |
Community Health Connections, Inc |
N |
Community Healthlink, Inc |
N |
Community Neuroscience Services, LLC |
N |
Complete Family Medicine, PLLC |
N |
Curewell Gastroenterology, PC |
N |
D'Ambrosio Eye Care, Inc |
N |
Daniel H Ervin, DO, PC |
N |
Edward M. Kennedy Community Health Center, Inc |
N |
Family Foot Care Center PC |
N |
Family Health Center of Worcester, Inc |
N |
Family Medical & Maternity Care PC |
N |
Focused Primary Care, PC |
N |
Gardner Family Medicine, Inc |
N |
Glen Bombardier |
N |
Greater Boston Medical Associates, Inc |
N |
Harrington Memorial Hospital, Inc |
N |
Heart Rhythm Specialists of Central Massachusetts, PC |
N |
Henry Heywood Memorial Hospital |
N |
Heywood Medical Group, Inc |
N |
Holyoke Medical Center, Inc |
N |
Hugh Cooper |
N |
James M. Shenko, MD, PC |
N |
Lawrence M Dubuske MD |
N |
Leominster Dermatology LLP |
N |
Leominster Medical Associates |
N |
Longview Orthopaedic Center, LLC |
N |
Marlboro Internal Medicine, PC |
N |
Marlborough Hospital Corp |
N |
Mass Lung & Allergy PC |
N |
Medpractice PC |
N |
Mercy Family Practice PC |
N |
Mountain View Family Practice, PC |
N |
Nancy D. Berube, MD PC |
N |
New England Hospitalists, PC |
N |
North Quabbin Family Physicians, PC |
N |
North Worcester Gastroenterology, PC |
N |
Northeast Allergy, Asthma & Immunology, PC |
N |
Partners in Internal Medicine, PC |
N |
Paul Dufault |
N |
Primary Physician Partners |
N |
R. Leslie Shelton, MD, PC |
N |
Richard V. Montilla, MD, PC |
N |
Robert Byrne |
N |
Robert Fishman |
N |
Stephen Child |
N |
Sturbridge Professional Services, PC |
N |
Tad Baum, MD, PC |
N |
Tricia Vorderstrasse MD PC |
N |
UMass Memorial HealthAlliance Clinton Hospital, Inc |
N |
UMass Memorial Medical Center, Inc |
N |
UMass Memorial Medical Group, Inc |
N |
Urology Central |
N |
Vedere Pathology, PC | N |
Vitreo-Retinal Associates PC |
N |
Vladas Litani, MD |
N |
Wachusett Radiology Inc |
N |
Western Mass Physician Associates, Inc |
N |
William Brodkin |
N |
William Friedman |
N |
Worcester Eye Consultants, PC |
N |
Worcester Physicians and Nurses Services LLC |
N |
Zbigniew Dombek, MD |
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 |
Eric |
Dickson, MD |
Chairman |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc.; UMass Memorial Medical Center, Inc. |
John |
Greenwood |
President |
5.88% |
Other - ACO President |
UMass Memorial Accountable Care Organization, Inc. |
Barbara |
Kupfer |
Voting Member |
5.88% |
Medicare Beneficiary Representative |
N/A |
Debra |
Twehous, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Edward |
Moore |
Voting Member |
5.88% |
ACO Participant Representative |
Harrington Memorial Hospital, Inc., Harrington Physician Services Inc. |
Francesco |
Aiello, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Francis |
Sweeney, MD |
Voting Member |
5.88% |
ACO Participant Representative |
Heywood Medical Group, Inc., Henry Heywood Memorial Hospital |
Jennifer |
Reidy, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Jordan |
Eisenstock, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Charles | Cavagnaro, MD | Voting Member | 5.88% | ACO Participant Representative | HealthAlliance-Clinton Hospital and Marlborough Hospital |
Justin |
Precourt, RN |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Center, Inc. |
Lalita |
Matta, MD |
Voting Member |
5.88% |
ACO Participant Representative |
Lalita Matta MD |
Matthew |
Trainor, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Robert |
Fishman, DO |
Voting Member |
5.88% |
ACO Participant Representative |
Robert Fishman, DO |
Stephen |
Kerrigan |
Voting Member |
5.88% |
ACO Participant Representative |
Edward M. Kennedy Community Health Center, Inc. |
Joahd | Touré, MD | Voting Member | 5.88% | ACO Participant Representative | UMass Memorial Medical Group, Inc. |
Stephen |
Tosi, MD |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
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:
Committee Name |
Committee Leader Name and Position "> |
Finance Committee |
Jeanne Shirshac, Chair |
Quality Improvement Committee |
Kastoori Iyengar, MD, Chair |
Utilization/Care Management Committee |
Thomas Scornavacca, DO, Chair |
Compliance Committee |
Jennifer Heil, Chair |
Governance Committee |
John Greenwood, Chair |
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.
Measure # |
Measure Name |
Collection Type |
Rate |
ACO Mean |
Measure #: 001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] |
Web Interface |
6.23
|
10.71
|
Measure #: 134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
Web Interface |
79.72 |
76.97 |
Measure #: 236 |
Controlling High Blood Pressure |
Web Interface |
78.59 |
76.16 |
Measure #: 318 |
Falls: Screening for Future Fall Risk |
Web Interface |
94.51 |
87.83 |
Measure #: 110 |
Preventative Care and Screening: Influenza Immunization |
Web Interface |
81.06 |
77.34 |
Measure #: :226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
Web Interface |
83.33 |
79.27 |
Measure #: 113 |
Colorectal Cancer Screening |
Web Interface |
78.3 |
75.32 |
Measure #: 112 |
Breast Cancer Screening |
Web Interface |
83.33
|
78.07
|
Measure #: 438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
Web Interface |
89.87
|
86.37
|
Measure #: 370 |
Depression Remission at Twelve Months |
Web Interface |
7.14
|
16.03
|
Measure #: 479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]
|
Administrative Claims |
0.1595
|
0.1510
|
Measure #: 484 |
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] |
Administrative Claims |
35.11
|
30.97
|
CAHPS-1
|
Getting Timely Care, Appointments, and Information |
CAHPS for MIPS Survey |
86.70
|
83.96
|
CAHPS-2
|
How Well Providers Communicate |
CAHPS for MIPS Survey |
92.60
|
93.47
|
CAHPS-3
|
Patient’s Rating of Provider |
CAHPS for MIPS Survey |
91.76
|
92.06
|
CAHPS-4
|
Access to Specialists |
CAHPS for MIPS Survey |
80.57
|
77.00
|
CAHPS-5
|
Health Promotion and Education |
CAHPS for MIPS Survey |
68.65
|
62.68
|
CAHPS-6
|
Shared Decision Making |
CAHPS for MIPS Survey |
64.18
|
60.97
|
CAHPS-7
|
Health Status and Functional Status |
CAHPS for MIPS Survey |
74.20
|
73.06
|
CAHPS-8
|
Care Coordination |
CAHPS for MIPS Survey |
85.29
|
85.46
|
CAHPS-9
|
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey |
91.85
|
91.97
|
CAHPS-11
|
Stewardship of Patient Resources |
CAHPS for MIPS Survey |
30.56
|
25.62
|
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov