Midwest Independent Physicians Practice Association – better known as MIPPA - is a collaborative of over 175 private practices extending across the state of Nebraska and Western Iowa. With over 900 providers, this association supports and strengthens physicians to act as the advocate for patients and to deliver quality health care in our communities. One way MIPPA is dedicated to improving the quality of health care for the Medicare Fee-for-Service Beneficiaries in our communities is through the formation of an Accountable Care Organization (ACO) called Midwest Health Coalition.

ACO Name and Location

Midwest Health Coalition ACO PO Box 8352 Omaha, NE 68108

ACO Primary Contact

Dr. Gamini Soori 402-881-0231

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

Midwest Health Coalition is a network of individual practices of ACO professionals.

ACO Participants

Arbor Heights Family Medicine
Beacom Family Health Connection, LLC
Bellevue Primary Healthcare, PC
Capital Medical Clinic, LLP
Diagnostic & Internal Medicine Associates
Dr. Brown's Healthcare
Dr. Joan Borrege, MD
Dr. Meera Dewan, PC
East Lincoln Family Health Professionals, PC
Elvira Rios, MD, PC
Family Medicine and Surgery, PC
Family Medicine Associates Millard Gretna, PC
Family Physicians Group, PC
Family Practice of Grand Island, PC
Family Practice Specialists, Pllc
FP Associates, PC
Georgetown Medical, PC
Grand Island Clinic, Inc.
Health Care for the Family
Holmes & Munyon, PC
Internal Medicine Physicians, PC
James V. Ortman, MD, PC
Kakish MD, PC
Kearney Clinic, PC
Margarita Rodriguez-Escobar, MD, LLC
Mark Quinlan, MD, PC
McGill Family Practice, PC
Midwest OB/GYN Clinic, PC
North Lincoln Family Medical Center, PC
Omaha Family Medicine, PC
People's Health Center
Platte River Nephrology, LLC
Platte Valley Medical Group, PC
Primary Care Physicians, LLP
Ross Internal Medicine, PC
Skyline Medical Center, PC
Wellington Medical Clinic
West Omaha Family Physicians, PC
Williams Family Medicine
Z Family Practice

No participants are involved in a joint venture between ACO professionals and hospitals


Midwest Health Coalition ACO Governing Body


Dr. Gamini Soori, Voting Member and Chair, Community Stakeholder
Dr. Stephen Williams, Voting Member and Vice-Chair, ACO Participant, Williams Family Medicine
Dr. Nirmal Raj, Voting Member and Treasurer, ACO Participant, Family Medicine & Surgery, PC
Dr. J. Paul Cook, Voting Member, ACO Participant, Family Medicine Associates Millard Gretna, PC
Dr. David Allen, Voting Member, ACO Participant, Internal Medicine Physicians, PC
Dr. Thomas Magruder, Voting Member, ACO Participant, Arbor Heights Family Medicine
Dr. Yvonne Stephenson, Voting Member, ACO Participant, Wellington Medical Clinic
Dr. Robert Faulk, Voting Member, Community Stakeholder
Ms. Jane Hulmes, Medicare Beneficiary
Mr. Ray Harris, Community Stakeholder
Dr. Meera Dewan, Voting Member, ACO Participant, Dr. Meera Dewan, PC
Dr. Elvira Rios, Voting Member, ACO Participant, Elvira Rios, MD, PC



Amount of Shared Savings/Losses

Performance Year 1: Not in Operations
Performance Year 2014: $0


How Shared Savings Are Distributed

Proportion invested in infrastructure: 50%
Proportion of distribution to ACO participants: 50%


Quality Performance Results

2012 Reporting Period

2013 Reporting Period

2014 Reporting Period

Measure number

Performance Measure

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO Performance Rate

Mean Performance Rate for all ACOs

ACO #1

Getting timely care, appointments and information

Not in operations

Not in operations

Not in operations

Not in operations

88.19

80.13

ACO #2

How well your doctors communicate

Not in operations

Not in operations

Not in operations

Not in operations

94.46

92.39

ACO #3

Patients' rating of doctor

Not in operations

Not in operations

Not in operations

Not in operations

93.35

91.58

ACO #4

Access to specialists

Not in operations

Not in operations

Not in Operations

Not in operations

85.44

83.97

ACO #5

Health promotion and education

Not in operations

Not in operations

Not in Operations

Not in operations

55.78

58.29

ACO #6

Shared decision making

Not in operations

Not in operations

Not in operations

Not in operations

73.04

74.60

ACO #7

Health status/functional status

Not in operations

Not in operations

Not in operations

Not in operations

71.86

71.10

ACO #8

Risk standardized, all-condition readmissions

Not in operations

Not in operations

Not in operations

Not in operations

15.25

15.15

ACO #9

ASC admissions: COPD or asthma in older adults

Not in operations

Not in operations

Not in operations

Not in operations

1.06

1.08

ACO #10

ASC admissions: Heart failure

Not in operations

Not in operations

Not in operations

Not in operations

1.06

1.19

ACO #11

Percent of primary care providers who qualified for EHR incentive payment

Not in operations

Not in operations

Not in operations

Not in operations

64.00

76.71

ACO #12

Medication reconciliation

Not in operations

Not in operations

Not in operations

Not in operations

97.19

82.61

ACO #13

Falls: Screening for fall risk

Not in operations

Not in operations

Not in operations

Not in operations

56.76

45.60

ACO #14

Influenza immunization

Not in operations

Not in operations

Not in operations

Not in operations

66.78

57.51

ACO #15

Pneumococcal vaccination

Not in operations

Not in operations

Not in operations

Not in operations

70.44

55.03

ACO #16

Adult weight screening and follow-up

Not in operations

Not in operations

Not in operations

Not in operations

78.29

66.75

ACO #17

Tobacco use assessment and cessation intervention

Not in operations

Not in operations

Not in operations

Not in operations

88.07

86.79

ACO #18

Depression screening

Not in operations

Not in operations

Not in operations

Not inoperations

54.44

39.27

ACO #19

Colorectal cancer screening

Not in operations

Not in operations

Not in operations

Not in operations

49.16

56.14

ACO #20

Mammography screening

Not in operations

Not in operations

Not in operations

Not in operations

67.89

61.41

ACO #21

Proportion of adults who had blood pressure screened in past 2 years

Not in operations

Not in operations

Not in operations

Not in operations

90.86

60.24

ACO #22

Hemoglobin A1c Control (HbA1c) (<8 percent)

Not in operations

N/A

Not in operations

N/A

76.94

N/A

ACO #23

Low density lipoprotein (LDL) (<100mg/dL)

Not in operations

N/A

Not in Operations

N/A

N/A

N/A

ACO #24

Blood pressure (BP) <140/90

Not in operations

N/A

Not in operations

N/A

72.96

N/A

ACO #25

Tobacco non use

Not in operations

N/A

Not in operations

N/A

69.39

N/A

ACO #26

Aspirin use

Not in operations

N/A

Not in operations

N/A

89.29

N/A

ACO #27

Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent)

Not in operations

Not in operations

Not in operations

Not in operations

12.66

20.34

ACO #28

Percent of beneficiaries with hypertension whose BP <140/90

Not in operations

Not in operations

Not in operations

Not in operations

71.99

68.02

ACO #29

Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl

Not in operations

Not in operations

Not in operations

Not in operations

N/A

N/A

ACO #30

Percent of beneficiaries with IVD who use Aspirin or other antithrombotic

Not in operations

Not in operations

Not in operations

Not in operations

92.74

80.79

ACO #31

Beta-blocker therapy for LVSD

Not in operations

Not in operations

Not in operations

Not in operations

89.74

82.71

ACO #32

Drug therapy for lowering LDL cholesterol

Not in operations

N/A

Not in operations

N/A

N/A

N/A

ACO #33

ACE inhibitor or ARB therapy for patients with CAD and diabetes and/or LVSD

Not in operations

N/A

Not in operations

N/A

83.76

N/A

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic medical record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotension-converting enzyme, ARB = angiotension receptor blocker, CAD = coronary artery disease


For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TYY users should call 1-877-486-2048.