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 1124 Pacific Street, #8352 Omaha, NE 68108

ACO Primary Contact

Primary Contact Name: Dr. Gamini Soori Primary Contact Email Address: manager@midwesthealthcoalitionaco.com

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

Organizational Information

ACO Participants


ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

YMSN
FP Associates, PCN
Internal Medicine Physicians, PCN
Ross Internal Medicine, PCN
West Omaha Family Physicians PCN
Kearney Regional Medical Center LlcN
Rocking B Investments, L.L.C.N
Beacom Family Health Connection, LLCN
Kakish MD PCN
People's Health CenterN
Z Family Practice, PCN
Bellevue Primary Healthcare, PCN
Capital Medical Clinic, LLPN
Grand Island Clinic IncN
Family Physicians Group, PCN
Arbor Heights Family Medicine, P.C.N
Williams Family Medicine PcN
Family Practice of Grand Island, PCN
Kearney Clinic PCN
Dr. Meera Dewan, PCN
Skyline Medical Center, PCN
Family Medicine Associates Millard Gretna, PCN
Midwest Ob/Gyn Clinic, PCN
Hoody & Lanspa Family Practice PCN
Elivra Rios, MD PCN
James V. Ortman, MD, PCN
Georgetown Medical, PCN
Mark Quinlan MD PCN
Miracle Hills Primary Care Center, PCN
Margarita Rodriquez EscobarN
Mcgill Family Practice PcN
Omaha Family Medicine, PCN
Health Care For The Family PcN
Primary Care Physicians, LLPN


Midwest Health Coalition ACO Governing Body


Member

Last Name

First Name

Title/Position

Member's

Voting

Power

Membership
Type

ACO Participant TIN
Legal Business
Name/DBA, if
Applicable

SooriGaminiMD/Chair1ACO Participant
Representative
WilliamsStephenMD/Vice-Chair1ACO Participant
Representative
Williams Family Medicine Pc
AllenDavidMD/Treasure1ACO Participant
Representative
Internal Medicine Physicians, PC
CookJ. PaulMD1ACO Participant
Representative
Family Medicine Associates Millard Gretna, PC
BeckerTerryMD1ACO Participant
Representative
Kearney Clinic PC
StephensonYvonneMD1ACO Participant
Representative
YMS
DewanMeeraMD1ACO Participant
Representative
Dr. Meera Dewan, PC
RiosElviraMD1ACO Participant
Representative
Elvira Rios, MD, PC
QuinlanMarkMD1ACO Participant
Representative
Mark Quinlan MD PC
AliMamanMD1ACO Participant
Representative
Miracle Hills Primary Care Center, PC
NelsonGregstonMD1ACO Participant
Representative
Primary Care Physicians, LLP
FilipiJodi
Medicare Beneficiary
Representative
HamiltonLinda
Community Stakeholder


Key ACO clinical and administrative leadership:

Gamini SooriACO Executive
David FilipiMedical Director
Gamini SooriCompliance Officer
Quality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Financial CommitteeDavid Allen, MD- Chair
Health Management CommitteeJ. Paul Cook, MD- Chair
Quality CommitteeStephen Williams, MD- Chair
IT & Data Analytics CommitteeAnn Jones- Chair


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

  • Networks of individual practices of ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • First Agreement Period
    • 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
    • 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
    • Performance Year 2014
      • 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

2016 Quality Performance Results:


ACO# Measure Name
Rate

ACO Mean

ACO-
1
CAHPS: Getting Timely Care, Appointments, and Information 86.81 79.9
ACO-
2
CAHPS: How Well Your Providers Communicate93.51 92.63
ACO-
3
CAHPS: Patients' Rating of Provider 92.96 91.93
ACO-
4
CAHPS: Access to Specialists 85.22 83.52
ACO-
5
CAHPS: Health Promotion and Education 58.2 60
ACO-
6
CAHPS: Shared Decision Making 77.95 75.28
ACO-
7
CAHPS: Health Status/Functional Status 73.48 71.82
ACO-
34
CAHPS: Stewardship of Patient Resources 30.27 27.52
ACO-
8
Risk Standardized, All Condition Readmission 14.23 14.7
ACO-
35
Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)
16.89 18.17
ACO-
36
All-Cause Unplanned Admissions for Patients with Diabetes 52.47 53.2
ACO-
37
All-Cause Unplanned Admissions for Patients with Heart Failure 73.68 75.23
ACO-
38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.84 59.81
ACO-
9
Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary
Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)
8.25 9.27
ACO-
10
Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention
Quality Indicator (PQI) #8)
12.88 14.53
ACO-
11
Percent of PCPs who Successfully Meet Meaningful Use Requirements 66.44 82.72
ACO-
39
Documentation of Current Medications in the Medical Record 96.45 87.54
ACO-
13
Falls: Screening for Future Fall Risk 41.63 64.04
ACO-
14
Preventive Care and Screening: Influenza Immunization 81.17 68.32
ACO-
15
Pneumonia Vaccination Status for Older Adults 83.06 69.21
ACO-
16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow
Up
66.94 74.45
ACO-
17
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention
80.65 90.98
ACO-
18
Preventive Care and Screening: Screening for Clinical Depression and Follow-
up Plan
43.95 53.63
ACO-
19
Colorectal Cancer Screening 73.79 61.52
ACO-
20
Breast Cancer Screening 76.61 67.61
ACO-
21
Preventive Care and Screening: Screening for High Blood Pressure and
Follow-Up Documented
80.65 76.84
ACO-
42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.45 77.72
ACO-
27
Diabetes Mellitus: Hemoglobin A1c Poor Control 12.1 18.24
ACO-
41
Diabetes: Eye Exam 56.85 44.94
ACO-
28
Hypertension (HTN): Controlling High Blood Pressure 73.39 70.52
ACO-
30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.13 85.05
ACO-
31
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic
Dysfunction(LVSD)
96.36 88.67
ACO-
33
Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotension Receptor Blocker (ARB)
Therapy - for patient with CAD and Diabetes or Left Ventricular Systolic Dysfunction
(LVEF<40%)
82.86 79.67



Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu

For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu

Note: In the Quality Performance Results file(s) above, search for "Midwest Independent Physicians LLC" or "Midwest Health Coalition ACO" to view the quality performance results. This ACO can also be found by using the ACO ID A65270 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.