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 Independent Physicians LLC 1124 Pacific Street, #8352 Omaha, NE 68108

ACO Primary Contact

Primary Contact Name: Dr. Stephen H. Williams Primary Contact Email Address: manager@midwesthealthcoalitionaco.com

Organizational Information

ACO Participants


ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Yvonne StephensonN
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
Z Family Practice, PCN
Bellevue Primary Healthcare, PCN
Capital Medical Clinic, LLPN
Northrup & Associates PCN
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
Skyline Medical Center, PCN
Family Medicine Associates Millard Gretna, PCN
Hoody & Lanspa Family Practice PCN
Elvira Rios, MD PCN
James V. Ortman, MD, PCN
Georgetown Medical, PCN
Mark Quinlan MD PCN
Miracle Hills Primary Care Center, PCN
Mcgill Family Practice PcN
Omaha Family Medicine, PCN
Health Care For The Family PcN
Primary Care Physicians, LLPN
YMS PCN


Midwest Health Coalition ACO Governing Body


Member

Last Name

First Name

Title/Position

Member's Voting Power

-Expressed as a Percentage

or number

Membership
Type

ACO Participant
Legal Business
Name/DBA, if
Applicable

WilliamsStephenMD/Chairman1ACO Participant
Representative
Williams Family Medicine Pc
AllenDavid
MD/Vice-Chairman1ACO Participant
Representative
Internal Medicine Physicians, PC
Cook
J. Paul
MD/Secretary/Treasure1ACO Participant
Representative
Family Medicine Associates Millard Gretna, PC
Stephenson
Yvonne
MD/Voting Member
1
ACO Participant
Representative
YMS PC
Rios
Elvira
MD/Voting Member
1
ACO Participant
Representative
Elvira Rios, MD, PC
Quinlan
Mark
MD/Voting Member
1
ACO Participant
Representative
Mark Quinlan MD PC
Ali
Maman
MD/Voting Member
1
ACO Participant
Representative
Miracle Hills Primary Care Center, PC
Nelson
Gregston
MD/Voting Member
1
ACO Participant
Representative
Primary Care Physicians, LLP
Filipi
Jodi
Voting Member
1
Medicare Beneficiary
Representative
N/A
Hamilton
Linda
Voting Member
1
Community Stakeholder
Representative
N/A


Key ACO clinical and administrative leadership:

Ann JonesACO Executive
David FilipiMedical Director
Ann JonesCompliance Officer
Kristen AllisonQuality 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

  • Second Agreement Period
    • Performance Year 2017, $2,798,475
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
  • 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 85.54 80.60
ACO-
2
CAHPS: How Well Your Providers Communicate94.29 93.13
ACO-
3
CAHPS: Patients' Rating of Provider 93.36 92.31
ACO-
4
CAHPS: Access to Specialists 82.63 83.32
ACO-
5
CAHPS: Health Promotion and Education 58.38 62.30
ACO-
6
CAHPS: Shared Decision Making 80.75 75.85
ACO-
7
CAHPS: Health Status/Functional Status 73.21 73.05
ACO-
34
CAHPS: Stewardship of Patient Resources 33.28 25.68
ACO-
8
Risk Standardized, All Condition Readmission 14.52 15.01
ACO-
35
Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)
18.28 18.46
ACO-
36
All-Cause Unplanned Admissions for Patients with Diabetes 54.41 53.95
ACO-
37
All-Cause Unplanned Admissions for Patients with Heart Failure 72.59 79.16
ACO-
38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 61.98 61.74
ACO-
43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
1.67 1.93
ACO-
11
Use of Certified EHR Technology
100.00 98.48
ACO-
12
Medication Reconciliation
99.35 75.32
ACO-
13
Falls: Screening for Future Fall Risk
75.29 74.38
ACO-
44
Imaging Studies for Low Back Pain
71.70 67.32
ACO-
14
Preventive Care and Screening: Influenza Immunization 85.00 72.52
ACO-
15
Pneumonia Vaccination Status for Older Adults 82.30 72.92
ACO-
16
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow
Up
77.29 70.69
ACO-
17
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention
95.33 90.48
ACO-
18
Preventive Care and Screening: Screening for Clinical Depression and Follow-
up Plan
72.32 61.98
ACO-
19
Colorectal Cancer Screening 73.84 64.58
ACO-
20
Breast Cancer Screening 77.86 70.05
ACO-
42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86.85 79.89
ACO-
27
Diabetes Mellitus: Hemoglobin A1c Poor Control
10.98 16.74
ACO-
41
Diabetes: Eye Exam
67.06 50.37
ACO-
28
Hypertension (HTN): Controlling High Blood Pressure
78.88 71.47
ACO-
30
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
93.89 86.86



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

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.