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
Previous Names: N/A
1124 Pacific Street
#8352
Omaha, NE 68108

ACO Primary Contact

Primary Contact Name

Dr. Stephen H. Williams

Primary Contact Phone Number

402-881-0231

Primary Contact Email Address

manager@midwestippa.com


Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

FP Associates, PC

N

Internal Medicine Physicians, PC

N

West Omaha Family Physicians PC

N

Kearney Regional Medical Center Llc

N

Rocking B Investments, L.L.C.

N

Beacom Family Health Connection, LLC

N

Kakish MD PC

N

Z Family Practice, PC

N

Bellevue Primary Healthcare, PC

N

Capital Medical Clinic, LLP

N

Northrup & Associates PC

N

Grand Island Clinic Inc

N

Arbor Heights Family Medicine, P.C.

N

Williams Family Medicine Pc

N

Family Practice of Grand Island, PC

N

Skyline Medical Center, PC

N

Family Medicine Associates Millard Gretna, PC

N

Hoody & Lanspa Family Practice PC

N

Elvira Rios, MD, PC

N

James V. Ortman, MD, PC

N

Georgetown Medical, PC

N

Mark Quinlan MD PC

N

Miracle Hills Primary Care Center, PC

N

McGill Family Practice Pc

N

Omaha Family Medicine, PC

N

Health Care For The Family Pc

N

Primary Care Physicians, LLP

N

YMS PC

N


ACO governing body:

Member

Member's Voting Power –Expressed as a percentage or number

Membership Type -

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Williams

Stephen H

MD/Chairman

1

ACO Participant Representative

Williams Family Medicine, PC

Allen

David

DO/Vice-Chairman

1

ACO Participant Representative

Internal Medicine Physicians, PC

Dillon

Keri

Secretary/Treasurer

1

ACO Participant Representative

Primary Care Physicians, LLP

Ali

Maman

MD/Voting Member

1

ACO Participant Representative

Miracle Hills Primary Care Center, PC

Cook

J. Paul

MD/Voting Member

1

ACO Participant Representative

Family Medicine Associates Millard Gretna, PC

McGill

Lorrie

MD/Voting Member

1

ACO Participant Representative

McGill Family Practice PC

Nelson

Gregston

MD/Voting Member

1

ACO Participant Representative

Primary Care Physicians, LLP

Quinlan

Mark

MD/Voting Member

1

ACO Participant Representative

Mark Quinlan, MD PC

Rios

Elvira

MD/Voting Member

1

ACO Participant Representative

Elvira Rios, MD, PC

Stephenson

Yvonne

MD/Voting Member

1

ACO Participant Representative

YMS PC

McGill

Jan

Voting Member

1

Medicare Beneficiary Representative

N/A

Hamilton

Linda

Voting Member

1

Community Stakeholder Representative

N/A


Key ACO clinical and administrative leadership:

Stephen H Williams, MD

ACO Executive

David Filipi, MD

Medical Director

Kristen Allison

Compliance Officer

Corinna Suiter

Quality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee Name
Committee Leader Name and Position
  • Financial Committee
  • David Allen, MD- Chair
    • Health Management Committee
  • J. Paul Cook, MD- Chair
    • Quality Committee
  • Stephen H. Williams, MD-Chair
    • IT & Data Analytics Committee
  • Ann 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 2018, $2,107,077
    • 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 2018
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
    • 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

    2018 Quality Performance Results:

    ACO#

    Measure Name

    Rate

    ACO Mean

    ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    88.60

    86.14

    ACO-2

    CAHPS: How Well Your Providers Communicate

    93.02

    93.93

    ACO-3

    CAHPS: Patients' Rating of Provider

    93.54

    92.45

    ACO-4

    CAHPS: Access to Specialists

    84.87

    81.50

    ACO-5

    CAHPS: Health Promotion and Education

    52.47

    59.26

    ACO-6

    CAHPS: Shared Decision Making

    61.16

    61.94

    ACO-7

    CAHPS: Health Status/Functional Status

    72.31

    73.35

    ACO-34

    CAHPS: Stewardship of Patient Resources

    30.23

    26.26

    ACO-8

    Risk Standardized, All Condition Readmission

    14.33

    14.98

    ACO-35

    Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

    18.98

    18.59

    ACO-36

    All-Cause Unplanned Admissions for Patients with Diabetes

    37.88

    37.01

    ACO-37

    All-Cause Unplanned Admissions for Patients with Heart Failure

    70.37

    76.75

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    55.88

    59.00

    ACO-43

    Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

    1.70

    1.98

    ACO-11

    Use of Certified EHR Technology

    99.56

    98.20

    ACO-12

    Medication Reconciliation Post-Discharge

    98.57

    85.91

    ACO-13

    Falls: Screening for Future Fall Risk

    85.38

    79.73

    ACO-44

    Use of Imaging Studies for Low Back Pain

    77.50

    64.36

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    90.76

    72.71

    ACO-15

    Pneumonia Vaccination Status for Older Adults

    88.31

    75.97

    ACO-16

    Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

    78.86

    76.83

    ACO-17

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    82.35

    72.81

    ACO-18

    Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

    84.00

    66.74

    ACO-19

    Colorectal Cancer Screening

    79.53

    68.27

    ACO-20

    Breast Cancer Screening

    81.94

    71.96

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    86.74

    81.47

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    14.70

    15.51

    ACO-41

    Diabetes: Eye Exam

    68.10

    52.42

    ACO-28

    Hypertension (HTN): Controlling High Blood Pressure

    81.07

    73.10

    ACO-30

    Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

    95.16

    88.92

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

    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 A2035 in the public use files on data.cms.gov.

    Payment Rule Waivers

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