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Midwest Health Coalition ACO

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) 
Arbor Heights Family Medicine, P.C. N
Beacom Family Health Connection, LLC N
Bellevue Primary Healthcare, PC N
Capital Medical Clinic, LLP N
Elvira Rios, MD, PC N
FAMILY PRACTICE OF GRAND ISLAND, P C N
FP Associates, PC N
Family Medicine Associates Millard Gretna, PC N
GEORGETOWN MEDICAL, P.C. N
HEALTH CARE FOR THE FAMILY PC N
Hoody & Lanspa Family Practice PC N
Internal Medicine Physicians, PC N
James V. Ortman, MD, PC N
KAKISH MD PC N
Kearney Regional Medical Center Llc N
Mark Quinlan MD PC N
McGill Family Practice Pc N
Miracle Hills Primary Care Center, PC N
Northrup & Associates PC N
Omaha Family Medicine, PC N
Primary Care Physicians, LLP N
Rocking B Investments, L.L.C. N
Skyline Medical Center, PC N
Williams Family Medicine Pc N
YMS PC N
Z Family Practice, PC N

ACO governing body:

Member Last Name Member First Name Member Title/Position

Member's Voting Power

Expressed as a percentage or number 

 Membership Type

 ACO Participant

Legal Business

Name and DBA, if 

applicable

 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
 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, LLC
 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  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

 Kristen Allison

 Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

 Financial Committee

 David Allen, DO- Chair

 Health Management Committee  

 Kristen Allison,- 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:

·       Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses·       

    Third Agreement Period

    Performance Year 2021, $1,837,061.05

    Performance Year 2020, $0

    Second Agreement Period

    Performance Year 2019, $2,240,711

·       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

    Third Agreement Period

    Performance Year 2021

    Proportion invested in infrastructure: 25%

·       Proportion invested in redesigned care processes/resources: 25%

·       Proportion of distribution to ACO participants: 50%

    Performance Year 2020

    Proportion invested in infrastructure: N/A

·       Proportion invested in redesigned care processes/resources: N/A

·       Proportion of distribution to ACO participants: N/A

    Second Agreement Period

    Performance Year 2019

    Proportion invested in infrastructure: 25%

·       Proportion invested in redesigned care processes/resources: 25%

·       Proportion of distribution to ACO participants: 50%

·       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

2021 Quality performance results are based on CMS Web Interface

Measure #

 Measure Name

 Rate

ACO Mean

001

    Diabetes: Hemoglobin A1c (HbA1c) Poor Control   

 8.06

12.46

134

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

 98.20

74.38

236

    Controlling High Blood Pressure 

 88.58

74.87

318

    Falls: Screening for Future Fall Risk

 96.68

87.03

110

    Preventative Care and Screening:  Influenza Immunization

 96.47

80.52

226

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

 100.00

80.97

113

    Colon Cancer Screening

 88.12

73.63

112

    Breast Cancer Screening80.72       75.11    

438

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 97.87

84.24

321

    CAHPS for MIPS

 N/A

N/A

 479    Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.1386  0.1540
 MCC1    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)    33.65  33.99

Please note, the Quality ID #370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov


    


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MIPPA

1124 Pacific Street, #8352

Omaha, NE  68108


Call Us:
(402) 881-0231

Email us:

Manager@midwestippa.com

©Midwest Independent Physician Practice Association 2020

All Rights Reserved

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