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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 Health Coalition ACO LLC

139 S 144th Street

#540412

Omaha, NE 68154

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) 
 All Seasons Family Medicine LLC N
Arbor Heights Family Medicine, P.C. N
Beacom Family Health Connection, LLC N
Bellevue Primary Healthcare, PC N
Endeveren Family Medicine LLC 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
Internal Medicine Physicians, PC N
Mark Quinlan MD PC N
Northrup & Associates PC N
Omaha Family Medicine, PC 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 

 Membership Type

 ACO Participant

Legal Business

Name and DBA, if 

applicable

 Williams Stephen H MD/Chairman 12.5% ACO Participant Representative Williams Family Medicine, PC
 Allen David DO/Vice Chairman 12.5% ACO Participant Representative Internal Medicine Physicians, PC
 Fitzgibbons William MD/Voting Member 12.5% ACO Participant Representative Skyline Medical Center PC
 Horton Brown Nichelle MD/Voting Member 12.5% ACO Participant Representative Endeveren Family Medicine LLC
 Quinlan Mark MD/Voting Member 12.5% ACO Participant Representative Mark Quinlan, MD PC
 Stephenson Yvonne MD/Voting Member 12.5% ACO Participant Representative YMS PC
 McGill Jan Voting Member 12.5% Medicare Beneficiary Representative N/A
 Hamilton Linda Voting Member 12.5%

 Community Stakeholder   Representative

 N/A 

Key ACO Clinical and Administrative Leadership:

 Stephen H. Williams, MD     

 ACO Executive

 Stephen H. Williams, MD

 Medical Director

 Amy Santos-Dias

 Compliance Officer

 David Allen, MD

 Quality Assurance/Improvement Officer

Associated Committee and Committee Leadership:

Committee Name

Committee Leader Name and Position

 Health Management & Quality Committee  

 Steph Schreiner, 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 2022, $0

    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 2022

  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 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

2022 Quality performance results are based on CMS Web Interface

Measure #

 Measure Name

 Rate

ACO Mean

 001

    Diabetes: Hemoglobin A1c (HbA1c) Poor Control   

 6.81

10.71

 134

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

 97.73

76.97

 236

    Controlling High Blood Pressure 

 94.82

76.16

 318

    Falls: Screening for Future Fall Risk

 97.40

87.83

 110

    Preventative Care and Screening:  Influenza Immunization

 92.89

77.34

 226

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

 100.00

79.27

 113

    Colon Cancer Screening

 92.88

75.32

 112

    Breast Cancer Screening86.51     78.07    

 438

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

 97.99

86.37

 370    Depression Remission at Twelve Months20.69 16.03 

 321

    CAHPS for MIPS

 N/A

N/A

 479    Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.1634  0.1510
 484

 Clinician and Clinician Group Risk-standardized Hospital Admissions Rates for Patients with Multiple Chronic Conditions  

29.73  30.97 

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


    


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MIPPA

139 S 144th Street

#540412

Omaha, NE  68154


Call Us:
(402) 881-0231

Email us:

Manager@midwestippa.com

©Midwest Independent Physician Practice Association 2020

All Rights Reserved

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