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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)

 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

 Kristen Allison

 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.

·       For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

·       For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data 

·       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/data

·       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/data

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.

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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