ProMedica Health Network, Inc.
MSC-S29903
100 Madison Ave.
Toledo, OH 43604
Primary Contact Name: Deno Monnett
Primary Contact Phone Number: 567-585-7429
Primary Contact Email Address: Deno.Monnett@promedica.org
ACO Participants
ACO Participant in Joint Venture (Yes or No)
Arun Gupta Md PC
No
John Kalenkiewicz
No
Maywood Medical and Industrial Clinic, Inc
No
Memorial Professional Services, Ltd.
No
Nephrology Consultants Of Northwest Ohio, Inc
No
Promedica Central Corporation Of Michigan
No
PROMEDICA CENTRAL PHYSICIANS
No
ProMedica Genito-Urinary Surgeons, LLC
No
ProMedica Monroe Physicians PLLC
No
ProMedica Northwest Ohio Cardiology Consultants, LLC
No
Soudabeh Ahadi Md Pc
No
| First Name | Last Name | Title/Position | Member's Voting Power Expressed as a % or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
|---|---|---|---|---|---|
| Anthony | Chung | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Brooke | Treloar | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Danielle | Pietrazak | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Jeffery | Bair | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Joanna | Shaw | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Joanne | Sickles | Voting Member | 7.69% | Medicare Beneficiary Representative | N/A |
| Julie | Yaroch | Voting Member | 7.70% | Other | N/A |
| Lalaine | Mattison | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Matt | Roth | Voting Member | 7.69% | ACO Participant Representative | ProMedica Central Physicians |
| Mohammad | El Sayyad | Voting Member | 7.69% | ACO Participant Representative | Promedica Central Corporation Of Michigan |
| Patricia | Modrowski | Voting Member | 7.70% | Community Stakeholder Representative | N/A |
| Sanjiv | Josh | Chair | 7.70% | ACO Participant Representative | ProMedica Central Physicians |
| Vidhit | Puri | Voting Member | 7.69% | ACO Participant Representative | Nephrology Consultants Of Northwest Ohio, Inc |
Members' voting power may have been rounded to reflect a total voting power of 100 percent.
ACO Executive: Deno Monnett
Medical Director: Dr. Kent Bishop
Compliance Officer: Ryan Dolan
Quality Assurance/Improvement Officer: Amanda Beck, Jo Hines
ACO professionals in a group practice arrangement
Hospital employing ACO professionals
Networks of individual practices of ACO professionals
Rural Health Clinic (RHC)
Third Agreement Period
Second Agreement Period
First Agreement Period
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Third Agreement Period
Performance Year 2026
Performance Year 2025
Second Agreement Period
Performance Year 2024
Performance Year 2023
Performance Year 2022
Performance Year 2021
Performance Year 2020
Performance Year 2019
First Agreement Period
Performance Year 2019
Performance Year 2018
Performance Year 2017
Performance Year 2016
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
The Centers for Medicare and Medicaid Services and the U.S. Department of Health and Human Services’ Office of Inspector General have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“ MSSP”).
In order to receive the benefit of such waivers, on March 2, 2017, the governing body of ProMedica Health Network, Inc. (the “ Company”) made a bona fide, detailed determination that the following arrangement is reasonably related to the purposes of the MSSP and supports the goals of the Company:
The Company will subsidize, provide access to and the right to use certain electronic health records software and related services to the ACO participants listed below, in accordance with an end user agreement to be entered into by the Company and each ACO participant, pursuant to a written policy or policies as the governing body of the Company may adopt and amend from time to time.
The Centers for Medicare and Medicaid Services (“ CMS”)) and the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“ MSSP”). In order to receive the benefit of such waivers, on August 11, 2016, the governing body of ProMedica Health Network, Inc. (the “ Company”) made a bona fide, detailed determination that the following arrangement is reasonably related to the purposes of the MSSP and supports the goals of the Company.
The Company will provide financial and administrative/operational assistance to eligible ACO participants who/that desire to seek recognition from the National Committee for Quality Assurance as a Patient Centered Medical Home or Patient Centered Specialty Practice, pursuant to a written policy or policies as the governing body of the Company may adopt and amend from time to time
The Centers for Medicare and Medicaid Services (“ CMS”) and the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“ MSSP”).
In order to receive the benefit of such waivers, on August 11, 2016, the governing body of ProMedica Health Network, Inc. (the “ Company” ) made a bona fide, detailed determination that the following arrangement is reasonably related to the purposes of the MSSP and supports the goals of the Company.
The Company will establish a quality performance incentive compensation fund and distribute incentive dollars within such fund to eligible ACO participants that employ or are otherwise affiliated with primary care providers who satisfy certain quality metrics, pursuant to a written policy or policies as the governing body of the Company may adopt and amend from time to time.
Yes, our ACO does utilize the SNF 3-Day Rule Wavier. Please contact us at PHN@promedica.org for the most current SNF Affiliate listing.
Quality performance results are based on the CMS Web Interface collection type.
| Measure # |
Measure Title |
Collection Type | Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 8.55 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1474 | 0.1517 |
| 484* | Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | - | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 94.59 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 62.18 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 80 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 77.95 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 88.8 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 83.52 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 17.65 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 9.09 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 86.33 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 69.29 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 87.07 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.91 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.96 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 73.63 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 69.61 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 70.15 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 75.9 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.48 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 95.28 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 28.86 | 26.98 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.