West Michigan ACO
An Accountable Care Organization
The West Michigan Accountable Care Organization, LLC (WM ACO) is a partnership of Michigan providers working together to provide better care for patients, better health for populations and lower overall health care costs.
What's an ACO?
Accountable Care Organizations (ACOs) are groups of doctors, hospitals and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.
ACO Primary Contact
|
Primary Contact Name |
Laura Stuursma, ACO Executive Director |
|
Primary Contact Phone Number |
616.486.7474 |
|
Primary Contact Email Address |
laura.stuursma@spectrumhealth.org |
Organizational Information
ACO participants:
|
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
|
SOORYA K SHARMA MD PC |
N |
|
PARCHMENT FAMILY PRACTICE PC |
N |
|
DAVID CRITTENDEN MD PLLC |
N |
|
WHITE PINE FAMILY MEDICINE PLLC |
N |
|
L MICHAEL STERENBERG D.O. PLLC |
N |
|
BATTISTE FAMILY MEDICINE PLC |
N |
|
CRAIG W WHITE DO PC |
N |
|
SPECTRUM HEALTH PRIMARY CARE PARTNERS |
N |
|
SPECTRUM HEALTH UNITED |
N |
|
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN |
N |
|
NEWAYGO COUNTY GENERAL HOSPITAL ASSOCIATION |
N |
|
PENNOCK HOSPITAL |
N |
|
MECOSTA COUNTY MEDICAL CENTER |
N |
|
MARK N FOLKENING MD PC |
N |
|
REED CITY HOSPITAL CORPORATION |
N |
|
JOSEPH A BRUNO MD PC |
N |
|
A F ASSOCIATES FAMILY MEDICINE PC |
N |
|
LEWIS & MCCORRY PC |
N |
|
RIVERWOOD FAMILY MEDICINE PC |
N |
|
DOMENICO S AUSIELLO MD PC |
N |
|
MARK S OBRIEN MD PLC |
N |
|
KENTWOOD FAMILY PHYSICIANS PC |
N |
|
WILLIS F. GAFFNEY MD PC |
N |
|
PARTNERS IN FAMILY HEALTH PLC |
N |
|
WEST MICHIGAN FAMILY MEDICINE PC |
N |
|
MAINE MEDICAL CENTER PLC |
N |
|
RANDALL STREET MEDICAL, P.C. |
N |
|
JUPITER FAMILY MEDICINE PC |
N |
|
INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN LLC |
N |
|
MACFIELD PEDIATRICS AND FAMILY MEDICINE, PC |
N |
|
WEST MICHIGAN FAMILY HEALTH PC |
N |
|
KIRK AGERSON MD PC |
N |
|
HOLLEN FAMILY MEDICINE, PLLC |
N |
|
HASTINGS INTERNAL MEDICINE PLC |
N |
|
EAST PARIS INTERNAL MEDICINE ASSOCIATES PC |
N |
|
BIG RAPIDS ORTHOPAEDICS PC - DBA PREMIER PRIMARY HEALTH |
N |
|
DAVID BARNEY PLLC |
N |
|
JEFFREY WILLIAMSON DO PC - DBA WILLIAMSON FAMILY MEDICINE |
N |
|
INTERNAL MEDICINE OF WEST MICHIGAN PLLC |
N |
|
GRAND VALLEY MEDICAL SPECIALISTS PLC |
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 |
|||
|
App |
Michael |
Vice-Chairman |
1 |
ACO Participant Representative |
Internal Medicine & Pediatrics of West Michigan |
|
Kanopacki |
Paul |
Treasurer |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Clark |
Randy |
Secretary |
1 |
ACO Participant Representative |
Riverwood Family Medicine PC |
|
Millet |
John |
Voting Member | 1 | ACO Participant Representative |
West Michigan Family Medicine PC |
|
Quiroga-Chand |
Alejandro |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Hollingsworth |
Karen |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Kooistra |
Josh |
Voting Member |
1 |
ACO Participant Representative |
Spectrum Health Medical Group |
|
Schreur |
Mike |
Voting Member |
1 |
Medicare Beneficiary Representative |
N/A |
Key ACO clinical and administrative leadership:
|
Laura Stuursma |
ACO Executive Director |
|
John Fox, MD |
Medical Director |
|
Kim McCoy |
Compliance Officer |
|
Jaime Jakubowski |
Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
|
Committee Name |
Committee Leader Name and Position |
|
Clinical Integration and Patient Experience Committee |
Dr. Pam Zelasko, Co-Chair and Dr. John Fox, Co-Chair |
|
IT/data/analytics Committee |
Dr. Bob Jarve, Co-Chair and Dr. John LaGrand, Co-Chair |
|
Finance and Operations Committee |
Mr. Paul Konopacki, Co-Chair and Mr. Tom Janda, Co-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
- First Agreement Period
- Performance Year 2019, TBD
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure and redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 75%
Quality Performance Results
2019 Quality Performance Results:
|
ACO # |
Measure Name |
Rate |
ACO Mean |
|
ACO-4626 |
TBD |
TBD |
TBD |
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612(f) and 42 CFR 425.613.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.