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Wellforce Medicare ACO

ACO Name and Location
Wellforce Medicare ACO, LLC
800 District Avenue, Suite 520
Burlington, MA 01803
ACO Primary Contact
Kathleen Garland
978.942.2220
katheen.garland@tuftsmedicine.org

 

ACO participants
ACO ParticipantsACO Participants in Joint Venture (Y or N)
ADULT PRIMARY CARE PLLCN
AJAJ ANAND MD PCN
ALEXANDRA ARGASINSKIN
ANDREW M ROMANOWSKY MD LLCN
APEX MEDICAL ASSOCIALTES, LLCN
BENJAMIN HENKLE M D LLCN
BLUE HILLS MEDICAL ASSOCIATESN
BREWSTER MEDICAL ASSOCIATES, PCN
CAPE COD PRIMARY CARE LLCN
CARLOS DEL RION
CHELMSFORD FAMILY PRACTICE, PCN
CHELMSFORD PRIMARY CARE LLCN
CHRISOPHER COAKLEYN
CLARA LENNOXN
CNV MW (NEW ENGLAND NEPHROLOGY HOME CARE ASSOCIATES)N
CONGENIAL HEALTHCARE, LLCN
COMPREHENSIVE PRIMARY CAREN
DAMIAN FOLCHN
DAVID SCHROEDER (WELLESLEY INTERNAL MEDICINE, D. SCHEIN)N
DAVID SCHROEDER MD PC (WELLESLEY INTERNAL MEDICINE, D. SCHROEDER)N
DAVID SIDEBOTTOMN
DR. HE'S PRIMARY CARE FOR ADULTS INCN
DRUM HILL PRIMARY CARE LLCN
DUTTON FAMILY CARE ASSOCIATES LLPN
ERIC JOHNSON M.D., P.C.N
FOUAD N. AOUDE MD PCN
GLOBAL CARE MEDICAL GROUP PCN
HALLMARK HEALTH MEDICAL ASSOCIATES INCN
HALWARD BLEGENN
HASS FAMILY MEDICINE CAPE CODN
HEART CENTER OF METROWEST, INC.N
JACK CHANG MD PCN
JAY KRASNER (WAYSIDE HEALTH ASSOCIATES)N
JOSHI MEDICAL SERVICES, PCN
KAREN-GAIL BRANDSE, MD AND ASSOCIATESN
KEVIN MALONE DO PCN
KEVIN TOMANY MD PCN
KUNWAR SINGHN
LAWRENCE P JOHNSON MD PCN
LGH MEDICAL GROUP, INC.N
LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLCN
LGH PROFESSIONAL SERVICES LLCN
LGH WOMANHEALTH, INC.N
LOWELL COMMUNITY HEALTH CENTER, INC.N
LOWELL FAMILY MEDICAL CARE PCN
MASS MEDICAL GROUP LLCN
MASSACHUSETTS ENT ASSOCIATES INCN
MASSACHUSETTS EYE ASSOCIATES PCN
MEDICAL ASSOCIATES OF NEW ENGLANDN
MEDICAL HEALTHCARE SPECIALISTS, P.C.N
MELROSE INTERNAL MEDICINE ASSOC PCN
MELROSE MEDICAL ASSOCIATESN
MERRIMACK RADIOLOGY CRA LLCN
MICHAEL C ZASLOW, M.D. P.C.N
MILL CITY MEDICAL GROUP LTDN
MYSTIC MEDICAL GROUP, INC.N
NASSER NABI MD PCN
NATICK GENERAL PRACTICE, P.C.N
NESC LPHO LLCN
NEW ENGLAND FOOT & ANKLE PCN
NEW ENGLAND HERNIA CENTER LLCN
NEW ENGLAND NEPHROLOGY HOME CARE ASSOCIATESN
NORTHEAST MEDICAL GROUP INCN
ORTHOPAEDIC SURGICAL ASSOCIATES OF LOWELL, P.C.N
PAT CHIRASEVEENUPRAPUND (PAT CHIRA,MD)N
PATHOLOGY ASSOCIATES OF LOWELL PCN
PAULINE CHAON
PELHAM HEALTHCARE ASSOCIATES PLLCN
PETER D. ROMAN, MD, PCN
PLEASANT LAKE MANAGEMENT, CO, P.C.N
PLYMOUTH CARVER PRIMARY CARE, PCN
PRAMODHYA CHIRASEVINUPRAPHAND (PRAMODHYA CHIRA,MD)N
PRATT MEDICAL GROUP, INC.N
PRECISION SURGICAL SPECIALISTS OF LOWELL PCN
PRISM MEDICAL ASSOCIATES, LLCN
PULMONARY & PRIMARY CARE ASSOC. OF PLYMOUTH, P.C.N
PULMONARY ASSOCIATES OF METROWEST, PCN
QUINCY PRIMARY HEALTHCARE, PCN
REGAL MEDICAL GROUP (BOROUGHS MEDICAL & WELLNESS CENTER)N
RIVERSIDE MEDICAL GROUP PCN
RIVERSIDE SURGICAL ASSOCIATES, PCN
ROBERT F. COMMITO MD PCN
ROBERT F KELLIHER MDN
RONALD SENN
SALIL K. MIDHA. MD. PCN
SAVITHA GOWDA, MD PC (NORWOOD MEDICAL ASSOCIATES, PC )N
SEPULVEDA & ASSOCIATES PCN
NANCY LANDRY PLLC (SOMERVILLE FAMILY PRACTICE)N
SOUTH SHORE NEPHROLOGY, P.C.N
ST MARY'S INTERNAL MEDICINE PCN
STEPHEN LOUIE, M.D. (STEPHEN W. LOUIE, M.D.)N
STEPHEN MURPHY (STEPHEN P MURPHY MD PC)N
STONY BROOK PRIMARY CARE LLCN
SUBURBAN CARDIOLOGY AND INTERNAL MEDICINE, PCN
THARWAT A HANNA, MD PCN
TLB II, P.C. (CAPE COD MEDICAL CENTER)N
TODAY'S WELLNESS PLLCN
TUFTS MEDICAL CENTER COMMUNITY CARE INCN
VASCULAR ASSOCIATES OF THE MERRIMACK VALLEY PCN
VHM SERVICES INC (METROWEST PHYSICIAN SERVICES)N
WALPOLE MEDICAL CENTER, PCN
WAYSIDE HEALTH ASSOCIATES (JAY KRASNER, MD)N
WESTFORD VEIN AESTHETIC SOLUTIONS LLCN
WOBURN NEPHROLOGY ASSOCIATES PCN
YARMOUTH MEDICAL CENTER, LLCN
ZAHEER AHMEDN
ZEUS CORPORATIONN
ZHANG MEDICAL ASSOCIATES, PLLCN
ACO governing body

Member

Member's Voting Power Expressed as a percentage or number

Membership Type

ACO Legal Business Name/DBA if applicable

Michele Crage, MD12.5ACO ParticipantWoburn Nephrology Associates
David Criss, MD 12.5ACO ParticipantMelrose Internal Medicine
Daniel Driscoll, MD12.5ACO Participant Tufts Medical Center Community Care, Quincy
Karen Freund, MD 12.5ACO ParticipantPratt Medical Group
Peter Roman, MD12.5ACO ParticipantPeter D Roman MC PC
William Galvin, MD12.5ACO ParticipantCircle Health OB/GYN
Carolyn O'Donnell12.5Medicare Beneficiary RepresentativeN/A
Key ACO clinical and administrative leadership

Kathy Garland
ACO Executive

Frank Osborn, MD
Medical Director

Nicole Huff
Compliance Officer

Jim Gagnon
Quality Assurance / Improvement Officer

Associated committees and committee leadership:
Committee NameCommittee Leader Name and Position
ACO Finance & Funds Flow CommitteeMark Gilchrist, MD, ACO Finance & Funds Flow Committee Chair
Clinical Performance & Quality CommitteeFrank Osborn, MD, as Clinical Performance and Quality Committee Chair

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

  • Wellforce Medicare ACO, LLC is a Network of individual practices of ACO professionals.
Shared savings and losses

Amount of Shared Savings / Losses

  • Fourth Agreement Period - TBD
  • Third Agreement Period
    • Performance Year 2022: $28,100,000
  • Second Agreement Period
    • Performance Year 2021: $6,096,128
  • First Agreement Period
    • Performance Year 2020: $6,045,355
Shared savings distribution
  • Fourth Agreement Period - TBD
  • Third Agreement Period
    • Performance Year 2022: $28.1 million
      • Proportion invested in infrastructure: 20.6%
      • Proportion invested in redesigned care processes/resources: 12.5%
      • Proportion of distribution to ACO participants: 49.8%
  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 22.3%
      • Proportion invested in redesigned care processes/resources: 19.4%
      • Proportion of distribution to ACO participants: 58.3%
  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 18.5%
      • Proportion invested in redesigned care processes/resources: 19.8%
      • Proportion of distribution to ACO participants: 61.7%
Quality performance results

2022 Quality Performance Results:

Measure #Measure NameCollection TypeReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control2CMS Web Interface9.4910.71
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface65.2076.97
236Controlling High Blood PressureCMS Web Interface83.4783.47
318Falls: Screening for Future Fall RiskCMS Web Interface85.2087.83
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface78.6877.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface61.1179.27
113Colorectal Cancer ScreeningCMS Web Interface78.2075.32
112Breast Cancer ScreeningCMS Web Interface77.5178.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface90.7886.37
370Depression Remission at Twelve MonthsCMS Web Interface6.0616.03
321CAHPS for MIPS [3]N/AN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]CMS Web Interface0.17150.1510
484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]CMS Web Interface37.1730.97

 


 

2021 Quality Performance Results:

Measure #Measure NameReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control28.4212.46
134Preventative Care and Screening: Screening for Depression and Follow-up Plan79.3474.38
236Controlling High Blood Pressure88.9374.87
318Falls: Screening for Future Fall Risk94.487.03
110Preventative Care and Screening: Influenza Immunization85.980.52
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention97.0680.97
113Colorectal Cancer Screening75.1973.63
112Breast Cancer Screening77.775.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease91.7184.24
370Depression Remission at Twelve MonthsN/AN/A
321CAHPS for MIPS3N/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups20.16250.154
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)241.633.99

 

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

 


 

2020 Quality Performance Results:

ACO Quality Measure NumberMeasure NameRateACO Mean
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.530.95
ACO-13Falls: Screening for Future Fall Risk90.3084.97
ACO-14Preventive Care and Screening: Influenza Immunization83.1176.03
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention100.0081.67
ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan74.1771.46
ACO-19Colorectal Cancer Screening72.1872.59
ACO-20Breast Cancer Screening80.9074.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease93.2583.37
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control9.7614.70
ACO-28Hypertension (HTN): Controlling High Blood Pressure86.0672.87

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.


For Previous Years' Financial and Quality Performance Results, Please Visit data.cms.gov

Payment rule waivers
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612
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