Wellforce Medicare ACO
ACO Name and Location
Wellforce Medicare ACO, LLC
800 District Avenue, Suite 520
Burlington, MA 01803
ACO Primary Contact
Karen Latham, Senior Program Manager
978-942-2220
Karen.Latham2 [at] lowellgeneral.org
ACO Participants
ACO Participants |
ACO Participants in Joint Venture (Y or N) |
Ajay Anand MD PC | N |
Alexandra Argasinski, MD | N |
Andrew M Romanowsky MD LLC | N |
Apex Medical Associaltes, LLC | N |
Benjamin Henkle MD LLC | N |
Blue Hills Medical Associates | N |
Regal Medical Group (Boroughs Medical & Wellness Center) | N |
Brewster Medical Associates, PC | N |
Tlb 11, PC (Cape Cod Medical Center) | N |
Cape Cod Primary Care, LLC | N |
Carlos Del Rio, MD PC | N |
Chelmsford Family Practice, PC | N |
Chelmsford Primary Care LLC | N |
Christopher E. Coakley, M.D | N |
Clara Lennox | N |
Congenial Healthcare, LLC | N |
Comprehensive Primary Care LLC | N |
Damian Folch | N |
David Sidebottom | N |
Dineli, A Professional Corporation | N |
Droidmd P LLC | N |
Drum Hill Primary Care LLC | N |
Dutton Family Care Associates, LLP | N |
Eric Johnson M.D., P.C. | N |
Fouad N. Aoude MD PC | N |
George P Meltsakos PC | N |
Global Care Medical Group PC | N |
Hallmark Health Medical Associates, Inc. | N |
Halward Blegen, M.D. | N |
Heart Center Of Metrowest | N |
Jack Chang MD PC | N |
Joshi Medical Services, PC | N |
Karen-Gail Brandse, MD And Associates | N |
Kevin Malone DO PC | N |
Kevin Tomany MD PC | N |
Kunwar Singh. MD | N |
Lawrence P Johnson MD PC | N |
Lgh Medical Group, Inc. | N |
Lgh Merrimack Valley Cardiology Associates, LLC | N |
Lgh Professional Services LLC | N |
Circle Health Obgyn LLC | N |
Lowell Community Health Center, Inc. | N |
Lowell Family Medical Care PC | N |
Main Street Family Practice | N |
Maria Gorbovitsky, M.D., P.C. | N |
Mass Medical Group LLC | N |
Massachusetts Ent Associates Inc | N |
Massachusetts Eye Associates PC | N |
Medical Associates Of New England, LLC | N |
Medical Healthcare Specialists,P.C. | N |
Melrose Internal Medicine | N |
Melrose Medical Associates | N |
Merrimack Radiology Cra LLC | N |
Michael Zaslow Md | N |
Middleton Family Medicine | N |
Mill City Medical Group Ltd | N |
Mystic Medical Group | N |
Nasser Nabi Md, Facc, Fccp, PC | N |
Natick General Practice, P.C. | N |
Nesc Lpho LLC | N |
New England Foot & Ankle PC | N |
New England Hernia Center LLC | N |
Cnv Mw (New England Nephrology Home Care Associates) | N |
Nonnie Estella | N |
Northeast Medical Group Inc | N |
Savitha Gowda, M.D, P.C (Norwood Medical Associates, PC) | N |
Orthopaedic Surgical Associates Of Lowell, P.C. | N |
Pat Chiraseveenuprapund (Pat Chira, Md) | N |
Pathology Associates Of Lowell PC | N |
Pauline Chao, M.D. | N |
Pelham Healthcare Associates PLLC | N |
Peter D. Roman, MD, PC | N |
Pleasant Lake Management, Co, P.C. | N |
Plymouth Carver Primary Care, PC | N |
Pondville Medical Associates, LLC | N |
Pramod Chira, MD | N |
Pratt Medical Group, Inc. | N |
Precision Surgical Specialists Of Lowell PC | N |
Prism Medical Associates, LLC | N |
Pulmonary & Primary Care Assoc. Of Plymouth, P.C. | N |
Pulmonay Associates Of Metrowest | N |
Quincy Primary Healthcare, PC | N |
Reading Family Medicine, PC | N |
Riverside Medical Group PC | N |
Riverside Surgical Associates, PC | N |
Robert F. Commito Md PC | N |
Robert R. Moore, M.D., Ph. D., P.C. | N |
Ronald Sen, MD | N |
St. Mary’s Internal Medicine, PC (Saint Mary's Internal Medicine) | N |
Salil K. Midha. Md. PC | N |
Sepulveda & Associates PC | N |
Sivaram Yamajala, MD LLC | N |
Nancy Landry PLLC Dba Somerville Family Practice | N |
South Shore Nephrology, P.C. | N |
Stephen P Murphy MD PC | N |
Stephen W. Louie, M.D. | N |
Stony Brook Primary Care LLC | N |
Suburban Cardiology And Internal Medicine, PC | N |
Tharwat Mikhael Hanna, M.D. | N |
Tufts Medical Center Community Care | N |
Vascular Associates Of The Merrimack Valley PC | N |
Jay Krasner (Wayside Health Associates) | N |
David Schroeder | N |
David Schroeder, MD, PC (David M. Shein) | N |
Westford Vein Aesthetic Solutions LLC | N |
Woburn Nephrology Associates | N |
Yarmouth Medical Center, LLC | N |
Yun K. Lam, M.D., P.C. | N |
Zaheer Ahmed | N |
Zeus Corporation | N |
Zhang Medical Associates, PLLC | N |
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, MD | 1 | ACO Participant | Woburn Nephrology Associates |
David Criss, MD | 1 | ACO Participant | Melrose Internal Medicine |
Daniel Driscoll, MD | 1 | ACO Participant | Tufts Medical Center Community Care, Quincy |
Karen Freund, MD | 1 | ACO Participant | Pratt Medical Group |
Peter Roman, MD | 1 | ACO Participant | Peter D Roman MC PC |
William Galvin, MD | 1 | ACO Participant | Circle Health OB/GYN |
Barbara Clifford, FNP | 1 | Medicare Beneficiary Representative | N/A |
Carolyn O'Donnell | 1 | Medicare Beneficiary Representative | N/A |
Key ACO Clinical and Administrative Leadership:
- ACO Executive: Nate Gagne (Interim)
- Medical Director: Pratiksha Patel, MD
- Compliance Officer: Nicole Huff
- Quality Assurance / Improvement Officer: Candace Perry
Associated Committees and Committee Leadership:
Committee Name |
|
||
ACO Finance & Funds Flow Committee |
TBD |
||
Clinical Performance & Quality Committee |
TBD |
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
- Second Agreement Period
- Performance Year 2021: TBD
- First Agreement Period
- Performance Year 2020: $6,045,355
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: TBD
- Proportion invested in redesigned care processes/resources: TBD
- Proportion of distribution to ACO participants: TBD
- Performance Year 2021
- 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%
- Performance Year 2020
Quality Performance Results
2020 Quality Performance Results:
ACO Quality Measure Number |
Measure Name |
Rate |
ACO Mean |
ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.53 | 0.95 |
ACO-13 | Falls: Screening for Future Fall Risk | 90.30 | 84.97 |
ACO-14 | Preventive Care and Screening: Influenza Immunization | 83.11 | 76.03 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100.00 | 81.67 |
ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 74.17 | 71.46 |
ACO-19 | Colorectal Cancer Screening | 72.18 | 72.59 |
ACO-20 | Breast Cancer Screening | 80.90 | 74.05 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 93.25 | 83.37 |
ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 9.76 | 14.70 |
ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 86.06 | 72.87 |
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