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

Kathleen.Garland [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 
  • Medical Director: Frank Osborn, MD
  • Compliance Officer: Nicole Huff
  • Quality Assurance / Improvement Officer: Candace Perry

Associated Committees and Committee Leadership:

Committee Name

 

Committee Leader Name and Position

ACO Finance & Funds Flow Committee

Mark Gilchrist, MD, ACO Finance & Funds Flow Committee Chair

Clinical Performance & Quality Committee

Kelli Kennedy, 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

  • 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
  • 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

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