Public Reporting

ACO Name and Location
Prime Accountable Care , LLC
28270 Franklin Rd, Suite A
Southfield, Michigan 48034

ACO Primary Contact

Primary Contact Name Diane Blackburn, Executive Director
Primary Contact Phone Number 248.292.9819
Primary Contact Email Address dblackburn@prime-aco.com

Organizational Information ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Bethesida Wholestic Center PLLC N
Channakeshava Indira N
Rubina Ahmed MD PC N
Medical Practice Management Consulting PLLC N
Medicure Internists PC N
Muhammad Jilani N
Alli Med Pllc N
Zawaideh Medical Center PC N
Trinity Medical Center P.C. N
Altamash A Amin MD PLC N
Manohar Atri N
Pulmonary and Sleep Medicine PC N
Saginaw Valley Medical Care PLC N
Satnam Medical PLLC N
Donald J. Hardman MD PC N
Premier Cardiovascular Specialists PC N
Best Medical Center N
Mid Michigan Medicine PC N
Khurrum T Pirzada, D.O. P.C. N
ELITE CARE PHYSICIANS PLLC N
Medpeds Healthcare, P.C. N
Tricity Internists N
Parvez Khan, M.D., PC N
Great Lakes Medical Center PLLC N
Advanced Care Clinic PC N
Prime Care Medical Clinic Pllc N
Saginaw Valley Walk In Clinic Pllc N
Mohammed M. Obeid, Do Pc N
JEHAD JAFARI N
Ben Go M.D. P.C. N
Flint Cardiovascular Consultants PC N
Arshad Aqil Md Pllc N
Glory Visiting Physician Pc N
Internal Medicine Health Center PC N
Warren Ringold N
Nusrat Rahman MD PC N
Channakeshava Indira N
Elmwood Park Medical Clinic Pc N
Hamilton Community Health Network Inc N
Livingston Medical Center PC N
Tuscola County Community Mental Health Services Board N
Warrenfield Medical Center, P.c. N
North Oakland Internists, PC N
Manohar Atri N
ANK PC N
Abdulhadi Sinan MD PC N
Manor Medical Center PC N
CARO COMMUNITY HOSPITAL N
Medical Coverage Services PC N
Kevin B. Robinson, M.D. P.C. N
DIGESTIVE DISEASES & CLINICAL NUTRITION CENTER, PC N
Appoline Medical clinic PC N
Jehad Jafari N
Huron Health Care Rashid Iqbal MD PC N
Genesee Urgent Care, P.C. N
Dr Pervez & Associates PC N
Jafferany Psychiatric Services N
PRN Clinic Urgent Care PLLC N
Saginaw Health Clinic N
Cass River Health Plaza PLLC N
Flint Vascular Surgery P.L.L.C. N
Valley Urgent Care PLLC N
Maecenas Health Systems Pc N
Visiting Medical Service PC N
Genesee Ob-Gyn & Cosmetic Surgery Pllc N
Spine And Joint Pain Management Center, Pc N
Espinosa Health Plaza PLLC N
Mohamed Ally Health Plaza PLLC N
Zubeda S Khan MD PLLC N
Gladwin Family Care Pllc N
SHATTUCK FAMILY PHYSICIANS PLLC N
Caro Health Plaza PLC N
Caro Express Clinic PLC N
S. Talib Raza PC N
ST CHARLES FAMILY CLINIC PLLC N
Vps Of MI Pllc N

ACO Governing Body:

Member Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Asmi Asker M.D./CEO 12.5% ACO Active Representative Pulmonary and Sleep Medicine PC
Elmenini Mohammad M.D./CMO 12.5% ACO Active Representative Manor Medical Center PC
Jaffry Mazhar COO 12.5% ACO Executive N/A
Stevens Greg M.D./President 12.5% ACO Active Representative North Oakland Internists, PC
Ahmed Tazeen M.D./Director of Compliance 12.5% ACO Active Representative Great Lakes Medical Center PLLC
Jayasvasti V. Tahki D.O./Member 12.5% ACO Active Representative North Oakland Internists, PC
Elian Samir M.D./Member 12.5% ACO Active Representative Flint Cardiovascular Consultants PC
Husain Hena Member 12.5% Community Stakeholder Representative N/A
Hassan Akbar Member 12.5% Medicare Beneficiary Representative N/A

Key ACO clinical and administrative leadership:

Mazhar Jaffry ACO Executive
Mohammad Elmenini, M.D. Chief Medical Officer
Tazeen Ahmed, M.D. Compliance Officer
Muhammad Jilani, M.D. Quality Assurance & Improvement
Diane Blackburn Executive Director

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Compliance Committee Tazeen Ahmed, M.D., Chair
Quality Assurance & Performance Committee Muhammad Jilani, M.D., Chair
Outreach Committee Greg Stevens, M.D., Chair
Contracts Committee Diane Blackburn, 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 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A

Proportion of distribution to ACO participants: N/A

Quality Performance Results 2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 76.43 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 89.71 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 88.75 91.93
ACO-4 CAHPS: Access to Specialists 84.6 83.52
ACO-5 CAHPS: Health Promotion and Education 54.33 60
ACO-6 CAHPS: Shared Decision Making 72.49 75.28
ACO-7 CAHPS: Health Status/Functional Status 69.97 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 28.2 27.52
ACO-8 Risk-Standardized, All Condition Readmission 15.32 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.17 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 87.07 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 111.21 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 85.83 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 9.73 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 13.14 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 48.72 82.72
ACO-39 Documentation of Current Medications in the Medical Record 94.62 87.54
ACO-13 Falls: Screening for Future Fall Risk 66.81 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 46.77 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 36.31 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 77.31 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71.64 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 35.98 53.63
ACO-19 Colorectal Cancer Screening 39.72 61.52
ACO-20 Breast Cancer Screening 47.68 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 71.81 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.64 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 33.26 18.24
ACO-41 Diabetes: Eye Exam 32.38 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60.61 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.61 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 95.5 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 76.87 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

  Note: In the Quality Performance Results file(s) above, search for “Prime Accountable care , LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A08783 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.