Public Reporting

ACO Name and Location

ACO Name Prime Accountable Care, LLC
ACO Address 28270 Franklin Rd Suite A Southfield, MI 48034

 

ACO Primary Contact

Primary Contact Mazhar Jaffry
Primary Contact Phone Number 214.416.8132
Primary Contact Email Address mjaffry@prime-aco.com

 

Organizational Information
ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Advanced Care Clinic PC N
Advanced Medical Practices SC N
Alatamash A Amin MD PLC N
ANK PC N
Appoline Medical clinic PC N
Arash Kiarash MD PC N
Best Medical Center PC N
Channakeshava R Indira MD PC N
Clarance Richard Barnett MD PLC N
Digestive Diseases & Clinical Nutrition Center, PC N
Dr. Pervez & Associates PC N
Family Health & Wellness PC N
Family Tree Medical Associates PC N
Flint Vascular Surgery PLLC N
Genesee Urgent Care, PC N
Great Lakes Medical Center PLLC N
Hamilton Community Health Network Inc N
Hem Aggarwal MD PC Sugar Grove Health Center N
Henry Lopez Cordero MD SC N
Huron Health Care Rashid Iqbal MD PC N
Internal Medicine Health Center PC N
Jafferany Psychiatric Services N
Premier Physicians of Michigan Kashif Qureshi MD PC N
Khurrum T Pirzada DO PC N
Livingston Medical Center PC N
Medical Practice Management Consulting PLLC N
Medicure Internists PC N
Medpeds Healthcare, PC N
MI Health Physician PLLC N
Mid Michigan Medicine PC N
Muhammad Jilani MD PC N
North Oakland Internists, PC N
Nusrat Rahman MD PC N
Osafo Health Care Clinic Inc N
Premier Physicians Care PLLC N
Prime Care Medical Clinic PLLC N
Prime Immediate and Primary Care Inc. N
Raphael Medical Services Corp N
Ricardo C Dizon MD SC N
Roselia Herrera MD SC N
ROYA Family Medical Center LTD Joy of Health N
Rubina Ahmed MD PC N
Satnam Medical PLLC N
Stanley M Poleck DO PLLC N
Steven Margolis MD Alternacare PC Complete Family Care N
S. Talib Raza PC N
Thornapple Valley Family Physicians PC N
Warrenfield Medical Center, PC N
WNY Medical PC N
Zawaideh Medical Center PC N

 

ACO Governing Body:

Member

Last Name

Member

First Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Stevens, MD Greg CEO 1 ACO Participant North Oakland Internist PC
Jayasvasti, DO Vachareeporn Secretary 1 ACO Participant North Oakland Internist PC
Raza, MD Syed Medical and Compliance Director 1 ACO Participant S. Talib Raza PC
Akbar Hasan Medicare Beneficiary 1 Medicare Beneficiary N/A

 

Key ACO Clinical and Administrative Leadership:

TITLE Leadership Name
ACO Executive Lauren Schiegg
Medical Director Syed Raza, MD
Compliance Officer Mazhar Jaffry
Quality Assurance and Improvement Officer Meirvat Elsir

 

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality Assurance and Performance Committee M. Jilani MD / Chair
Compliance and Reporting Committee Greg Stevens / Chair
Contracts and Outreach Committee Mazar Jaffry / Chair

 

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

  • Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2020, $0.00
    • Performance Year 2019, $3,324,061
  • First Agreement Period
    • Performance Year 2019, $3,324,061
    • Performance Year 2018, $3,118,012
    • Performance Year 2017, $13,148,688
    • Performance Year 2016, $0.00

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%
    • Performance Year 2019
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%
    • Performance Year 2018
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%
    • Performance Year 2017
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%
    • Performance Year 2016
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 14%
      • Proportion of distribution to ACO participants: 64%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

 

Quality Performance Results

2020 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information
ACO-2 CAHPS: How Well Your Providers Communicate
ACO-3 CAHPS: Patients’ Rating of Provider
ACO-4 CAHPS: Access to Specialists
ACO-5 CAHPS: Health Promotion and Education
ACO-6 CAHPS: Shared Decision Making
ACO-7 CAHPS: Health Status/Functional Status
ACO-34 CAHPS: Stewardship of Patient Resources
ACO-45 CAHPS: Courteous and Helpful Office Staff
ACO-46 CAHPS: Care Coordination
ACO-8 Risk Standardized, All Condition Readmission
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.27 .99
ACO-13 Falls: Screening for Future Fall Risk 97.21 90.12
ACO-14 Preventive Care and Screening: Influenza Immunization 89.25 82.85
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100.00 94.74
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 93.08 83.30
ACO-19 Colorectal Cancer Screening 50.72 61.44
ACO-20 Breast Cancer Screening 90.13 65.56
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.45 91.18
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%) 21.63 20.27
ACO-28 Controlling High Blood Pressure 65.67 72.13
ACO-40 Depression Remission at Twelve Months 30.14

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

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.