Public Reporting

ACO Name and Location
Prime Accountable Care, LLC
Previous Names: N/A
28270 Franklin Rd., Suite A
Southfield, Michigan 48034

ACO Primary Contact

Primary Contact Name Diane Blackburn
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)
Advanced Care Clinic PC N
ANK PC N
Appoline Medical clinic PC N
Ben Go M.D. P.C. N
Best Medical Center N
CARO COMMUNITY HOSPITAL N
Channakeshava Indira N
DIGESTIVE DISEASES & CLINICAL NUTRITION CENTER, PC N
Dr. Pervez & Associates PC N
ELITE CARE PHYSICIANS PLLC N
Elmwood Park Medical Clinic Pc N
Family Health & Wellness P.C. N
Family Tree Medical Associates N
Flint Cardiovascular Consultants PC N
Flint Vascular Surgery P.L.L.C. N
Genesee Urgent Care, P.C. N
Great Lakes Medical Center PLLC N
Hamilton Community Health Network Inc N
Hartville Medical Center P.C. N
Huron Health Care Rashid Iqbal MD PC N
Jafferany Psychiatric Services N
Kevin B. Robinson, M.D. P.C. N
Livingston Medical Center PC N
Manohar Atri N
Manor Medical Center PC N
Medical Practice Management Consulting PLLC N
Medicure Internists PC N
Medpeds Healthcare, P.C. N
Mid Michigan Medicine PC N
Mohammed M. Obeid, Do Pc N
Mountain Grove Medical and Laser Center P.C. N
Muhammad Jilani N
North Oakland Internists, PC N
Nusrat Rahman MD PC N
Parvez Khan, M.D., PC N
Pinconning Medical Center P.C. N
Premier Physicians Care PLLC N
Prescott Clinic P.C. N
Prime Care Medical Clinic Pllc N
Prime Vascular Center Pllc N
Pulmonary and Sleep Medicine PC N
Rubina Ahmed MD PC N
Satnam Medical PLLC N
Spine And Joint Pain Management Center, Pc N
S. Talib Raza PC N
Vps Of MI Pllc N
Warrenfield Medical Center, P.c. N
Wellness Family Practice P.C. N
Zawaideh Medical Center PC N
Zubeda S Khan MD PLLC N

ACO Governing Body:

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Asmi Asker MD/CEO 12.5% ACO Active Participant Pulmonary and Sleep Medicine PC
Elmenini Mohammad MD/CMO 12.5% ACO Active Participant Manor Medical Center PC
Jaffry Mazhar COO 12.5% ACO Executive N/A
Stevens Greg MD/President 12.5% ACO Active Participant North Oakland Internists PC
Ahmed Tazeen MD/Compliance Officer 12.5% ACO Active Participant Great Lakes Medical Center PLLC
Jayasvasti V. Tahki MD/Secretary 12.5% ACO Active Participant North Oakland Internists PC
Elian Samir MD/Member 12.5% ACO Active Participant Flint Cardiovascular Consultants PC
Hassan Akbar Member 12.5% Medicare Beneficiary Representative N/A

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 2017, $5,551,931
    • Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: Disbuted
      • Proportion invested in redesigned care processes/resources: Disbuted
      • Proportion of distribution to ACO participants: $2,100,000
    • 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
2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 77.44 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 89.55 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 89.29 92.31
ACO-4 CAHPS: Access to Specialists 83.94 83.32
ACO-5 CAHPS: Health Promotion and Education 58.18 62.30
ACO-6 CAHPS: Shared Decision Making 71.00 75.85
ACO-7 CAHPS: Health Status/Functional Status 69.19 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 32.23 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.70 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.40 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 70.63 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 107.4 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 77.38 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.27 1.93
ACO-11 Use of Certified EHR Technology 95.38 98.48
ACO-12 Medication Reconciliation 97.76 75.32
ACO-13 Falls: Screening for Future Fall Risk 72.13 74.38
ACO-44 Imaging Studies for Low Back Pain 77.01 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 69.04 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 56.12 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 91.22 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89.18 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 68.44 61.98
ACO-19 Colorectal Cancer Screening 50.42 64.58
ACO-20 Breast Cancer Screening 57.41 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.07 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 50.00 16.74
ACO-41 Diabetes: Eye Exam 24.17 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.42 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.51 86.86

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.