ACO Reporting


ACO Reporting


ACO Name and Location


Genesys PHO, L.L.C.
Previous Names: N/A
3495 S. Center Road
Burton, MI 48519

ACO Primary Contact


Primary Contact NameRobert Brace Reid
Primary Contact Phone Number  (810) 424-2016
Primary Contact Email AddressBrace.Reid@genesyspho.com

Organizational Information


ACO participants:

ACO ParticipantsACO Participant in Joint Venture
GENESYS PRACTICE PARTNERS INCN
SILVER LAKE FAMILY PRACTICE LLCN
EDWARD J LIS JR DO PLLCN
DOUGLAS M IDDINGS PCN
MARCOS MACHADO MD PCN
HEMANT T THAWANI MD PLLCN
David CoriassoN
Edward LisN
WOMENS SPECIALTY ASSOCIATES, P.C.N
UROLOGICAL SERVICES PCN
GRAND BLANC VISION CLINIC PCN
FAMILY EYE CARE CTR PCN
VASCULAR SURGERY ASSOC PCN
GENESEE HEMATOLOGY ONCOLOGY PCN
GENESYS REGIONAL MEDICAL CENTERY
HENRY HAGENSTEIN DO PCN
Consultants In Ophthalmic & Facial Plastic SurgeryN
FLINT GASTROENTEROLOGY ASSOCIATES PCN
SURGICAL ASSOCIATES, PLCN
GENESEE LUNG ASSOCIATES PCN
ROBERT JAY ZENDLER II DO PCN
FENTON FAMILY MEDICINE PCN
DISKIN DISKIN AND KEOLEIAN PCN
DAVID M. CORIASSO ODN
Tarik WasfieN
SURESH ANNE MD PCN
Ortonville Foot & Ankle Center PcN
SYNTHESIS MEDICAL SPECIALTIES PCN
BRADLEY E HABERMEHL OD PCN
Shiawassee Physician ServicesN
LAPEER MEDICAL ASSOCIATES PCN
CHRISTOPHER D TYKOCKI DO PCN
MICHIGAN GASTROENTEROLOGY CLINIC, PCN
TIMOTHY R HARRIS OD PLCN
BEECHER SURGICAL ASSOCIATES PLLCN
JAWAD A SHAH, MD PCN
Dr. Michael T. Owczarzak P.C.N
VITREORETINAL SPECIALISTS PLCN
M AL JABBAN MD PLCN
LAPEER MEDICAL DIAGNOSTICS PCN
JAMES S GARFIELD DO PCN
MICHAEL D ZERAFA PLLCN


ACO governing body:

MemberMember's
Voting Power
– Expressed
as a percentage
or number
Membership TypeACO Participant
Legal Business
Name/DBA, if
Applicable
Last NameFirst NameTitle/Position
ArnoldDr. JeffreyVice Chair1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
LaingRichard1Medicare Beneficiary Representative
PalazzoloChrisChair1ACO Participant RepresentativeGenesys Regional Medical Center
RosenbaumEdwardPatient Advocate1Community Stakeholder Representative
AndersonJohn1ACO Participant RepresentativeGenesys Regional Medical Center
BediDr. Dhiraj1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
CoriassoDr. RonaldSecretary1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
HansonDr. Dale1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
HaywoodNancy1ACO Participant RepresentativeGenesys Regional Medical Center
GarsonPaulCEO1Genesys PHO
KingsburyJoseph1ACO Participant RepresentativeJoseph A. Kingsbury, DO, PC
KommareddiDr. PrasadTreasurer1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
RaoDr. Sridhar  1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
TilliDr. Frank1ACO Participant RepresentativeGenesys Practice Partners, Inc.
RittingerDr. Mark1ACO Participant RepresentativeMichigan Lung and Critical Care Specialists, P.C.
HreskoJamie1ACO Participant RepresentativeGenesys Regional Medical Center


Key ACO clinical and administrative leadership:

Paul GarsonACO Executive
Prasad Kommareddi  Medical Director
Bill IrvineCompliance Officer
Marcia BrandtQuality Assurance/Improvement Officer  


Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position  
Finance and Cost Containment CommitteePrasad Kommareddi, M.D., Chair
Information Systems CommitteeWilliam Edgar, M.D., Chair
Electronic Medical Record CommitteeWilliam Edgar, M.D., Chair
Physician Development CommitteeSridhar Rao, M.D., Chair
Quality Improvement & Credentialing CommitteeJohn Commet, D.O., Chair
Specialist Quality Improvement & Credentialing CommitteeRonald Coriasso, D.O., Chair
Patient Centered Medical Home Physician Advisory Committee  Dhiraj Bedi, D.O., Chair
Preferred Panel Specialist CommitteeLinda Norrell, M.D., Chair
Medical Directors CommitteePrasad Kommareddi, M.D., Chair


Types of ACO participants, or combinations of participants, that formed the ACO:
  • ACO professionals in a group practice arrangement
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses


Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $2,800,594
    • Performance Year 2016, $4,540,213
    • Performance Year 2015, $2,154,556
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2016
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results


2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.30   80.60
ACO-2 CAHPS: How Well Your Providers Communicate 91.57 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.20 92.31
ACO-4 CAHPS: Access to Specialists 84.97 83.32
ACO-5 CAHPS: Health Promotion and Education 61.00 62.30
ACO-6 CAHPS: Shared Decision Making 76.84 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.18 73.05
ACO-34   CAHPS: Stewardship of Patient Resources 25.72 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.45 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.77 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 60.63 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 87.36 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.63 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.73 1.93
ACO-11 Use of Certified EHR Technology 92.43 98.48
ACO-12 Medication Reconciliation 87.77 75.32
ACO-13 Falls: Screening for Future Fall Risk 82.33 74.38
ACO-44 Imaging Studies for Low Back Pain 80.52 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 58.20 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 73.91 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 78.36 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.27 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 69.28 61.98
ACO-19 Colorectal Cancer Screening 72.58 64.58
ACO-20 Breast Cancer Screening 76.89 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.75 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.83 16.74
ACO-41 Diabetes: Eye Exam 58.89 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 73.36 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.55 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 “Genesys PHO, L.L.C.” to view the quality performance results. This ACO can also be found by using the ACO ID A14417 in the public use files on data.cms.gov.

Payment Rule Waivers

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