ACO Reporting


ACO Reporting

ACO Name and Location


Genesys PHO, L.L.C.
3495 S. Center Road
Burton, MI 48519

ACO Primary Contact


Robert Brace Reid
(810) 424-2016
Brace.Reid@genesyspho.com

Organizational Information


ACO Participants:

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


ACO Governing Body:

Member
Last Name
Member
First Name
Member
Title/Position
Member's
Voting Power
(Expressed
as a percentage
or number)
Membership TypeACO Participant
Legal Business
Name and D/B/A,
if applicable
AndersonJohn1ACO Participant RepresentativeAscension Genesys Hospital
BediDr. Dhiraj1ACO Participant RepresentativeAscension Medical Group Genesys
CoriassoDr. RonaldSecretary1ACO Participant RepresentativeAscension Medical Group Genesys
DeSimoneDr. Dennis1ACO Participant RepresentativeAscension Genesys Hospital
EdgarDr. William1ACO Participant RepresentativeAscension Genesys Hospital
HansonDr. Dale1ACO Participant RepresentativeAscension Medical Group Genesys
HaywoodNancy1ACO Participant RepresentativeAscension Genesys Hospital
PalazzoloChrisVice Chair1ACO Participant RepresentativeAscension Genesys Hospital
RaoDr. Sridhar   Chair1ACO Participant RepresentativeAscension Medical Group Genesys
Rosenbaum   EdwardPatient Advocate1Community Stakeholder Representative
SchaffDr. MarkTreasurer1ACO Participant RepresentativeAscension Medical Group Genesys
SilverDr. Mark1ACO Participant RepresentativeAscension Genesys Hospital
WalterDr. James1ACO Participant RepresentativeAscension Medical Group Genesys
YoungsDr. Kevin1ACO Participant RepresentativeAscension Medical Group Genesys


Key ACO Clinical and Administrative Leadership:
ACO Executive: Randy Kummler
Medical Director: Sridhar Rao, MD
Compliance Officer: Robert Brace Reid
Quality Assurance/Improvement Officer: Marcia Brandt

Associated Committees and Committee Leadership:

Committee NameCommittee Leader Name and Position  
Finance, Contracting, Cost Containment CommitteeMark Schaaf, DO, Chair
Information Systems CommitteeSridhar Rao, MD, Chair
Medical Services & Quality CommitteeRene Krusinak, DO, Chair
Muhammad Aboudan, MD, Co-Chair
Specialist Quality Improvement & Credentialing CommitteeMuhammad Aboudan, MD, Chair
Preferred Panel Specialist CommitteeLinda Norrell, MD, Chair
Medical Directors CommitteeSridhar Rao, MD, 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
  • Second Agreement Period
    • Performance Year 2020, $2,629,258
    • Performance Year 2019, $2,460,776
    • Performance Year 2018, $5,360,927
  • First Agreement Period
    • Performance Year 2017, $2,800,594
    • Performance Year 2016, $4,540,213
    • Performance Year 2015, $2,154,556
Shared Savings Distribution
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2018
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
  • 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: 2.5%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2015
      • Proportion invested in infrastructure: 4.1%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results


2020 Quality Performance Results:

ACO Quality Measure NumberMeasure NameRateACO Mean
ACO-8 Risk Standardized, All Condition Readmission 15.10 15.07
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 50.21 49.50
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.73 0.95
ACO-13 Falls: Screening for Future Fall Risk 90.22 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 71.37 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65.22 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 67.43 71.46
ACO-19 Colorectal Cancer Screening 85.32 72.59
ACO-20 Breast Cancer Screening 84.77 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.92    83.37
ACO-40 Depression Remission at Twelve Months 6.10 13.99 
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 12.00 14.70
ACO-28 Controlling High Blood Pressure 75.78 72.87


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.