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
Grand Blanc Obstetrics And Gynecology PcN
Samir BasataN
MICHIGAN NEUROSURGICAL INSTITUTE PCN
PROFESSIONAL FOOT AND ANKLE CENTERS, PCN
LISA L GUYOT MD PHD PCN
MICHIGAN RHEUMATOLOGY GROUP PCN
SILVER LAKE FAMILY PRACTICE LLCN
MICHIGAN VISION INSTITUTE PLLCN
EDWARD J LIS JR DO PLLCN
BELILL EYE CARE PLCN
CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLCN
NAJJAR INFECTIOUS DISEASE PCN
Ahmad Kaddurah MD PCN
Flushing Optical Services IncN
SUNITA TUMMALA MD PLCN
HIRT FOOT AND ANKLE SPECIALISTS P.C.N
WALTER BARKEY MD PLLCN
RENAL MD PCN
DOUGLAS M IDDINGS PCN
GENESEE ENT ASSOCIATES PCN
DEVINDERJIT S BHANGU MD PLLCN
MARCOS MACHADO MD PCN
GRAND BLANC EYES PLLCN
Genesse County Radiation Oncology PN
DR KATIE KATZMARK PCN
HEMANT T THAWANI MD PLLCN
Mark EngelmanN
David CoriassoN
MONA HARDAS MD PCN
Clifford LaliberteN
Dianne TrudellN
Rama RaoN
WILLIAM THOMPSON MDN
Edward LisN
WOMENS SPECIALTY ASSOCIATES, P.C.N
NEPHROLOGY & INTERNAL MEDICINEN
UROLOGICAL SERVICES PCN
GENERAL SURGEONS OF FLINT PCN
Ear, Nose, Throat And Plastic Surgery Associates, P.C.N
GRAND BLANC VISION CLINIC PCN
FLUSHING VISION CLINIC PCN
FAMILY EYE CARE CTR PCN
VASCULAR SURGERY ASSOC PCN
Abdul Tabbaa Md PcN
GENESEE HEMATOLOGY ONCOLOGY PCN
GENESYS REGIONAL MEDICAL CENTERY
MEHMET C AGABIGUM MD PCN
JAMES C CULVER MD PCN
HENRY HAGENSTEIN DO PCN
Consultants In Ophthalmic & Facial Plastic SurgeryN
FLINT GASTROENTEROLOGY ASSOCIATES PCN
JOSEPH A KINGSBURY DO PCN
SURGICAL ASSOCIATES, PLCN
GENESEE LUNG ASSOCIATES PCN
MANILAL O MEWADA MD PCN
ENDOCRINE CONSULTANTS OF MID MICHIGAN PCN
CARDER R BURNS OD PCN
ROBERT JAY ZENDLER II DO PCN
DR BRUCE D SERVEN PCN
Abd AlghanemN
GRAND BLANC FAMILY FOOTCARE PCN
FENTON FAMILY MEDICINE PCN
DISKIN DISKIN AND KEOLEIAN PCN
DAVID M. CORIASSO ODN
Tarik WasfieN
SURESH ANNE MD PCN
Vergos Vision Service INCN
Ortonville Foot & Ankle Center PcN
SYNTHESIS MEDICAL SPECIALTIES PCN
MEDICAL REHABILITATION GROUP PCN
GENESYS INTEGRATED GROUP PRACTICE PCN
REGIONAL CARDIOLOGY ASSOCIATES PLCN
SUNIL K KAUSHAL MD PCN
GENESEE CANCER AND BLOOD DISEASE TREATMENT CENTER PCN
J MARTIN ULRICH DO PCN
Michigan Lung And Critical Care Specialists, PcN
ASTHMA, ALLERGY AND SINUS CENTER, PCN
BRADLEY E HABERMEHL OD PCN
KEVIN J GAFFNEY MD PCN
Shiawassee Physician ServicesN
SILVERTON SKIN INSTITUTE PLLCN
LAPEER MEDICAL ASSOCIATES PCN
GUNDA S REDDY MD PCN
JEFFREY NOROYAN, DPM, PLLCN
Robert M Stenz Do PcN
ROBERTS DERMATOLOGY CENTER, P.C.N
DIGESTIVE DISEASES & CLINICAL NUTRITION CENTER, PCN
CHRISTOPHER D TYKOCKI DO PCN
MICHIGAN GASTROENTEROLOGY CLINIC, PCN
Michael J Mueller Md PcN
SRINIVAS B MUKKAMALA MD PLCN
NITA M KULKARNI MD PLCN
FLUSHING FAMILY CARE PCN
Jolanta Sobotka Md PlcN
TIMOTHY R HARRIS OD PLCN
BEECHER SURGICAL ASSOCIATES PLLCN
JAWAD A SHAH, MD PCN
Mark MattinglyN
Dr. Michael T. Owczarzak P.C.N
LAPEER NEUROLOGY ASSOCIATES PCN
VITREORETINAL SPECIALISTS PLCN
M AL JABBAN MD PLCN
Vitality Chiropractic PCN
LAPEER MEDICAL DIAGNOSTICS PCN
JAMES S GARFIELD DO PCN
MICHAEL D ZERAFA PLLCN
Frederick BrueningN
HOLLY FOOT & ANKLE SPECIALISTS PLCN
LAKEVILLE EYE CARE CENTER, INC.N
PAIN MANAGEMENT CENTER OF MICHIGAN PLCN


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
KingDr. GaryChair1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
ArnoldDr. Jeffrey1ACO Participant RepresentativeGenesys Integrated Group Practice, P.C.
LaingRichard1Medicare Beneficiary Representative
PalazzoloChrisVice Chair1ACO 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: 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


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.