Accountable Care Organization (ACO) Public Reporting Information

ACO Name and Location

  • Mayo Clinic Community Accountable Care Organization, LLC
    200 First Street SW
    Rochester, MN 55905

ACO Primary Contact

  • Primary Contact Name: Mr. Doug Parks
  • Primary Contact Phone Number: 833-236-0314 (toll-free) or 507-422-6244
  • Primary Contact Email Address: MedicareACO@mayo.edu

Organizational Information

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Mayo Clinic N
Mayo Clinic Health System — Northwest Wisconsin Region Inc. N
Mayo Clinic Health System — Southwest Minnesota Region N
Mayo Clinic Health System — Southeast Minnesota Region N
Mayo Clinic Health System — Lake City N
Mayo Clinic Health System — Fairmont N
Mayo Clinic Health System — St. James N
Mayo Clinic Health System — Franciscan Medical Center Inc. 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
Stroebel, M.D. Robert Chair 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Newman, M.D. James Vice Chair 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Parks Doug Secretary 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Cognetta-Rieke, D.N.P., R.N. Cheristi Nurse 1 ACO Participant Representative Represents Mayo Clinic Health System — Southwest Minnesota Region, Mayo Clinic Health System — Fairmont, and Mayo Clinic Health System — St. James
Crane, M.D. Sarah Physician 1 ACO Participant Representative Represents Mayo Clinic and Mayo Clinic Health System — Southeast Minnesota Region
Hanson, M.D. Curtis Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Jones, M.D. Lyell Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Loomis, M.D. Erica Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Matthias Mark Finance 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Moore Todd Finance 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Poe John Quality 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Simpson, M.D. Henry Physician 1 ACO Participant Representative Mayo Clinic Health System — Northwest Wisconsin Region Inc. and Mayo Clinic Health System — Franciscan Medical Center Inc.
Wang Jia Finance 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Whited, M.D. Brian Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Witte, M.D. Robert Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Wittich, M.D. Christopher Physician 1 ACO Participant Representative Represents All 8 Mayo Clinic Community ACO Participants
Campbell John 1 Medicare Beneficiary Representative

Key ACO clinical and administrative leadership

Name Title/Position
Doug Parks ACO Executive
Robert Stroebel, M.D. Medical Director
Brenda Mickow Compliance Officer
Sarah Crane, M.D. Quality Assurance/Improvement Officer

Associated committees and committee leadership

Committee Name Committee Leader Name and Position
Ambulatory Quality Subcommittee Sarah Crane, M.D. (Chair)
Utilization Management Subcommittee Robert Stroebel, M.D. (Chair)
ACO Finance Subcommittee Mark Matthias (Chair)

Types of ACO participants, or combinations of participants, that formed the ACO

The ACO Participants of Mayo Clinic Community ACO, LLC are comprised of the following types of entities:

  • ACO professionals in a group practice arrangement
  • Hospitals employing ACO professionals
  • Critical Access Hospitals (CAH) billing under Method II
  • Rural Health Clinics (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $5,902,456.44

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%

Quality Performance Results

ACO # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.69 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 92.74 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.52 92.69
ACO-4 CAHPS: Access to Specialists 77.74 81.54
ACO-5 CAHPS: Health Promotion and Education 62.08 60.44
ACO-6 CAHPS: Shared Decision Making 57.68 62.78
ACO-7 CAHPS: Health Status/Functional Status 74.80 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 23.13 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.49 92.84
ACO-46 CAHPS: Care Coordination 88.01 86.89
ACO-8 Risk Standardized, All Condition Readmission 13.86 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.14 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.57 1.87
ACO-13 Falls: Screening for Future Fall Risk 98.52 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 83.65 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.00 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 73.71 70.40
ACO-19 Colorectal Cancer Screening 82.40 70.76
ACO-20 Breast Cancer Screening 86.07 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.50 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 11.88 13.88
ACO-28 Controlling High Blood Pressure 78.00 75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.

  • Our ACO did not participate in the Shared Savings Program in the 2018 performance year; therefore this section is not applicable at this time.

Payment Rule Waivers

  • Waiver for Payment for Telehealth Services:
    • Starting January 1, 2020, our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.