Accountable Care Organization (ACO) Public Reporting Information
ACO Name and Location
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 |
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 |
Adusumalli, M.B.B.S. |
Jayanth |
Physician |
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 |
Roberts, M.D. |
Christopher |
Physician |
1 |
ACO Participant Representative |
Mayo Clinic Health System — Northwest Wisconsin Region Inc. and Mayo Clinic Health System — Franciscan Medical Center Inc. |
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 |
Campbell |
John |
|
1 |
Medicare Beneficiary Representative |
|
Key ACO clinical and administrative leadership
- ACO Executive: Doug Parks
- Medical Director: Robert Stroebel, M.D.
- Compliance Officer: Michelle Densley
- Quality Assurance/Improvement Officer: Sarah Crane, M.D.
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
- Second Agreement Period
- Performance Year 2020, $12,651,109.46
- First Agreement Period
- Performance Year 2019, $5,902,456.44
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 0
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
- 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%
2020 Quality Performance Results
ACO Quality Measure Number |
Measure Name |
Rate |
ACO Mean |
ACO-8 [1] |
Risk Standardized, All Condition Readmission |
13.67 |
15.07 |
ACO-38 [1,2] |
Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions |
47.16 |
49.50 |
ACO-43 [3] |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality) |
0.82 |
0.95 |
ACO-13 |
Falls: Screening for Future Fall Risk |
99.67 |
84.97 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
83.61 |
76.03 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
95.24 |
81.67 |
ACO-18 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
55.34 |
71.46 |
ACO-19 |
Colorectal Cancer Screening |
84.58 |
72.59 |
ACO-20 |
Breast Cancer Screening |
86.35 |
74.05 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
86.44 |
83.37 |
ACO-40 |
Depression Remission at Twelve Months |
16.29 |
13.99 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
12.69 |
14.70 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
73.64 |
72.87 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
For Previous Years' Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.