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
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.