Accountable Care Organization (ACO) Public Reporting Information
ACO Name and Location
ACO Primary Contact
- Primary Contact Name: Ms. Ann Meyers
- 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 |
Meyers |
Ann |
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 |
Ann Meyers |
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.