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.

Sept. 14, 2021

Original article: https://www.mayoclinic.org/patient-care-and-health-information/aco