ACO Name and Location
PMC ACO LLC
2425 S Linden Road
Suite B
Flint, MI 48532
ACO Primary Contact
Mike Grodus
734-302-2108
mgrodus@medicaladvantage.com
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture |
| A. Almansour, M.D., P.C. | N |
| Abdul Kabir, M.D. | N |
| Abdullah Raffee, M.D. PC | N |
| Ahmad Al-Dabagh MD PC | N |
| Ahmed A. Arif MD PC | N |
| Amanda Winston, MD PLLC | N |
| Asif Ishaque, M.D., P.C. | N |
| Caro Express Clinic PLC | N |
| Caro Health Plaza PLC | N |
| Caroline D Mathew, MD, PC | N |
| Cass River Health Plaza PLLC | N |
| Columbiaville Family Clinic PLLC | N |
| Cornerstone Family Medical Center PLLC | N |
| E Saeed MD PC | N |
| Edward Gomez-Seoane MD & Silvia Gomez-Seoane MD PC | N |
| F Khan Md Pc | N |
| Fenton Medical Center | N |
| Flushing Healthcare, PC | N |
| Gladwin Family Care PLLC | N |
| Hernandez Family Care PLLC | N |
| Huron Health Care Rashid Iqbal MD PC | N |
| Ibtihaj Rajoulh, M.D., P.C. | N |
| Jonathan E Pasko, MD PC | N |
| M.W. Eustace M.D. PLC | N |
| May Ghalib, MD, PC | N |
| Michigan Internal Medicine & Pediatrics, P.C. | N |
| Midwest Medical Practitioners LLC | N |
| Mohamed Ally Health Plaza PLLC | N |
| Monroe Health Center L.L.C. | N |
| Owosso Medical Group | N |
| Primary Care 360 | N |
| Rashid Iqbal MD PC | N |
| Saginaw Valley Walk-In Clinic PLLC | N |
| Shafi J Ahmed MD PC | N |
| Shaheen Mohammed MD PC | N |
| Shattuck Family Physicians PLLC | N |
| Sports and Regenerative Medicine PLLC | N |
| St. Charles Family Clinic PLLC | N |
| Vibha | N |
ACO governing body:
|
Member Last Name |
Member First Name |
Member Title/Position |
Member’s Voting Power: expressed as a percentage or number |
Membership Type |
ACO Participant Legal Business Name/DBA, if applicable |
|
Ishaque |
Asif |
President |
1 |
ACO Participant |
Asif Ishaque, M.D. P.C. |
|
Syed |
Mohammed |
Treasurer |
1 |
ACO Participant |
Ahmed A. Arif MD PC |
|
Duncan |
Deborah |
Vice President |
1 |
ACO Participant |
Fenton Medical Center |
|
Khan |
Farhan |
Medical Director |
1 |
ACO Participant |
F Khan Md Pc |
|
Saeed |
Elmahdi |
Secretary |
1 |
ACO Participant |
E Saeed MD PC |
|
Eustace |
Manoharan |
1 |
ACO Participant |
M.W. Eustace M.D. PLC | |
|
Jondy |
Mohammad |
1 |
ACO Participant |
Sports and Regenerative Medicine PLLC | |
|
Hamilton |
Richard |
1 |
Medicare Beneficiary Representative |
N/A | |
|
Kabir |
Abdul |
1 |
ACO Participant |
Abdul Kabir, M.D. | |
|
Bhurgri |
Aamer |
1 |
ACO Participant |
Monroe Health Center, L.L.C | |
|
Jaggi |
Michael |
0 |
Community Stakeholder Representative |
N/A | |
|
Mahfooz |
Naveed |
1 |
ACO Participant |
Caro Health Plaza PLC |
Key ACO clinical and administrative leadership:
ACO Executive: Asif Ishaque
Medical Director: Farhan Khan
Compliance Officer: Ben Bawcum
Quality Assurance/Improvement Officer: Farhan Khan
Associated committees and committee leadership:
|
Committee Name |
Committee Leader Name and Position |
|
Medical Management Committee |
Asif Ishaque, M.D., Chair |
|
Care Management Oversight Committee |
Farhan Khan, M.D., Chair |
|
Compliance Committee |
Ben Bawcum, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Third Agreement Period
- Performance Year 2022, $2,608,423
- Performance Year 2021, $1,519,476
- Performance Year 2020, $1,631,562
- Second Agreement Period
- Performance Year 2019, $1,599,396
- Performance Year 2018, $0
- Performance Year 2017, $0
- First Agreement Period
- Performance Year 2016, $4,292,165
- Performance Year 2015, $4,176,382
- Performance Year 2014, $0
Shared Savings Distribution:
- Third Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 3.2%
- Proportion invested in redesigned care processes/resources: 27.2%
- Proportion of distribution to ACO participants: 69.7%
- Performance Year 2021
- Proportion invested in infrastructure: 3.6%
- Proportion invested in redesigned care processes/resources: 27.4%
- Proportion of distribution to ACO participants: 69%
- Performance Year 2020
- Proportion invested in infrastructure: 2.8%
- Proportion invested in redesigned care processes/resources: 31.9%
- Proportion of distribution to ACO participants: 65.3%
- Performance Year 2022
- Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 2.9%
- Proportion invested in redesigned care processes/resources: 30.6%
- Proportion of distribution to ACO participants: 66.4%
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
- First Agreement Period
- Performance Year 2016
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 95%
- Performance Year 2015
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2014
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2016
Quality Performance Results
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface
Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
Quality ID #001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 11.11 | 10.71 |
Quality ID #134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 92.59 | 76.97 |
Quality ID #236 | Controlling High Blood Pressure | CMS Web Interface | 87.84 | 76.16 |
Quality ID #318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 90.72 | 87.83 |
Quality ID #110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 67.79 | 77.34 |
Quality ID #226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 81.25 | 79.27 |
Quality ID #113 | Colorectal Cancer Screening | CMS Web Interface | 70.86 | 75.32 |
Quality ID #112 | Breast Cancer Screening | CMS Web Interface | 75.77 | 78.07 |
Quality ID #438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 83.19 | 86.37 |
Quality ID #370 | Depression Remission at Twelve Months | CMS Web Interface | 20.59 | 16.03 |
Quality ID #321 | CAHPS for MIPS [3] | CMS Web Interface | N/A | |
Quality ID #479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | CMS Web Interface | 0.1702 | 0.1510 |
Quality ID #484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 31.49 | 30.97 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
- 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.