Medicare Shared Savings Program

ACO Name and Location

Oakwood Accountable Care Organization, LLC
26901 Beaumont Boulevard
Southfield, Michigan 48033

ACO Primary Contact

Primary Contact NameWalter R. Lorang
Primary Contact Phone Number947.522.0023
Primary Contact Email Addresswalter.lorang@beaumont.org

 

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
MEHRAN MIRKAZEMI DO PLLCY
Mohamad Bazzi M D P CY
M HAZEM RASLAN MD PCY
MIDWEST CARDIOLOGY ASSOCIATES PCY
SchaeferMedicalCenterDearbornPLCY
Stephen R Bell DO PCY
AdvancedPulmonary&SleepAssociates PCY
SENIOR CARE MEDICAL GROUP, PLLCY
MichiganWomen'sCarePLLCY
FRIEDMAN SURGICAL GROUP, PCY
Rana Khoury MD PCY
Community Family Physicians PLLCY
Fayda Zakaria, M.D., PCY
Cedar Medical AssociatesY
Helen Etemadi Do PllcY
MICHELLE AKLER MD PCY
Oakwood Medical Practices, PLLCY
Venocure, PllcY
MICHIGAN PERINATAL ASSOCIATES, P.C.Y
Lloyd BeaudryY
Oakwood Healthcare IncY
Drs Harris Birkhill Wang Songe & Associates P CY
AnesthesiaAssociatesofAnnArborPLLCY
Dr Kane And Associates PcY
DEARBORN PODIATRIC SURGEONS PCY
Affiliated Podiatrist, P.C.Y
ADVANCED PODIATRY OF DEARBORN PCY
John E Bodell Do PcY
Karen L. Chapel MD PCY
Southland Eye Clinic PCY
Mahmood Khan MD PCY
Lawrence M Fallat DPM PCY
DANNY A. KAPLAN DPM PCY
Bakke Medical PCY
Aaron B. Rives, DPM PCY
PHILIP H. KRESCHY
SURENDRA M KUMAR MD PCY
Oakleaf Neurology & Sleep P CY
Rose M Ibrahim MD PCY
Vicki Anton Anthens Dpm PcY
Digestive Disease Clinic PCY
John W Armstead MD PCY
John N Evans Dpm PcY
Tarif Mustafa Md PcY
NEPHROLOGY HYPERTENSION CLINIC PCY
Alan J Schram Dpm PcY
Kamal Gupta MD PCY
Sunstrum Medical Associates P.C.Y
Ali M Dagher MD PCY
JEFFREY E PUCCIO MD PCY
Lloyd BeaudryY
Ziad Berri MD PCY
ASSOCIATES IN GASTROENTEROLOGY PCY
Iqbal A Nasir MD PCY
Kavitha Ponduri Md PcY
FUAD TURFAH MD PCY
ARTHRITIS CONSULTANTS PCY
Acute Care Internists PCY
Juan A. Estigarribia M.D. Pc.Y
HUMBERTO BERNAL M.D., P.C.Y
FREDERICK L LOPATIN, DO, PCY
Mohammed A Arman Md PcY
DOWNRIVER INTERNAL MEDICINE PCY
Eric T Silberg Md PcY
SOUTHGATE FOOT AND ANKLE CENTER PLLCY
CANCER & TRANSPLANT CONSULTANTS PLCY
Oakwood Ambulatory, LLCY
ARIEL WAITZMAN MD PLLCY
Nilofer Nisar Md PlcY
Richard R Hammoud Md PcY
DR. GANESH DESHMUKH MDY
Hassan Dakroub MD PLLCY
Downriver Endocrinology PLCY
Lakeshore Surgical Consultants, PlcY
Canton Family Medicine and Medical Spa PLLCY
MA Sobh DO PLCY
EliasHKassabMDPLLCY
NephrologyandCriticalcarePLLCY
Internal Medicine Of DearbornY
Thamer Medical PLLCY
Mancini Consulting LLCY
Wayne Primary CareY
Rakesh Ramakrishnan MDPCY
Executive Health PCY
Renal Care Consultant, P.CY
DownriverFamilyPhysiciansPCY

 

ACO governing body:

Member   
Last NameFirst Name Title/PositionMember's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Abdallah, MDBelalBoard Chair, Beaumont ACO
 Internal Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeSenior Care Medical Group, PLLC
Ali, MDHalimaBoard Manager, Beaumont ACO
 Family Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeOakwood Ambulatory, LLC
Baker, MDCarolBoard Manager, Beaumont ACO
 Family Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeOakwood Ambulatory, LLC
Bell, DOStephenBoard Manager, Beaumont ACO
 Internal Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeSteven Bell, DO PC
Boppana, MDSasiBoard Manager /Secretary Beaumont ACO
Associate Medical Director, Beaumont ACO
Internal Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeKavitha Ponduri, MD PC
Frattarelli, MDDanielBoard Manager, Beaumont ACO
 Pediatrician (PCP)
Voting MemberACO Participant RepresentativeOakwood Ambulatory, LLC
Ghorayeb, MDGhadiBoard Manager, Beaumont ACO
 Internal Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeCedar Medical Associates
Henoch, MD   MalcolmBoard Manager, Beaumont ACO
Senior Vice President & Associate Chief Medical Officer
Beaumont Health
Voting MemberACO Participant RepresentativeOakwood Healthcare, Incorporated
Jain, MDAshok B.Board Manager, Beaumont ACO
SVP and Chief Medical Officer
Radiologist (Specialist)
Voting MemberACO Participant RepresentativeDrs Harris, Birkhill, Wang, Songe & Associates PC
KerndlJohnBoard Manager, Beaumont ACO
Executive Vice President & Chief Financial Officer,
Beaumont Health
Voting MemberACO Participant RepresentativeOakwood Healthcare, Incorporated
LaCasse, DO MPHPaulBoard Manager, Beaumont ACO
Executive Vice President,
Post Acute Care Division and Diversified Business Operation,
Beaumont Health
Voting MemberACO Participant RepresentativeOakwood Healthcare, Incorporated
Raslan, MD FCCPMohamadBoard Manager, Beaumont ACO
Pulmonologist (Specialist)
Voting MemberACO Participant RepresentativeM. Hazem Raslan, MD PC
Shah, MDSarjuBoard Manager/Vice Chairman,  Beaumont ACO
Medical Director, Beaumont ACO
Family Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeOakwood Ambulatory, LLC
Silberg, MDEricBoard Manager, Beaumont ACO
Orthopaedic Surgeon (Specialist)
Voting MemberACO Participant RepresentativeEric T. Silberg, MD PC
Slaim, DOAbrahamBoard Manager, Treasurer,
 Beaumont ACO
Family Medicine Physician (PCP)
Voting MemberACO Participant RepresentativeOakwood Ambulatory, LLC
Ummadi, MDSudheerBoard Manager, Beaumont ACO
Nephrologist (Specialist)
Voting MemberACO Participant RepresentativeNephrology Hypertension Clinic, PC
Wood, MDDavidBoard Manager, Beaumont ACO
Executive Vice President and Chief Medical Officer
Beaumont Health
Voting MemberACO Participant RepresentativeOakwood Healthcare, Incorporated

 

Medicare Shared Savings Beneficiary Advisory Committee:
 

Last NameFirst NameTitle/PositionMember TypeOakwood ACO Participant Legal Name

 Abdallah, MD

BelalBoard Chair, Beaumont ACO
 Internal Medicine Physician (PCP)
ACO Participant RepresentativeSenior Care Medical Group, PLLC                                                   
 Ali, MD HalimaBoard Manager, Beaumont ACO
 Family Medicine Physician (PCP)
ACO Participant RepresentativeOakwood Ambulatory, LLC
 Baker, MD BakerBoard Manager, Beaumont ACO
 Family Medicine Physician (PCP)
ACO Participant RepresentativeOakwood Ambulatory, LLC
Henoch, MDMalcolmBoard Manager, Beaumont ACO
 Senior Vice President and Associate Chief Medical Officer, 
 Beaumont Health           
ACO Participant RepresentativeOakwood Healthcare, Incorporated
MikoryakVedaMedicare BeneficaryMedicare Beneficiary Representative 
Shah, MDSarjuBoard Manager/ Vice Chairman, Beaumont ACO
 Medical Director, Beaumont ACO
 Family Medicine Physician (PCP)
ACO Participant RepresentativeOakwood Ambulatory, LLC
Slaim, DOAbrahamBoard Manager/  Treasurer, Beaumont ACO
 Family Medicine Physician (PCP)      
ACO Participant RepresentativeOakwood Ambulatory, LLC
SmithJeanMedicare BeneficiaryMedicare Beneficiary Representative 
SnyderMargaretMedicare BeneficiaryMedicare Beneficiary Representative 
Ummadi, MDSudheerBoard Manager, Beaumont ACO
Nephrologist (Specialist)
ACO Participant RepresentativeNephrology Hypertension Clinic, PC
     
SolbergPhylissMedicare BeneficiaryMedicare Beneficiary Representative 

Key ACO clinical and administrative leadership:

 

Walter LorangACO Executive
Sarju ShahMedical Director
Lisa BurryCompliance Officer
Lisa BurryQuality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Executive CommitteeBelal Abdallah, MD, Chairman
Nominating CommitteeAshok B. Jain, MD, Chairman
Governance CommitteeStephen Bell, DO, Chairman 
Finance and Contracting Committee Abraham Slaim, DO,  Chairman

Quality and Utilization Committee

Halima Ali, MD, Chairman

Medicare Shared Savings Beneficiary Advisory Committee

Sarju Shah, MD, Chairman

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $6,606,418
  • First Agreement Period
    • Performance Year 2015, $6,972,349
    • Performance Year 2014, $8,147,793
    • Performance Year 2013, $8,570,669
    •  

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 32%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 68%
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2014
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2013
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 70%

Quality Performance Results

2016 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1    CAHPS: Getting Timely Care, Appointments, and Information 75.0980.51
ACO-2CAHPS: How Well Your Providers Communicate 91.8993.01
ACO-3CAHPS: Patients’ Rating of Provider 90.9692.25
ACO-4CAHPS: Access to Specialists 82.5683.49
ACO-5CAHPS: Health Promotion and Education62.4160.32
ACO-6CAHPS: Shared Decision Making 75.8375.40
ACO-7CAHPS: Health Status/Functional Status 72.2472.30
ACO-34CAHPS: Stewardship of Patient Resources 30.3026.97
ACO-8Risk Standardized, All Condition Readmission15.4614.70
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)19.4618.17
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes64.1853.20
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure97.2375.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions72.0359.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)10.919.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)15.2614.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use Requirements94.1282.72
ACO-39Documentation of Current Medications in the Medical Record78.8087.54
ACO-13Falls: Screening for Future Fall Risk 83.6064.04
ACO-14Preventive Care and Screening: Influenza Immunization66.6768.32
ACO-15Pneumonia Vaccination Status for Older Adults64.4069.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up86.9074.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention97.2290.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan64.0053.63
ACO-19Colorectal Cancer Screening63.4961.52
ACO-20Breast Cancer Screening70.1667.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 89.6876.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease79.8477.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 16.1318.24
ACO-41Diabetes: Eye Exam47.1844.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure 70.9270.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic88.9785.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)86.1588.67
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)82.2679.67

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “Oakwood Accountable Care Organization, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A55129 in the public use files on data.cms.gov.

Payment Rule Waivers

·         No, our ACO does not use the SNF 3-Day Rule Waiver.

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