Public Reporting

ACO Name and Location

Henry Ford Physicians Accountable Care Organization, LLC; D/B/A Mosaic ACO
One Ford Place, Suite 4B

ACO Primary Contact

Jodie Elsberg
(313) 876-1552
MosaicACO@HFHS.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
AARON M VANWAGNEN MD PLLC	N
ALLI MED PLLC	N
AMRITRAJ LOGANATHAN MD PC	N
ANDREW M LAFLEUR MD PLC	N
ARSHAD AQIL MD PLLC	Y
ARTHUR R VENDOLA MD PC	N
BEVERLY JAREMA	N
BRAD E KREMER PLLC	N
BRENT J RAAP DO PC	N
CARDIOLOGY GROUP OF LANSING PC	N
CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE	N
CENTER FOR FAMILY HEALTH	N
CHARLOTTE YANG	N
CLAUDIA ZACHAREK MD PLC	N
CONTEMPORARY FOOT AND ANKLE PLLC	N
COVENANT MEDICAL CENTER INC	N
DAVID HALSEY	N
DECKERVILLE COMMUNITY HOSPITAL, INC	N
DOMINADOR LAYNES	N
DONALD C JONES MD PC	N
DR MARTINS FOOT AND ANKLE CLINIC	N
DR. J. THWAINEY MD PC	N
ELMORTADA MEDICAL SERVICES PC	N
ENDOCRINOLOGY AND WEIGHT LOSS CENTER PLLC	N
EVELYN ECCLES	N
HENRY FORD HEALTH SYSTEM	N
HENRY FORD MACOMB HOSPITAL CORPORATION	N
HENRY FORD PHYSICIAN PARTNERS	N
HENRY FORD WEST BLOOMFIELD HOSPITAL	N
HENRY FORD WYANDOTTE HOSPITAL	N
HILLS & DALES GENERAL HOSPITAL INC	N
HILLSDALE PULMONARY CRITICAL CARE AND SLEEP MEDICINE PC	N
IEP OBSERVATION MEDICINE - JACKSON PLLC	N
IHP HOSPITAL MEDICINE - JACKSON PLLC	N
IMDAD H BUTT MD PC	N
IMMI HEALTH CENTER PLLC	N
JACKSON CARDIOLOGY CONSULTANTS PLLC	N
JACKSON FAMILY MEDICAL PLLC	N
JACKSON RADIOLOGY CONSULTANTS, P.C.	N
JILL M PAVEGLIO MD PLC	N
JONESVILLE HEALTHCARE PLLC	N
KIDNEY AND HYPERTENSION SPECIALISTS PLLC	N
LYNN VAN WAGNEN MD PC	N
MARK HEINZELMANN	N
MARK LEVENTER	N
MARLETTE REGIONAL HOSPITAL	N
METRO SHORES INTERNAL MEDICINE, PLLC	N
MICHIGAN INSTITUTE OF NEUROLOGICAL DISEASES, PLLC	N
MICHIGAN SPINE AND BRAIN INSTITUTE, PC	N
MID MICHIGAN EYE CARE CENTER PC	N
MID MICHIGAN GASTROENTEROLOGY CONSULTANTS PC	N
MID MICHIGAN MEDICINE PC	N
MID MICHIGAN VASCULAR SURGERY, P.C.	N
MINOO KHETARPAL MD PLLC	N
MOLLY PARKER DO PC	N
MSU HEALTH CARE INC.	N
MUHAMMAD JILANI	N
NADEEM ULLAH MD PLC	N
OBHG MICHIGAN, PC	N
PILLAY INTERNAL MEDICINE ASSOCIATES, PLLC	N
PLASENCIA FAMILY MEDICINE PLLC	N
PULMONARY CLINICS OF SOUTHERN MICHIGAN	N
QUALITY SLEEP AND NEUROLOGY PC/td>	N
RAJENDRA MEHTA, MD, PC	N
RAKESH CHOKSHI MD PLC	N
REZA KAHNAMOUEI MD PLLC	N
ROBERT M DOANE MD PC	N
RONALD L GONZALES MD PLLC	N
SAGINAW VALLEY MEDICAL CARE PLC	N
SAJEDA NUSRAT MD FAMILY MEDICINE PLLC	N
SANJEEV PRAKASH	N
SCHEURER HOSPITAL	N
SPRINGCREST FAMILY PHYSICIANS, P.C.	N
SUBBARAO CHAVALI	N
SUMMIT PODIATRY GROUP PC	N
TRICITY INTERNISTS	N
VALLEY ENT ASSOCIATES PC	N
W A FOOTE MEMORIAL HOSPITAL INC	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage or number)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
Jerome	Finkel	Interim CEO	0%	Other	N/A
Steven	Fried	Medical Director	0%	Other	N/A
Robin	Damschroder	Treasurer	0%	Other	N/A
Steven	Bender	Secretary	0%	Other	N/A
Ronald	Gonzales	Voting Member	9.09%	ACO Participant Representative	RONALD L GONZALES MD PLLC
Kevin	Albosta	Voting Member	9.09%	ACO Participant Representative	COVENANT MEDICAL CENTER INC
Ross	Ramsey	Voting Member	9.09%	ACO Participant Representative	SCHEURER HOSPITAL
Arshad	Aqil	Voting Member	9.09%	ACO Participant Representative	ARSHAD AQIL MD PLLC
Matthew	Deibel	Voting Member	9.09%	ACO Participant Representative	COVENANT MEDICAL CENTER INC
Courtland	Keteyian	Voting Member	9.09%	ACO Participant Representative	W A FOOTE MEMORIAL HOSPITAL INC
David	Kolde	Voting Member	9.09%	ACO Participant Representative	W A FOOTE MEMORIAL HOSPITAL INC
Anish	Wadhwa	Voting Member	9.09%	ACO Participant Representative	PULMONARY CLINICS OF SOUTHERN MICHIGAN
Christopher	Milback	Voting Member	9.09%	ACO Participant Representative	HENRY FORD MACOMB HOSPITAL CORPORATION
Shalini	Modi	Voting Member	9.09%	ACO Participant Representative	HENRY FORD HEALTH
Lisa	Ericksen	Voting Member	9.09%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Jodie Elsberg
Medical Director: Steven Fried, MD
Compliance Officer: Kevin Durell, DO
Quality Assurance/Improvement Officer: Jerome Finkel, MD

Associated Committees and Committee Leadership:

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

ACO professionals in group practice arrangements. Partnerships or joint venture arrangements between hospitals and ACO professionals. Hospitals employing ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Performance Year 2026, N/A

• Performance Year 2025, N/A

• Performance Year 2024, $19,972,201.39

• Performance Year 2023, $12,659,245.91

• Performance Year 2022, $10,506,938.32

Shared Savings Distribution:

• Second Agreement Period
  • Performance Year 2026
    • 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 2025
    • 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 2024
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%

• Performance Year 2023
  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 80%

• Performance Year 2022
  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 80%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #	Measure Title	Collection Type	Performance Rate	Current Year Mean Performance Rate (Shared Savings Program ACOs)
321	CAHPS for MIPS	CAHPS for MIPS Survey	8.04	6.67
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1594	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	-	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	98.79	88.99
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	75.55	68.6
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	76.92	79.98
113	Colorectal Cancer Screening	CMS Web Interface	83.06	77.81
112	Breast Cancer Screening	CMS Web Interface	84.68	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	92.14	86.5
370	Depression Remission at Twelve Months	CMS Web Interface	10.48	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	8.06	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	93.36	81.46
236	Controlling High Blood Pressure	CMS Web Interface	78.23	79.49
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	87.48	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	95.96	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	93.52	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	74.62	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	69.66	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.66	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.69	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.32	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.82	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	26.61	26.98

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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.
• Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613. 

Fraud and Abuse Waivers

• ACO Pre-Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Application and Operational Services:

• Parties to the arrangement: ACO, ACO participants, ACO providers/suppliers, and vendors providing services to the ACO, ACO participants and/or ACO providers/suppliers.
• Date of arrangement: As of January 1, 2021.
• Items, services, goods or facility provided: The ACO entered into an arrangement pursuant to which Henry Ford Health (an ACO participant) provided all funding for the administrative services, management services, professional services, and information technology infrastructure and services necessary to reorganize the ACO, submit an MSSP application, and qualify for participation in the MSSP. Under this arrangement the ACO participants agreed to participate in the ACO and MSSP, and provide in-kind services to and for the ACO and other ACO participants. Each of the ACO participants also participate in one of three regional networks. Each of the three regional networks has agreed to reimburse Henry Ford Health, on an equal pro rata basis, the total amount expended by Henry Ford Health for such administrative services, management services, professional services, and information technology infrastructure and services. This arrangement included the review and revision of the ACO articles of organization, operating agreement, and participation agreements; the submission of the MSSP application and supporting documentation; acquiring and providing the MSSP repayment mechanism; and completing all the MSSP signing event requirements.
• Date and nature of any amendments to the arrangement, if applicable: None.

• ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Operational Services:

• Parties to the arrangement: ACO, ACO participants, ACO providers/suppliers, and vendors providing services to the ACO, ACO participants and/or ACO providers/suppliers.
• Date of arrangement: As of January 1, 2021.
• Items, services, goods or facility provided: The ACO has entered into a management services agreement pursuant to which Henry Ford Physician Network (“HFPN”), will provide all administrative services, management services, professional services, and information technology infrastructure and services related to the ACO’s participation in the MSSP. Each of the three regional networks will be responsible for an equal pro rata share of the fees charged by Henry Ford Health for providing such services to the ACO under the management services agreement.
• Date and nature of any amendments to the arrangement, if applicable: None.