|
ACO Participants |
ACO Participant in Joint Venture |
|
Adam Nickel |
N |
|
Adult and Child Medicine LLC |
N |
|
Allcare Medical Clinic Inc. |
N |
|
Amos Shirman |
N |
|
Bonney Lake Medical Center |
N |
|
Cynthia Taylor, MD |
N |
|
Daniel Gottlieb |
N |
|
DANIEL ZIPEROVICH |
N |
|
DONALD LOOMIS |
N |
|
Dunia Health Clinic LLC |
N |
|
Electrodiagnosis & Rehabilitation Associates Of Tacoma Ps |
N |
|
Enumclaw Regional Hospital Association |
N |
|
Fhs Inpatient Team |
N |
|
Franciscan Health System |
N |
|
Franciscan Health System |
N |
|
Franciscan Medical Group |
N |
|
Hanmi Medical Clinic Llc |
N |
|
Harrison Medical Center |
N |
|
HARRY A. PIERCE, DO, PS |
N |
|
Highline Medical Center |
N |
|
Home Towne Family Medicine, PLLC |
N |
|
Hsushi Yeh |
N |
|
Integrated Neurology Health Services, PS |
N |
|
Jeanne Isaacson, M.D., Pc |
N |
|
Jeff Cooper Do Pllc |
N |
|
JEFFREY HOFF |
N |
|
Kenneth L P Morton Md Pc |
N |
|
KENT FAMILY PRACTICE PS |
N |
|
Kevin Kennedy |
N |
|
Lisa Cowden |
N |
|
Marcus R. Kauffman, MD, PLLC |
N |
|
MB2K LLC |
N |
|
Michael Steiner |
N |
|
Northwest Vein And Aesthetic Center Ps |
N |
|
Nw Pain Management And Rehabilitation Associates, Inc. |
N |
|
Olympic Internal Medicine, INC., P.S. |
N |
|
Pacific Podiatry Group, Ps |
N |
|
Peninsula Family Medical Center |
N |
|
Peninsula RAD ONC CTR LLC |
N |
|
Portland Avenue Clinic Management |
N |
|
Proliance Surgeons, Inc, PS |
N |
|
PRUDENT MEDICAL PROVIDERS NW |
N |
|
Puyallup Dermatology Clinic Inc P.S. |
N |
|
Rainier Nephrology, PLLC |
N |
|
Razan R Al-Kudsi Md |
N |
|
Robert K Chow Md Ps |
N |
|
Saint Clare Hospital |
N |
|
SALISH INTEGRATIVE MEDICINE INC |
N |
|
Seatac Primary Care Physicians, Inc. |
N |
|
Sheldon J Cowen MDPS |
N |
|
Skin Cancer Clinic Of Seattle Inc Ps |
N |
|
South Puget Sound Neurology PLLC |
N |
|
South Seattle Nephrology Associates |
N |
|
St Francis Community Hospital |
N |
|
Steve Feller |
N |
|
Steven Mcclean Md Pc |
N |
|
SURGICAL ASSOCIATES NORTHWEST PC |
N |
|
Synergy Health |
N |
|
Tacoma Radiation Center Inc |
N |
|
TERRILL HARRINGTON |
N |
|
TLC Physicians PLLC |
N |
|
VIRGINIA MASON MEDICAL CENTER |
N |
|
WEST HILL MEDICAL CLINIC INC |
N |
MSSP Performance
ACO Name and Location
Franciscan Northwest Physicians Health Network, LLC
Previous Names: N/A
1149 Market Street
MS 10-34
Tacoma, Washington 98402
ACO Primary Contact
Primary contact name: Paulette Cranshaw
Primary contact phone number: 253-428-8444
Primary contact email address: [email protected]
Organizational Information
Member: Francis Mercado, MD
Title/Position: Physician Member/Board Chair
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Franciscan Medical Group
Member: Jude Verzosa, MD
Title/Position: Physician Member/CMO
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Franciscan Medical Group
Member: David Mayo
Title/Position: ACO Executive Secretary
Member's voting power: 0
Membership type: Ex-Officio
ACO participant legal business name/DBA, if applicable: Franciscan Health System
Member: Michael Anderson
Title/Position: Member
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Franciscan Health System
Member: Jane Dunham, MD
Title/Position: Member
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Virginia Mason Medical Center
Member: Kenneth Foerester, MD
Title/Position: Member
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Franciscan Medical Group
Member: David Nosacka
Title/Position: Member
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Franciscan Health System
Member: Melissa Lo, MD
Title/Position: Physician Member
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: The Doctors Clinic
Member: Christine Palermo, MD
Title/Position: Physician Member/Treasurer
Member's voting power: 11.11%
Membership type: ACO participant
ACO participant legal business name/DBA, if applicable: Virginia Mason Medical Center
Member: Greg Semerdjian, MD
Title/Position: Physician Member
Member's voting power: 11.11%
Membership type: Medicare Beneficiary
ACO participant legal business name/DBA, if applicable: N/A (Retired)
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
ACO Executive: David Mayo
Medical Director: Jude Verzosa, MD
Compliance Officer: David Walsh
Quality Assurance/Improvement Officer: Jude Verzosa, MD
|
Committee Name |
Committee Leader Name and Position |
|
Quality of Care |
Jude Verzosa, MD - Chair |
|
Contracting & Product Developing |
David Mayo - Chair |
|
Finance |
Christine Palermo, MD - Chair |
|
Executive |
Francis Mercado, MD - Chair |
- Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
- Fourth Agreement Period
- Performance Year 2022, $6,665,271.88
- Third Agreement Period
- Performance Year 2021, $13,631,865.68
- Performance Year 2020, $9,894,970.59
- Performance Year 2019, $9,982,459.69
- Second Agreement Period
- Performance Year 2018, $6,705,312
- Performance Year 2017, $0
- Performance Year 2016, $0
- First Agreement Period
- Performance Year 2015, $2,981,335
- Performance Year 2014, $0
- Performance Year 2013, $0
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
- Fourth Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 65%
- Performance Year 2022
- Third Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
- Performance Year 2020
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
- Performance Year 2021
- Second Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 0
- 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 2016
- 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 2018
- First Agreement Period
- Performance Year 2015
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 60%
- 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 2013
- 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 2015
Quality Performance Results
Measure #: 001
Measure Name: Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]
Collection Type: CMS Web Interface
Rate: 11.64
ACO Mean: 10.71
Measure #: 134
Measure Name: Preventative Care and Screening: Screening for Depression and Follow-up Plan
Collection Type: CMS Web Interface
Rate: 61.45
ACO Mean: 76.97
Measure #: 236
Measure Name: Controlling High Blood Pressure
Collection Type: CMS Web Interface
Rate: 76.35
ACO Mean: 76.16
Measure #: 318
Measure Name: Falls: Screening for Future Fall Risk
Collection Type: CMS Web Interface
Rate: 79.77
ACO Mean: 87.83
Measure #: 110
Measure Name: Preventative Care and Screening: Influenza Immunization
Collection Type: CMS Web Interface
Rate: 75.21
ACO Mean: 77.34
Measure #: 226
Measure Name: Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
Collection Type: CMS Web Interface
Rate: 50.00
ACO Mean: 79.27
Measure #: 113
Measure Name: Colorectal Cancer Screening
Collection Type: CMS Web Interface
Rate: 82.33
ACO Mean: 75.32
Measure #: 112
Measure Name: Breast Cancer Screening
Collection Type: CMS Web Interface
Rate: 81.44
ACO Mean: 78.07
Measure #: 438
Measure Name: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Collection Type: CMS Web Interface
Rate: 87.79
ACO Mean: 86.37
Measure #: 370
Measure Name: Depression Remission at Twelve Months
Collection Type: CMS Web Interface
Rate: 8.33
ACO Mean: 16.03
Measure #: 321
Measure Name: CAHPS for MIPS [3]
Collection Type: N/A
Rate: N/A
ACO Mean: N/A
Measure #: 479
Measure Name: Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]
Collection Type: CMS Web Interface
Rate: 0.1373
ACO Mean: 0.1510
Measure #: 484
Measure Name: Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]
Collection Type: CMS Web Interface
Rate: 28.84
ACO Mean: 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.