Accountable Care Organization
ACO Public Reporting
ACO Name & Location
UHA ACO LLC
7979 Gateway Blvd.
Suite 120
Newark, CA 94560
ACO Primary Contact
Primary Contact Name: Soumya Mamidala
Primary Contact Phone Number: 510-662-5811
Primary Contact Email Address: SMamidala@stanfordhealthcare.org
ACO Participants
University HealthCare Alliance
ACO Participant in Joint Venture: No
ACO Governing Body | |||||
Member Last Name | Member First Name | Member Title/ Position |
Member (%) Voting Power | Membership Type | Legal Business Name/DBA |
Krna | Catherine | Member, Interim Board Chair | 30% | ACO Participant Representative | University Healthcare Alliance |
Sankary | Richard | Member (MD) | 30% | ACO Participant Representative | University Healthcare Alliance |
Woods | George | Medicare Beneficiary (MD) | 10% | Medicare Beneficiary | N/A |
Kim | Michael | Interim Member
|
30% | ACO Participant Representative | University Healthcare Alliance |
Key ACO Clinical and Administrative Leadership |
|
David Overton | ACO Executive |
Michael Kim, MD | Medical Director |
Michael O’Connell | Compliance Officer |
David Overton | Quality Assurance/Improvement Officer
|
Associated Committees and Committee Leadership | |
Committee Name | Committee Leader Name and Position |
Quality Assurance and Utilization Management |
Michael Kim, MD, Co-Chair David Overton, RN, Co-Chair |
Finance and Cost Analysis | Michael Weatherford, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
ACO Professionals in group practice arrangements
Shared Savings & Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2020 – $12,990,026.32
- Performance Year 2019 – $1,918,033
Shared Savings Distribution
- First Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 75%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 0%
- Performance Year 2019
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 0%
- Performance Year 2020
Quality Performance Results
2020 Quality Performance Results
ACO # | Measure Name | Rate | ACO Mean |
ACO-8 | Risk Standardized, All Condition Readmission | 14.11 | 15.07 |
ACO-38 | Risk Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions | 40.91 | 49.50 |
ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 0.51 | 0.95 |
ACO-13 | Falls: Screening for Future Fall Risk | 83.09 | 84.97 |
ACO-14 | Preventive Care and Screening: Influenza Immunization | 90.68 | 76.03 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94.74 | 81.67 |
ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 79.27 | 71.46 |
ACO-19 | Colorectal Cancer Screening | 77.10 | 72.59 |
ACO-20 | Breast Cancer Screening | 78.15 | 74.05 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 84.77 | 83.37 |
ACO-40 | Depression Remission at Twelve Months | 5.97 | 13.99 |
ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 11.14 | 14.70 |
ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 65.44 | 72.87 |
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.
Beneficiary Information Notice
Click here to print the Beneficiary Information Notice from your Primary Care Provider (PCP).
If you are a beneficiary and would like information about MSSP, please call:
- 1-800-MEDICARE (1-800-633-4227)
- Teletypewriter users, please call 1-877-486-2048