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
Bohman	Bryan	Board Chair (MD)	30%	ACO Participant Representative	University Healthcare Alliance
Krna	Catherine	Member	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

Key ACO Clinical and Administrative Leadership
David Overton	ACO Executive
Michael Kim, MD	Medical Director
Monica Chu, JD	Compliance Officer
Stephan Schwarzwaelder, RN	Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership
Committee Name	Committee Leader Name and Position
Quality Assurance and Utilization Management	Michael Kim, MD  David Overton, RN
Finance and Cost Analysis	Michael Weatherford

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 2019 – $1,918,033

Shared Savings Distribution

• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 50%
    • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2019 Quality Performance Results

ACO #	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	83.77	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	93.51	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	91.84	92.69
ACO-4	CAHPS: Access to Specialists	82.70	81.54
ACO-5	CAHPS: Health Promotion and Education	55.85	60.44
ACO-6	CAHPS: Shared Decision Making	56.86	62.78
ACO-7	CAHPS: Health Status/Functional Status	75.95	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	18.02	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	91.68	92.84
ACO-46	CAHPS: Care Coordination	83.75	86.89
ACO-8	Risk Standardized, All Condition Readmission	14.38	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	49.32	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.32	1.87
ACO-13	Falls: Screening for Future Fall Risk	50.57	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	91.71	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	56.00	78.04
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	73.91	70.40
ACO-19	Colorectal Cancer Screening	79.21	70.76
ACO-20	Breast Cancer Screening	83.36	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.15	82.17
ACO-40	Depression Remission at Twelve Months	35.29	13.58
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	8.46	13.88
ACO-28	Controlling High Blood Pressure	76.75	75.04

 

For previous years’ financial and quality performance results, please visit data.cms.gov.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  –Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
• Waiver for Payment for Telehealth Services:
  –No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.

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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