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%
- Performance Year 2019
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.
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