Public Reporting Information
UnityPoint Accountable Care, L.C. (ACO) Public Reporting Information
ACO Name and Location
UnityPoint Accountable Care, L.C.1776 West Lakes Parkway, Suite 400
West Des Moines, Iowa 50266
Hours of Operation:
7:30 a.m. - 4:30 p.m.
ACO Primary Contact
Dr. Megan Romine, ACO Interim Chief Executive Officer(515) 241-3762
E-Mail: Megan.Romine@unitypoint.org
ACO Composition
UnityPoint Accountable Care, L.C. is an Iowa limited liability company that brings together a diverse group of heath care providers, including hospitals, employed and independent physicians and other providers, as well as other health entities.
ACO Participating Providers
Governing Body
| Governing Board Member | Role | Employer | Voting Power |
|---|---|---|---|
| Dr. Mark Belz | Board Member | Iowa Kidney Physicians, P.C. | 10% |
| Doug Watson | Board Member | UnityPoint Health | 10% |
| Dr. Francis "Rocky" Kane | Board Member | UnityPoint Clinic | 10% |
| Mark Henrichs | Board Member | University of Iowa Health Care | 10% |
| Deanna Clingan-Fischer | Beneficiary Representative/Consumer Advocate | N/A | 10% |
| Dr. Ron Iverson | Board Member | Grand River Medical Group | 10% |
| Dr. Clete Younger | Board Member | UnityPoint Clinic | 10% |
| Dr. Vinay Kantamneni | Board Member | Cedar Valley Medical Specialists | 10% |
| Michelle Niermann | Board Member | UnityPoint Health | 10% |
| Aaron McHone | Board Member | UnityPoint Health | 10% |
Clinical and Administrative Leadership
- Dr. Megan Romine, Interim Chief Executive Officer and Medical Director, UnityPoint Accountable Care. Dr. Romine also serves as a Physician with UnityPoint Clinic. Dr. Megan Romine is also responsible for ACO quality assurance/improvement activities.
- ACO Compliance Officer, April D. Smith, UnityPoint Accountable Care
- Steve Palmersheim, Chief Financial Officer of UnityPoint Accountable Care. Mr. Palmersheim also serves as Chief Financial Officer for UnityPoint Clinic.
MSSP Shared Savings Program Public Reporting
MSSP Shared Savings/Losses
- Performance Year 2023: N/A
How Shared Savings Are Distributed in MSSP
The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries:
- Performance Year 2023: N/A
The proportion of Shared Savings distributed to MSSP Participants and Preferred Providers:
- Performance Year 2023: N/A
MSSP Quality Performance Results
- Performance Year 2023: N/A
Payment Rule Waivers
Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- UnityPoint Accountable Care utilizes the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
Joint Ventures
There are no joint ventures between or among the ACO and its Participants and Preferred Providers.
Previous CMS Model Public Reporting
Performance Year 2022: Global and Professional Direct Contracting (GPDC) Performance Results
GPDC Shared Savings/Losses
- Performance Year 2022: N/A
How Shared Savings Are Distributed in the GPDC Model
The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries:
- Performance Year 2022: N/A
The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers:
- Performance Year 1: N/A
GPDC Quality Performance Results
Performance Year 1 2022 Quality Results: N/A
NOTICE: UnityPoint Accountable Care (UAC) will participate in the Centers for Medicare and Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) in Performance Year 2023. The Global and Professional Direct Contracting (GPDC) Model ended effective December 31, 2022.
Performance Years 2016-2021: Next Generation ACO (NGACO) Model Performance Results
Next Generation ACO Model Shared Savings/Losses
| Performance Year 1 (2016): | $10,527,767 |
| Performance Year 2 (2017): | $11,478,688 |
| Performance Year 3 (2018): | $9,534,791 |
| Performance Year 4 (2019): | $41,987,629 |
| Performance Year 5 (2020): | $28,266,520 |
| Performance Year 6 (2021): | $0 |
Next Generation ACO Model Quality Performance Results
| Domain | ACO Measure # | Measure Title | ACO Performance Rate | Mean Performance Rates for all NGACOs |
|---|---|---|---|---|
| Patient/Caregiver Experience | ACO-1 | CAHPS: Getting Timely Care, Appointments and Information | 86.16 | 83.27 |
| ACO-2 | CAHPS: How Well Your Providers Communication | 93.54 | 93.53 | |
| ACO-3 | CAHPS: Patients' Rating of Provider | 92.25 | 92.33 | |
| ACO-4 | CAHPS: Access to Specialists | 81.09 | 77.54 | |
| ACO-5 | CAHPS: Health Promotion and Education | 59.68 | 61.32 | |
| ACO-6 | CAHPS: Shared Decision Making | 57.76 | 61.07 | |
| ACO-7 | CAHPS: Health Status/Functional Status | 75.52 | 74.59 | |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 25.11 | 22.68 | |
| ACO-45 | CAHPS: Courteous and Helpful Office Staff | 94.35 | 92.54 | |
| ACO-46 | CAHPS: Care Coordination | 87.73 | 86.32 | |
| Care Coordination/Patient Safety | ACO-8 | Risk-Standardized, All Condition Readmission* | 14.06 | 15.08 |
| ACO-38 | Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions* | 48.15 | 50.26 | |
| ACO-DAH | Days at Home for Patients with Complex, Chronic Conditions | 325.91 | 326.55 |
* Lower score indicates better performance.
Waivers
The Board of Managers of UnityPoint Accountable Care, L.C. has approved the following arrangements for the waivers authorized jointly by CMS and the OIG pursuant to the final rule providing a waiver of the application of the Federal Physician Self-Referral Law (commonly referred to as the Stark Law) and the Federal Anti-Kickback Statute for certain arrangements involving ACOs that participate in the MSSP. See Medicare Program; Final Waivers in Connection With the Shared Savings Program, 80 Fed. Reg. 66,725 (Oct. 29, 2015).
Orthopedic Participation Waiver
The purpose for the development of the Orthopedic Participation Waiver between specific UAC participants is to promote a coordinated program of care for orthopedic surgery patients. Centralized orthopedic surgical services seek to increase patient engagement, decrease overall cost of care, assist in coordination of care and apply quality metrics to patient outcomes. Approved by the Board of Managers on January 26, 2023.