Mercy ACO, LLC
Medicare Shared Savings ACO
In July 2012, Mercy ACO
Derek Novak, MBA ● 515.643.4454 ● ACO@mercydesmoines.org
CHI - Iowa Corp; Mercy Clinics, Inc.; Mercy Professional Practice Associates, Inc.; Mercy Therapeutic Radiology Associates, LLC; Perinatal Center of Iowa, LLC; Knoxville Community Hospital, Inc.; Primary Health Care, Inc.; Family Practice Clinic, PLC; West Grand Medical Associates; Jerrold V. Flatt, DO PC; Dallas Center Medical Associates; Mercy Medical Clinic (Centerville); Centerville Family Care Clinic; Allergy Asthma & Sinus Center; Nephrology PC; Iowa Surgery Center PC; Hematology & Oncology Center of Iowa; Madison County Health Care System; OB/GYN Associates of Des Moines, PLC; General Surgery Physicians PC; Jeffrey D. Stahl MD; Des Moines Retina Associates; Des Moines OB/GYN Specialists; ENT Clinic of Iowa, PC; Pathology Associates of Central Iowa, PLC; Chest, Infectious Diseases and Critical Care Associates, P.C.; Chariton Valley Medical Center, PC (Centerville); Southern Iowa Surgical Associates (Centerville); Central Iowa OB/GYN Specialists, PLC; Critical Care Medicine, PC; Allergy/Asthma Associates, PC; West Des Moines OBGYN Associates, P.C. ; Dennis P. Porto, M.D.; West Des Moines Children’s and Adolescent Clinic; Diagnostic Imaging Associates; Associates in Kidney Care, PLC; Dr. Ben A Collins JR PC; Dallas County Hospital; Adair County Health System; Women's Health Services, PC; Allergy Institute PC; Iowa Digestive Disease Center; Metro Anesthesia & Pain Management LLP; Capital Orthopaedics & Sports Medicine, PC
(Voting Members) Dr. David Swieskowski, Chair, Senior Vice President & Chief Accountable Care Officer ● David Vellinga, President, Mercy Medical Center – Des Moines ● Steven Kukla, Senior Vice President & Chief Financial Officer, Mercy Medical Center – Des Moines ● Dr. Steven Eckstat, Vice President, Primary Care Division, Mercy Medical Center – Des Moines ● Dr. Wael Haidar, Vice President, Hospital Services Division, Mercy Medical Center – Des Moines ● Dr. William Wickemeyer, Cardiovascular Division, Mercy Medical Center – Des Moines ● Dr. Don Burrows, Independent Physician Representative ● Carmella Brown (NOTE: All are ACO participants with the exception of Ms. Brown, who is a Medicare beneficiary.)
Key leadership and committees
David Vellinga, Chair, Physician Executive Council ● Dr. David Swieskowski, Chair, Integrated Care Committee ● Dr. Tim McCoy, Chair, Primary Care Quality Committee ● Sheri VerSteeg, Chair, Health Coach Council
Amount of shared savings or losses
To be determined
How shared savings are distributed
Utilize public report chart found here http://www.mercydesmoines.org/about_mercy/documents/Mercy-ACO-PublicReport-APR13.pdf
This information was last updated May 2013
How ACOs work
- Local health care providers and hospitals volunteer to work together to provide better coordinated care. Members are keenly focused on improving quality, providing greater value and slowing the increase in health care costs.
- Physicians, and others who provide patient care, will partner with the patient in making health care decisions.
- The patient is in the center of care, and providers will be better able to keep them informed, and to keep listening and honoring patient choices.
- With a goal of better coordinated care, patient medical history and test information are shared between providers.
- Unlike HMOs, managed care, or some insurance plans, an ACO can't tell patients which health care providers to see and can't change their Medicare benefits.
How ACOs share information
- Physicians use data from Medicare to help improve how they provide care. The goal is to provide the right care at the right time in the right setting. For example, physicians will obtain patient medical information from Medicare to help them to know medical history including patient medical conditions, prescriptions and visit history.
- The privacy and security of patient medical information is protected by federal law. Patients inside an ACO continue to enjoy the same rights by all those covered by Medicare.