MSSP Public Reporting Information

Accountable Care Organization

Iowa Health Accountable Care, L.C Public Reporting Information

ACO Name and Location

Iowa Health Accountable Care, L.C.
Trade Name/DBA: 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

Eric Mahoney, Program Manager
(515) 241-3738
Eric.Mahoney@unitypoint.org

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
David Ade No
Family Medicine No
Iowa Physicians Clinic Medical Foundation No
Mercy Medical Services No
St. Luke's Jones Regional Medical Center No
Thomas Ade
 No
Thomas D Ade MD PLLC
 No
Trinity Regional Medical Center No
UnityPoint Health – Marshalltown No

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member's Voting Power %  Membership Type ACO Participant Legal Business Name
Aaron McHone Board Member 12.5%
 ACO Participant Representative Iowa Physicians Clinic Medical Foundation
Alecia Allen Board Member 12.5%
 ACO Participant Representative Iowa Physicians Clinic Medical Foundation
Clete Younger Board Member 12.5%
 ACO Participant Representative Iowa Physicians Medical Foundation
Deanna Clingan- Fischer Board Member
 12.5%
 Medicare Beneficiary Representative N/A
Mark Belz Board Member 12.5%
 Other N/A
Michelle Niermann Board Member 12.5%
 ACO Participant Representative Iowa Physicians Clinic Medical Foundation
Tricia  Newland Board Member 12.5% ACO Participant Representative Iowa Physicians Clinic Medical Foundation
Pam Delagardelle Board Member 12.5%
 ACO Participant Representative Iowa Physicians Clinic Medical Foundation
Wendy Mortimore Board Member 12.5%
 ACO Participant Representative Iowa Physicians Clinic Medical Foundation

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Steve Palmersheim
  • Medical Director: Alecia Allen
  • ACO Compliance Officer, April D. Smith
  • Quality Assurance/Improvement Officer: Alecia Allen

Associated Committees and Committee Leadership

N/A

Types of ACO Participants, or Combinations of Participants that Formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Fourth Agreement Period
    • Performance Year 2026, N/A
  • Third Agreement Period
    • Performance Year 2025, N/A
    • Performance Year 2024, $6,281,406,13
  • Second Agreement Period
    • Performance Year 2023, $14,245,824.53

Shared Savings Distribution

  • Fourth Agreement Period
    • Performance Year 2026
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Third Agreement Period
    • Performance Year 2025
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2024
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned processes/resources: 
      • Proportion of distribution to ACO participants:

Our ACO re-entered the Shared Savings Program in Performance Year 2023 under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

Quality Performance Results

2024 Quality Performance Results 

Quality performance results are based on the CMS Web Interface collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate
(SSP ACOs)
Measure #: 321 CAHPS for MIPS CAHPS for MIPS Survey 7.99 6.67
Measure #: 479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for
MIPS Groups		 Administrative Claims 0.1494 0.1517
Measure #: 484* Clinician and Clinician Group Risk- standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims - 37
Measure #: 318 Falls: Screening for Future Fall Risk CMS Web Interface 97.25 88.99
Measure #: 110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 86.63 68.6
Measure #: 226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 97.25 79.98
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 86.35 77.81
Measure #: 112 Breast Cancer Screening CMS Web Interface 88.47 80.93
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 87.15 86.50
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 13.4 17.35
Measure #: 001* Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 7.91 9.44
Measure #: 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 95.04 81.46
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 87.6 79.49
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey

85.69

83.7

CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey

95.24

93.96

CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.19 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey

77.43

75.76

CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 65.04 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey

58.07

62.31

CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey

75.16

74.14

CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.5 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 96.37 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 30.69 26.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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.
  • Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.