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.

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ACO Participating Providers

Governing Body

Governing Board Member Role Employer Voting Power
Dr. Mark Belz Board Member Iowa Kidney Physicians, P.C. 11.11%
Dr. Francis "Rocky" Kane Board Member UnityPoint Clinic 11.11%
Mark Henrichs Board Member University of Iowa Health Care 11.11%
Deanna Clingan-Fischer Beneficiary Representative/Consumer Advocate N/A 11.11%
Dr. Ron Iverson Board Member Grand River Medical Group 11.11%
 Dr. Clete Younger Board Member UnityPoint Clinic 11.11%
 Dr. Vinay Kantamneni Board Member Cedar Valley Medical Specialists 11.11%
 Michelle Niermann Board Member UnityPoint Health 11.11%
 Aaron McHone Board Member UnityPoint Health 11.11%

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.