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.

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 MMSP 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 1 (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 1: 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 for 2021 Performance Year

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 Communicate	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.