ACO CMS Medicare Shared Savings Program
ACO Name and Location
UC Irvine Health Accountable Care Organization
101 The City Drive South, Building 54, Sute 5700
Orange, California 92868
ACO Primary Contact
| Primary Contact Name | Angie Chang |
| Primary Contact Phone Number | 714-456-6897 |
| Primary Contact Email Address | MedicareACO@hs.uci.edu |
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture |
| Regents of the University of California | Y |
| University of California Irvine | Y |
| UCI Department of Dermatology | Y |
| UC Regents | Y |
| UCI Department of Urology | Y |
| UCI Physical Medicine & Rehabilitation | Y |
| The Department of Psychiatry | Y |
| The Regents of the University of California-Irvine | Y |
| Regents of the University of | Y |
| University Head & Neck Surgeons | Y |
| UC Regents UCI Dept of Medicine | Y |
| Regents of the University of California Univ Neurosciences | Y |
| UC Regents Department of Radiation Oncology | Y |
| University Surgeons of Orange A Medical Group | Y |
ACO governing body:
|
Member First Name |
Member Last Name | Member Title/Position | Member's Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA, if Applicable |
| Angie | Chang | Senior Director, Population Health and Value Based Care | 9.09% | ACO Participant Representative | Regents of the University of California |
| Eric | Evans | Deputy Compliance and Privacy Officer | 9.09% | ACO Participant Representative |
Regents of the University of California |
| George | Choriatis Esq. |
UCI Health General Counsel |
9.09% | ACO Participant Representative | Regents of the University of California |
| John | Gross, MD | Vice Dean, Clinical and Faculty Affairs |
9.09% | ACO Participant Representative | Regents of the University of California |
| Laurie | Johnson | Vice President, Ambulatory Care Administration |
9.09% | ACO Participant Representative | Regents of the University of California |
| Lisa | Gibbs, MD | Chief Population Health Officer | 9.09% | ACO Participant Representative | Regents of the University of California |
| Matthew | Miller, MD | Chief Quality Officer | 9.09% | ACO Participant Representative | Regents of the University of California |
| Meredith | Michaels Jed | Medicare Beneficiary |
9.09% | Medicare Beneficiary Representative | N/A |
| Randolph | Siwabessy | Chief Financial Officer |
9.10% | ACO Participant Representative | University of California Irvine |
| Rebecca | Brusuelas-James | Vice President Finance, Physician Enterprise |
9.09% | ACO Participant Representative | Regents of the University of California |
| Sunil | Verma, MD | Associate Chief Medical Officer Ambulatory Administration |
9.09% | ACO Participant Representative | Regents of the University of California |
Member's voting power may have been rounded to reflect a total voting power of 100 percent.
Key ACO clinical and administrative leadership:
| Randolph Siwabessy | ACO Executive |
| Lisa Gibbs, MD | Medical Director |
| Eric Evans | Deputy Compliance and Privacy Officer |
| Lisa Gibbs, MD / Angie Chang | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| UCI Health Medicare ACO Board | Randolph P. Siwabessy, SVP (Finance & Value-Based Care, UCI Health)/CFO (UCI Health and UCI Irvine School of Medicine) |
| Value Based Care Stewardship Committee | John Gross, M.D., (SVP/Vice Dean) Tatyana Popkova, (SVP/CSO) Randolph P. Siwabessy (SVP/CFO) |
| Population Health & Value Based Care Operations Committee | Lisa Gibbs, M.D., Chief Population Health Officer Angie Chang, Senior Director, Population Health & Value Based Care |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
- Performance Year 2024, $9,047,509.99
- Performance Year 2023, $0
- Performance Year 2022, $0
- First Agreement Period
- Performance Year 2021, $0
- Performance Year 2020, $2,529,884.92
- Performance Year 2019, $0
- Performance Year 2018, $0
Shared Savings Distribution
- Second 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
- Performance Year 2025
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care 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 care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2026
-
- Performance Year 2023
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2023
-
- Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2022
- First Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2020
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 40%
- Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2021
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.
|
Measure # |
Measure Title |
Collection Type |
Performance Rate |
Current Year Mean Performance Rate (Shared Savings Program ACOs) |
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 6.75 |
6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1558 | 0.1517 |
| 484* | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | 27.49 | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 96.89 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization |
CMS Web Interface | 63.92 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
CMS Web Interface | 77.78 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 77.93 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 84.41 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 84.03 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 16.83 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 13.3 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan |
CMS Web Interface | 75.9 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 70.65 |
79.49 |
| CAHPS-1 |
Getting Timely Care, Appointments, and Information |
CAHPS for MIPS Survey | 79.29 |
83.7 |
| CAHPS-2 |
How Well Providers Communicate |
CAHPS for MIPS Survey |
94.53 |
93.96 |
| CAHPS-3 |
Patient’s Rating of Provider |
CAHPS for MIPS Survey |
95.14 |
92.43 |
| CAHPS-4 |
Access to Specialists |
CAHPS for MIPS Survey |
74.23 |
75.76 |
| CAHPS-5 |
Health Promotion and Education |
CAHPS for MIPS Survey |
65.86 |
65.48 |
| CAHPS-6 |
Shared Decision Making |
CAHPS for MIPS Survey |
58.75 |
62.31 |
| CAHPS-7 |
Health Status and Functional Status |
CAHPS for MIPS Survey |
72.8 |
74.14 |
| CAHPS-8 |
Care Coordination |
CAHPS for MIPS Survey |
86.8 |
85.89 |
| CAHPS-9 |
Courteous and Helpful Office Staff |
CAHPS for MIPS Survey |
92.4 |
92.89 |
| CAHPS-11 |
Stewardship of Patient Resources |
CAHPS for MIPS Survey |
30.24 |
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.