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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 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 2022
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • 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

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.

ACO Participant TIN Legal Business Name/DBA, if Applicable 
ACO Participant TIN Legal Business Name/DBA, if Applicable 
ACO Participant TIN Legal Business Name/DBA, if Applicable