Public Report

ACO Name and Location

University of Iowa Health Alliance Accountable Care Organization, LLC
1227 E. Rusholme Street
Davenport, IA 52803

ACO Primary Contact

Jennifer Vermeer, Chief Executive Officer
uihealthalliance@uiowa.edu
855-944-4692

Organizational Information

ACO Participants

  • Community Health Care Inc
  • Navinchandra Dadhaniya, MD
  • Eye Surgeons Associates, PC
  • Genesis Health System in Iowa
  • Genesis Health System in Illinois
  • Genesis Medical Center, Aledo
  • Genesis Senior Living, Aledo
  • GenVentures, Inc*
  • Quint Cities Radiation Oncology, LTD
  • Radiology Group, PC, SC
  • Waterford Family Medicine, P.C.
  • Great River Medical Center
  • Great River Physicians and Clinics Inc
  • Mercy Medical Center
  • Mercy Physician Associates Inc
  • Mercy Care Management, Inc.
  • Iowa City Cancer Treatment Center, LLC
  • State University of Iowa
  • University of Iowa Community Medical Services, Inc.
  • Physicians’ Clinic of Iowa, PC
  • Davis Radiology, PC
  • Radiology Consultants of Iowa, PLC
  • Linn County Anesthesiologists, PC

*Participants that are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

  • Jean Robillard, MD, Voting Member and Chair, ACO Participant, State University of Iowa
  • Ron Weigel, MD, Voting Member, ACO Participant, State University of Iowa
  • Doug Van Daele, MD, Voting Member, ACO Participant, State University of Iowa
  • Jennifer Vermeer, Voting Member, ACO Participant, State University of Iowa
  • Doug Cropper, Voting Member and Vice Chair, ACO Participant, Genesis Health System
  • Andrew Andresen, MD, Voting Member, ACO Participant, Genesis Health System
  • Nathan Van Genderen, Voting Member, Secretary and Treasurer, ACO Participant, Mercy Medical Center
  • Tim Quinn, MD, Voting Member, ACO Participant, Mercy Physician Associates Inc.
  • Mark Richardson, Voting Member, ACO Participant, Great River Medical Center
  • Todd Sladky, Voting Member, ACO Participant, Great River Medical Center
  • C. Dana Waterman III, Voting Member, Medicare Beneficiary Representative
  • Jack Dusenbery, Voting Member, Non-ACO Participant Clinical Provider Equity Owner of UIHA ACO, Covenant Medical Center Inc
  • Shelli Panicucci, Voting Member, Non-ACO Participant Clinical Provider Equity Owner of UIHA ACO, Covenant Medical Center Inc

Key Clinical and Administrative Leadership

  • Jennifer Vermeer, CEO
  • William Langley, MD, Chief Population Health Officer
  • Brad Archer, MD, Chief Clinical Officer and Medical Director
  • Debbie Thoman, Compliance Official
  • Steve Palmersheim, Manager Population Health Analytics
  • Jill Norris, Director of Care Management
  • Bonnie Braatz, Program Manager
  • Gina Krueger, Director of Operations
  • Andrew Behan, Director of Payor and Provider Engagement
  • Laura Lohmeier, Manager Marketing and Communications

ACO Committees and Committee Leadership

  • Physician Leadership Council: Doug Van Daele, MD, Chair
  • Value Based Purchasing Council: Nathan Van Genderen, Chair
  • Data Governance Committee: Tony Myers, MD, Chair
  • Clinical Operations Committee: Michael AbouAssaly, MD, Chair

Type of ACO Participants, or Combinations of Participants, that formed the ACO

  • Partnership or joint venture arrangement between hospitals and ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses:

Amount of Shared Savings/Losses

To be completed at the conclusion of the performance year.

Shared Savings Distribution 

To be completed at the conclusion of the performance year.

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver

Quality Performance Results

To be completed at the conclusion of the performance year.

Waivers

The University of Iowa Health Alliance ACO, LLC (UIHA ACO) Board has approved the following arrangements for waivers as authorized by CMS and the OIG pursuant to the Medicare Program; Final Waivers in Connection with the Shared Savings Program (76, Fed. Reg. 67992, Nov. 2, 2011)

Care Coordination Program Participation Waiver

The Care Coordination Program consists of health care professionals living within the communities served by UIHA ACO, working closely with the local community providers, specialty providers and other interdisciplinary team members across the entire care continuum.  The goal is to promote seamless transitions of care for patients and their families through enhanced communication processes between all providers on the care team.

Adopted by the Board of Managers, April 22, 2016.

UIHC ACO Total Budget Participation Waiver

UIHA ACO has undertaken investment in the infrastructure required to operate a successful accountable care organization that cares for an identifiable population.  Such infrastructure will enable the UIHA ACO to prepare for changing reimbursement models, large-scale population health data analysis, and movement toward a value-based approach from a quality and safety, reimbursement and general business model perspective.  In this way the infrastructure investment will assist in appropriately addressing the Triple Aim of the Shared Savings Program.

Adopted by the Board of Managers, April 22, 2016.

Shared Saving Distribution Waiver

All providers and participants in the UIHA ACO are eligible to qualify for shared savings.  The UIHA ACO will distribute Medicare shared savings based upon participants and providers meeting benchmarks described in the UIHA ACO Performance Management Plan.

Adopted by the Board of Managers, April 22, 2016.

Infrastructure Development Support Waiver

The Infrastructure Development Waiver consists of the development of new patient care delivery models to reduce the cost and improve the quality of patient care consistent with the Triple Aim by the University of Iowa Hospitals and Clinics sharing any profits/losses incurred by a general ambulatory pediatric practice during the first three years of MSSP participation.

Adopted by the Board of Managers, December 16, 2016.

Group Practice Reporting Option Support Waiver

The Group Practice Reporting Option (GPRO) Support Waiver provides for assistance, as necessary, from the University of Iowa Hospitals and Clinics to any UIHA ACO participant in completion of abstracting and subsequent submission of GPRO measures to the Medicare Shared Savings Program. Consistent with the Triple Aim, this waiver helps to ensure full submission of quality measures to assist in evaluating the quality of care, identifies ways to improve care through the development of clinical practice tools, and encourages provider engagement in efforts to reduce costs.

Adopted by the Board of Managers, January 20, 2017.