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UMass Memorial Medicare Accountable Care Organization (ACO)

UMass Memorial Medicare Accountable Care Organization (ACO)

Our doctors work hard to provide you with high-quality care, but it can be a challenge to manage all of patients’ health care needs and information. That’s why we have developed the UMass Memorial Medicare Accountable Care Organization (ACO).

An ACO is a group of doctors, hospitals and health care providers that work together to provide you with better, more coordinated care. Our doctors and hospitals in the UMass Memorial ACO communicate with you and with each other to make sure that you get the care you need when you’re sick and the support you need to stay healthy and well.

UMass Memorial ACO Focuses on Quality Care

Participating in the Medicare ACO is our commitment to providing the Worcester and Central Massachusetts region with quality, personalized and innovative care. Our Medicare ACO leverages our resources to focus on providing Medicare patients (also called Medicare Fee-for-Service beneficiaries) with the best possible experience of timely, appropriate and high-quality health care services.

  • Providing personalized care coordination services across the health continuum
  • Facilitating more effective physician visits and communication among your doctors and providers
  • Providing you with targeted health information and wellness programs that focus on disease prevention
  • Helping you coordinate timely appointments, manage medications and determine appropriate follow-up care
  • Improving the efficiency of your health care

Learn more about the structure and governance of the UMass Memorial Accountable Care Organization, or call our toll-free number at 844-549-0213.

For additional resources: Please visit www.medicare.gov or call 800-MEDICARE (800-633-4227 or (TTY users should call 877-486-2048)) for general questions or additional information about Accountable Care Organizations. 

ACO Name and Location

UMASS Memorial Accountable Care Organization, INC.
One Biotech Park
365 Plantation Street, 3rd Floor
Worcester, Massachusetts 01605

ACO Primary Contact

Primary Contact Name

Anthony Berry

Primary Contact Phone Number

508-793-5394

Primary Contact Email Address

Anthony.Berry@umassmemorial.org

Organizational Information

UMass Memorial ACO Participants

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Vasuki Radhakrishnan

N

Raymond Sauls

N

Marlboro Internal Medicine, PC

N

Kevin Delacey

N

Deborah Sullivan

N

Paul Dufault

N

Lalita Matta

N

Charles Birbara

N

John Pandiscio

N

Glen Bombardier

N

William Dunn

N

Elizabeth Erban

N

Gary Jeznach

N

Zbigniew Dombek, M.D.

N

Steven Rozak

N

John Howland

N

Edwin Young

N

Clinton Hospital Association

N

UMass Memorial Health Care, Inc., HealthAlliance Hospitals, Inc.

N

Harrington Memorial Hospital, Inc.

N

Henry Heywood Memorial Hospital

N

Marlborough Hospital Corp

N

Athol Memorial Hospital

N

Family Health Center of Worcester, Inc.

N

Charles A. Birbara, M.D.

N

Wachusett Radiology Inc

N

Edward M. Kennedy Community Health Center, Inc.

N

Michael Gotthelf

N

John Murphy

N

Stuart S. Fay, M.D., P.C.

N

Community Healthlink, Inc.

N

Edmund Taylor

N

Sturdy Memorial Associates, Inc.

N

Perpetual Health Clinic, Inc.

N

Leominster Medical Associates

N

C Joseph Mathew MD PC

N

Robert A Babineau Jr Md Pc

N

Sturdy Memorial Hospital, Inc.

N

John Bogdasarian

N

Cardiology Internists of Leominster Inc.

N

Dermatology Associates of Worcester County, PC

N

John Pandiscio

N

Associates in Otolaryngology Head and Neck Surgery, P.C.

N

Wachusett Emergency Physicians, PC.

N

UMass Memorial Medical Group, Inc.

N

Edward Kamens

N

North Quabbin Family Physicians, PC

N

Robert Byrne

N

Gary Jeznach

N

Charlton Family Practice

N

George Krasowski

N

D'Ambrosio Eye Care, Inc.

N

William Dunn

N

Vladas Litani, MD

N

Heywood Medical Group, Inc..

N

Western Mass Physician Associates, Inc.

N

Centmass Imaging, Inc.

N

Vasuki Radhakrishnan

N

Ayer Dermatology PC

N

UMass Memorial Medical Center, Inc.

N

Stephen Child

N

Deborah Sullivan

N

Community Health Connections, Inc.

N

Stephen J. Hoenig, Md, Pc

N

Deborah Gordon Wachusett Pathologists

N

R. Leslie Shelton, M.D., P.C.

N

Tad Baum, M.D., PC

N

Clinton Medical Associates LLC

N

Family Foot Care Center Pc

N

John Murphy

N

Robert Fishman

N

George Krasowski

N

Cornerstone Family Medicine, Inc.

N

Benjamin Grajales, M.D.

N

John Bogdasarian

N

William Friedman

N

Vladas Litani, MD

N

Stephen Weedon

N

Robert Lebow

N

William Brodkin

N

Harrington Physician Services Inc

N

Edward Kamens

N

Urology Central

N

Lawrence Dubuske

N

Michael Gotthelf

N

Boulevard Medical Group Inc

N

Mercy Family Practice PC

N

Christopher I Bechara Md Pc

N

Zbigniew Dombek, M.D.

N

James M. Shenko, M.D., PC

N

Holyoke Medical Center, Inc.

N

Curewell Gastroenterology, PC.

N

Iris Sullivan, M.D., PC

N

North Worcester Gastroenterology, P.C.

N

Mountain View Family Practice, Pc

N

Dr. He's Primary Care for Adults Inc.

N

Edmund Taylor

N

Elizabeth Erban

N

Vitreo-Retinal Associates PC.

N

Longview Orthopaedic Center, LLC

N

Daniel H Ervin, DO, PC

N

Sun Medical Clinic, P.C.

N

Robert Byrne

N

Aesclepion Healthcare LLC

N

Central Mass Pulmonary Pc

N

Regal Medical Group

N

Tak Medical Group, PC

N

Richard V. Montilla, MD, PC.

N

Center for Digestive Wellness PC

N

Community Neuroscience Services, LLC

N

Nancy D. Berube, Md Pc

N

John Howland

N

Chair City Family Medicine, PC

N

Stephen Child

N

Tricia Vorderstrasse Md Pc

N

Family Medical & Maternity Care P.C.

N

Gardner Family Medicine, Inc.

N

Worcester Eye Consultants, PC

N

 

ACO participants in joint ventures between ACO professionals and hospitals: No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Eric

Dickson

Chairman

1

ACO Participant Representative

UMass Memorial Medical Group, Inc.; UMass Memorial Medical Center, Inc.

Greenwood

John

President

1

Other - ACO President

UMass Memorial Accountable Care Organization, Inc.

Kupfer

Barbara

Voting Member

1

Medicare Beneficiary Representative

N/A

Tosi, MD

Stephen

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Muldoon

Patrick

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Center, Inc.

Brown

Douglas

Secretary

1

ACO Participant Representative

Marlborough Hospital Corp.; UMass Memorial Health Care, Inc., HealthAlliance Hospitals, Inc.

Bagley, MD

Peter

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Center, Inc.

Corbett, MD

William

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc.

McGuire

Toni

Voting Member

1

ACO Participant Representative

Edward M. Kennedy Community Health Center, Inc.

Lasser

Daniel

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Matta

Lalita

Voting Member

1

ACO Participant Representative

Lalita Matta MD

Fishman

Robert

Voting Member

1

ACO Participant Representative

Robert Fishman, DO

Harlan

David

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Eisenstock

Jordan

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc

Alfred

Howard

Voting Member

1

ACO Participant Representative

UMass Memorial Medical Group, Inc

Moore

Edward

Voting Member

1

ACO Participant Representative

Harrington Memorial Hospital, Inc., Harrington Physician Services Inc.

Sweeney

Francis

Voting Member

1

ACO Participant Representative

Heywood Medical Group, Inc., Henry Heywood Memorial Hospital

Other Members

ACO Participant Representatives

  • Patrick Muldoon, President, UMass Memorial Medical Center
  • Stephen Tosi, MD, Chief Medical Officer, UMass Memorial Medical Group
  • Toni McGuire, MD, Chief Executive Officer, Edward M. Kennedy Community Health Center Inc.
  • Peter Bagley, MD, UMass Memorial Medical Group Inc.
  • William Corbett, MD, UMass Memorial Medical Group Inc.
  • Daniel Lasser, MD, UMass Memorial Medical Group Inc.
  • Lalita Matta, MD
  • Robert Fishman, DO
  • David Harlan, MD, UMass Memorial Medical Group Inc.
  • Jordan Eisenstock, MD, UMass Memorial Medical Group Inc.
  • Howard Alfred, MD, UMass Memorial Medical Group Inc.

Community Stakeholder Representative
Douglas Brown, President, UMass Memorial Hospitals and Chief Administrative Officer, UMass Memorial Health Care

Key ACO Clinical and Administrative Leadership

John Greenwood

ACO Executive

Thomas Scornavacca

Medical Director

Jennifer Heil

Compliance Officer

Tracey Wilkie

Quality Assurance/Improvement Officer

ACO Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Finance Committee

Jeanne Shirshac, Chair

Quality Improvement Committee

Gertrude Manchester, MD, Chair

Utilization/Care Management Committee

Sarah McGee, MD, Chair

Compliance Committee

Jennifer Heil, Chair

Types of ACO participants or combinations of participants that formed the ACO:

  • ACO Professionals in a group
  • Network of individual practices of ACO professionals
  • Hospital employing ACO professional

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • 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 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Quality Performance Results

See 2015 Quality Performance Results Table.