Medical Home Network Health Alliance II ACO Public Reporting : Medical Home Network

ACO Name and Location

Medical Home Network Health Alliance II, LLC
180 N. Stetson, Suite 600-1
Chicago, IL 60601

ACO Primary Contact

Laura Merrick
312.274.0126
lmerrick@mhnchicago.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Community Health Improvement Center	N
EHS, Inc	N
Greater Family Health	N
Indiana Health Centers, Inc.	N
Jane Pauley Community Health Center, Inc.	N
Jericho Road Ministries, Inc.	N
Neighborhood Health Center of WNY, Inc.	N
Neighborhood Health Clinics, Inc.	N
Oak Orchard Community Health Center, Inc.	N
Southern Tier Community Health Center Network, Inc.	N
The Health and Hospital Corporation of Marion County	N
Watts Healthcare Corporation	N
Windrose Health Network, Inc.	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Brett	Lawton	CEO	15%	ACO Participant Representative	Southern Tier Community Health Center Network Inc
Cheryl	Lulias	CEO of MHN HA II ACO	22.5%	Other	N/A
David	McDonald	Medicare Beneficiary	1.25%	Medicare Beneficiary Representative	N/A
Glenn	Ford	Beneficiary	1.25%	Medicare Beneficiary Representative	N/A
Guadalupe	Fonseca	CEO	15%	ACO Participant Representative	Greater Family Health
Olusheyi	Lawoyin	CMO	15%	ACO Participant Representative	Watts Healthcare Corporation
Scott	Rollett	CEO	15%	ACO Participant Representative	Windrose Health Network Inc
Tricia	Scerba	CMO	15%	ACO Participant Representative	Community Health Improvement Center

Key ACO Clinical and Administrative Leadership:

ACO Executive: Cheryl Lulias
Medical Director: Dr. John Torontow
Compliance Officer: Jessica Sorrels
Quality Assurance/Improvement Officer: Chris Hyer

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Compliance Committee	Chair: Jessica Sorrels
Clinical Committee	Chair: Dr. John Torontow

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.

Shared Savings Distribution:

Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs 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	5.11	6.67
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	-	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	-	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	-	-
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	-	-
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	-	-
113	Colorectal Cancer Screening	CMS Web Interface	-	-
112	Breast Cancer Screening	CMS Web Interface	-	-
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	-	-
370	Depression Remission at Twelve Months	CMS Web Interface	-	-
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	MIPS CQM	33.3	23.88
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	MIPS CQM	70.69	53.18
236	Controlling High Blood Pressure	MIPS CQM	64.31	72.43
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.98	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	90.86	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	89.73	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	72.51	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	68.87	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	66.99	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	68.55	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	81.8	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.17	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	29.07	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.

Advance Investment Payments (AIP)

In accordance with 42 CFR § 425.630(i)(1), an ACO must publicly report information about the ACO's use of advance investment payments for each performance year, as set forth in 42 CFR § 425.308(b)(8). Advance investment payments used for any expenses other than allowable uses under 42 CFR § 425.630(e)(1) are subject to compliance action.

Spend Plan:

Payment Use	General Spend Category	General Spend Subcategory	Projected Spending 2024	Actual Spending 2024	Projected Spending 2025	Actual Spending 2025	Projected Spending 2026	Actual Spending 2026	Projected Spending 2027	Actual Spending 2027	Projected Spending 2028	Actual Spending 2028
Community health workers 20 FTEs	Increased Staffing	Community health worker	$1,283,537	$1,219,154	$1,043,443	$702,099	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Licensed care manager (LCSW, LPN, or RN) 1.5 FTEs	Increased Staffing	Other staff (explain in “Payment Use”)	$183,456	$183,456	$190,794	$123,335	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Practice Transformation: Central coordination of community health workers	Increased Staffing	Other staff (explain in “Payment Use”)	$150,000	$156,000	$156,000	$156,000	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Clinical documentation and improvement Training	Increased Staffing	Other staff education (explain in “Payment Use”)	$20,000	$20,000	$20,000	$20,000	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Care management system	Health Care Infrastructure	Case/practice management systems	$236,228	$236,228	$229,262	$153,252	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Electronic Quality Reporting	Health Care Infrastructure	Electronic Quality Reporting	$50,000	$50,000	$50,000	$25,838	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Health information exchange and health information network participation	Health Care Infrastructure	Health information exchange and health information network participation	$60,000	$35,357	$30,000	$9,026	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00
Subtotals			$1,983,221	$1,894,195	$1,719,499	$1,189,550	$0.00	$0.00	$0.00	$0.00	$0.00	$0.00

Spend Plan Summary:

Projected Total Advance Investment Payment:	$3,158,848.00
Actual Spending:	$3,083,745.00
Future Projected Spending:	$0.00
Remaining Funding to Allocate:	$0.00
Total Advance Investment Payments Received:	$3,083,745.00

Our ACO has established a separate designated account for the deposit and expenditure of all advance investment payments in accordance with 42 CFR 425.630(e)(4).

MEDICAL HOME NETWORK TERMS OF USE

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180 N. Stetson Ave., Suite 600-1
Chicago, IL 60642
312.274.0126
gvijuk@mhnchicago.org

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You agree to defend, indemnify and hold harmless MHN, its affiliates, licensors and service providers, and its and their respective officers, directors, employees, contractors, agents, licensors, suppliers, successors and assigns from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses or fees (including reasonable attorneys’ fees) arising out of or relating to your violation of these Terms of Use or your use of the Website, including, but not limited to, your User Contributions, any use of the Website’s Content, services and products other than as expressly authorized in these Terms of Use or your use of any information obtained from the Website.

Governing Law and Jurisdiction

All matters relating to the Website and these Terms of Use and any dispute or claim arising therefrom or related thereto (in each case, including non-contractual disputes or claims), shall be governed by and construed in accordance with the laws of the State of Illinois without giving effect to any choice or conflict of law provision or rule. Any action or proceeding arising out of, or related to, these Terms of Use or the Website shall be instituted exclusively in the federal courts of the United States or the courts of the State of Illinois, located in Chicago, Illinois.

Dispute Resolution

a. The parties will make good faith efforts to first resolve internally any dispute arising from or related to the Website and these Terms of Use before submitting it to arbitration. Neither party may submit the dispute for arbitration under Subsection (b) until thirty (30) days have elapsed from the initiation of such good faith efforts.

b. Arbitration. EXCEPT FOR DISPUTES THAT QUALIFY FOR SMALL CLAIMS COURT, YOU IRREVOCABLY AND UNCONDITIONALLY WAIVE ANY RIGHT YOU MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LEGAL ACTION ARISING OUT OF OR RELATING TO THE WEBSITE OR THESE TERMS OF USE. IF A DISPUTE ARISES OUT OF OR RELATES TO PORTAL OR THESE TERMS OF USE AND THE PARTIES FAIL TO SETTLE THE DISPUTE THROUGH NEGOTIATION PURSUANT TO SUBSECTION (A), MHN MAY ELECT, AT ITS SOLE DISCRETION, TO SUBMIT THE DISPUTE FOR BINDING ARBITRATION IN ACCORDANCE WITH THE AMERICAN HEALTH LAWYERS ASSOCIATION ALTERNATIVE DISPUTE RESOLUTION SERVICE RULES OF PROCEDURE FOR ARBITRATION BY A SINGLE ARBITRATOR WITH EXPERIENCE IN HEALTH INFORMATION TECHNOLOGY AND CLINICALLY INTEGRATED NETWORKS. THE ARBITRATOR WILL CONDUCT HEARINGS, IF ANY, BY TELECONFERENCE OR VIDEO CONFERENCE, RATHER THAN BY PERSONAL APPEARANCES, UNLESS THE ARBITRATOR DETERMINES UPON REQUEST BY YOU OR BY US THAT AN IN-PERSON HEARING IS APPROPRIATE. ANY IN-PERSON APPEARANCES WILL BE HELD AT A LOCATION WHICH IS REASONABLY CONVENIENT TO BOTH PARTIES WITH DUE CONSIDERATION OF THEIR ABILITY TO TRAVEL AND OTHER PERTINENT CIRCUMSTANCES. IF THE PARTIES ARE UNABLE TO AGREE ON A LOCATION, SUCH DETERMINATION WILL BE MADE BY THE ARBITRATOR. IF YOU ARE ABLE TO DEMONSTRATE THAT THE COSTS OF ARBITRATION WILL BE PROHIBITIVE AS COMPARED TO THE COSTS OF LITIGATION, MHN WILL PAY AS MUCH OF YOUR FILING AND HEARING FEES IN CONNECTION WITH THE ARBITRATION AS THE ARBITRATOR DEEMS NECESSARY TO PREVENT THE ARBITRATION FROM BEING COST-PROHIBITIVE.

JUDGMENT UPON THE AWARD RENDERED BY THE ARBITRATOR MAY BE ENTERED IN ANY COURT HAVING JURISDICTION IN CHICAGO, ILLINOIS. YOU AGREE THAT ANY ARBITRATION UNDER THIS AGREEMENT WILL TAKE PLACE ON AN INDIVIDUAL BASIS; CLASS ARBITRATIONS AND CLASS ACTIONS ARE NOT PERMITTED AND YOU ARE AGREEING TO GIVE UP THE ABILITY TO PARTICIPATE IN A CLASS ACTION.

THE PARTIES, THEIR REPRESENTATIVES, OTHER PARTICIPANTS, AND THE ARBITRATOR SHALL HOLD THE EXISTENCE, CONTENT, AND RESULTS OF THE DISPUTE RESOLUTION PROCEEDINGS IN CONFIDENCE. THIS PROVISION SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT.

WITH THE EXCEPTION OF ANY OF THE LANGUAGE ABOVE IN THIS DISPUTE RESOLUTION PROVISION RELATING TO THE WAIVER OF CLASS AND REPRESENTATIVE ACTIONS, IF A COURT DECIDES THAT ANY PART OF THIS DISPUTE RESOLUTION PROVISION IS INVALID OR UNENFORCEABLE, THE OTHER PARTS OF THIS DISPUTE RESOLUTION PROVISION SHALL STILL APPLY. IF A COURT DECIDES THAT ANY ASPECT OF THE LANGUAGE ABOVE IN THIS DISPUTE RESOLUTION PROVISION RELATING TO THE WAIVER OF CLASS AND REPRESENTATIVE ACTIONS IS INVALID OR UNENFORCEABLE, THEN THE ENTIRETY OF THIS DISPUTE RESOLUTION PROVISION SHALL BE NULL AND VOID. THE REMAINDER OF THE AGREEMENT WILL CONTINUE TO APPLY AND BE UNAFFECTED BY THIS SEVERABILITY PROVISION.

Waiver and Severability

No waiver by MHN of any term or condition set forth in these Terms of Use shall be deemed a further or continuing waiver of such term or condition or a waiver of any other term or condition, and any failure of MHN to assert a right or provision under these Terms of Use shall not constitute a waiver of such right or provision.

If any provision of these Terms of Use is held by a court or other tribunal of competent jurisdiction to be invalid, illegal or unenforceable for any reason, such provision shall be eliminated or limited to the minimum extent such that the remaining provisions of the Terms of Use will continue in full force and effect.

Entire Agreement

These Terms of Use and any separate agreement you may have to use the Website constitute the sole and entire agreement between you and MHN with respect to Website and supersede all prior and contemporaneous understandings, agreements, representations and warranties, both written and oral, with respect to Website.

Effective Date: January 12, 2017

Revision date 1.6.2017