MSSP Public Reporting

ACO Name and Location

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

ACO Primary Contact

Melanie Tan
312.274.0126
MSSP@mhnchicago.org

Organizational Information

ACO Participants:
ACO Participants ACO Participant in Joint Venture
Venice Family Clinic N
The Los Angeles Free Clinic (d/b/a Saban Community Clinic) N
Eisner Pediatric & Family Medical Center (d/b/a Eisner Health) N
VNA Health Care N
Greater Family Health N
Crusaders Central Clinic Association (d/b/a Crusader Community Health) N
Windrose Health Network, Inc. N
Northshore Health Centers, Inc. N
Indiana Health Centers, Inc. N
Jane Pauley Community Health Center, Inc. N
Northwest Michigan Health Services, Inc N
Covered Bridge Healthcare of St. Joseph County, Inc N
Neighborhood Health Center of WNY, Inc. N
EHS, Inc d/b/a Evergreen N
Oak Orchard Community Health Center, Inc. N
Jericho Road Ministries, Inc. (d/b/a Jericho Road Community Health Center) N
Southern Tier Community Health Center Network (d/b/a Universal Primary Care) 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
Muriel Nouwezem CEO 15% ACO participant representative The Los Angeles Free Clinic (d/b/a Saban Community Clinic)
Scott Rollett CEO 15% ACO participant representative Windrose Health Network, Inc.
Karen Kinter CEO 15% ACO participant representative Oak Orchard Community Health Center, Inc.
Phillip Bergquist CEO 15% ACO participant representative Covered Bridge Healthcare of St. Joseph County, Inc.
Sam Miller CEO 15% ACO participant representative Crusaders Central Clinic Association (d/b/a Crusader Community Health)
Kevin Rossi, MD N/A 1.25% Medicare beneficiary representative N/A
David McDonald N/A 1.25% Medicare beneficiary representative N/A
Cheryl Lulias CEO 22.5% Other Medical Home Network Health Alliance II, LLC
Key ACO Clinical and Administrative Leadership:

ACO Executive: Cheryl Lulias
Medical Director: Dr. Henish Bhansali
Compliance Officer: Camille Trunkett
Quality Assurance/Improvement Officer: Dr. Abby DeVries

Associated Committees and Committee Leadership:
Committee Name Committee Leader Name and Position
Compliance Committee Chair: Camille Trunkett
Clinical Committee Chair: Dr. Abby DeVries
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
  • FQHCs and FQHC look-alikes

Shared Savings and Losses

Amount of Shared Savings/Losses: N/A
Shared Savings Distribution: N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on (Measure set TBD)

Measure # Measure Name Collection Type Rate ACO Mean
1 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) TBD TBD TBD
236 Controlling High Blood Pressure TBD TBD TBD
134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan TBD TBD TBD

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A
  • Waiver for Payment for Telehealth Services: N/A

Advance Investment Payments (AIP)

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 $1,283,537.00 $0.00 $1,043,443.00 $0.00 $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”) $183,456.00 $0.00 $190,794.00 $0.00 $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”) $150,000.00 $0.00 $156,000.00 $0.00 $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”) $20,000.00 $0.00 $20,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Care management system Health Care Infrastructure Case/practice management systems $236,228.00 $0.00 $229,262.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Electronic Quality Reporting Health Care Infrastructure Electronic Quality Reporting $50,000.00 $0.00 $50,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Spend Plan Summary:

Projected Total Advance Investment Payment: $ 3,702,720.00
Actual Spending: $0.00
Future Projected Spending: $3,702,720.00
Remaining Funding to Allocate: $0.00

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).

Fraud and Abuse Waivers

  • Our ACO did not use any pre-participation waivers