Medicare Shared Savings Program (MSSP)
ACO Name and Location
BMC Integrated Care Services, Inc. (BMCICS)
720 Harrison Ave.
Boston, MA 02118
ACO Primary Contact
Composition of ACO
A partnership between a hospital and ACO professionals, specifically:
- Boston Medical Center, an academic medical center located in Boston's South End
- Physicians who are members of the Boston University faculty and the Boston Medical Center medical staff
- Boston University Affiliated Physicians, a community physician group affiliated with Boston Medical Center
- Seven of the local Community Health Centers that work closely with Boston Medical Center
- Child Health Foundation of Boston, Inc.
- Codman Square Health Center
- South Boston Community Health Center, Inc.
- Boston University Mallory Pathology Associates, Inc.
- Faculty Practice Foundation Inc
- Internal Medical Associates-EBNHC
- Boston University Obstetrics and Gynecology Foundation, Inc.
- Boston University Eye Associates, Inc.
- Boston University Medical Center Otolaryngologic Foundation, Inc.
- Boston University Affiliated Physicians
- Boston University General Surgical Associates, Inc.
- Boston University Medical Center Radiologists, Inc.
- Boston Emergency Physician Foundation, Inc.
- Boston University Medical Center Urologists, Inc.
- Boston University Neurosurgical Associates, Inc.
- Boston Medical Center Corporation
- Boston University Dermatology, Inc.
- Boston University Family Medicine, Inc.
- Boston University Orthopaedic Surgical Associates, Inc.
- Boston University Psychiatry Associates
- Boston University Neurology Associates, Inc.
- Faculty Practice Foundation Boston Univ Plastic Surgery Assoc
- Dorchester House Multi-Service Center
- Faculty Practice Foundation Inc
- Upham's Corner Health Committee, Inc.
- South End Community Health Center
None of the above participants are involved in a joint venture between ACO professionals and hospital.
ACO Governing Body
- David L. Coleman, voting member, Faculty Practice Foundation Inc
- William Creevy, voting member, President of Faculty Practice Foundation
- Gerard M. Doherty, voting member, Boston University General Surgical Associates
- Jonathan Olshaker, voting member, Boston Emergency Physician Foundation
- Aviva Lee-Parritz, voting member, Boston University Obstetrics and Gynecology Foundation
- Alexander Norbash, voting member, Boston University Medical Center Radiologists
- Robert Vinci, voting member, Child Health Foundation of Boston, Inc
- Frank Doyle, voting member, Executive Director of Healthnet
- Richard Silveria, voting member and Treasurer, Boston Medical Center Corporation
- Ravin Davidoff, voting member, Boston Medical Center Corporation
- Stanley Hochberg, voting member and President, BMCICS
- William Halpin, voting member, South Boston Community Health Center
- Brian Jack, voting member, Boston University Family Medicine
- Charles Tifft, voting member, Boston University Affiliated Physicians
- Larry Culpepper, voting member, Boston University Family Medicine
- Lisa Caruso, voting member, Faculty Practice Foundation Inc
- Jeffrey Samet, voting member, Faculty Practice Foundation Inc
- Charles Williams, voting member, Medical Director of Healthnet
- Julita Mir, voting member, Dorchester House Multi-Service Center
- Philip Severin, voting member, Codman Square Health Center
- Michael White, Non voting member, Boston University School of Medicine
- Aram Chobanian, voting member, Medicare Beneficiary Representative
Key Clinical and Administrative Leadership
- President: Stanley Hochberg, MD
- Treasurer: Richard Silveria
- Medical Director: Brian Jacobson, MD, MPH
ACO Committees and Committee Leadership
- Medical Management Committee, Stanley Hochberg, MD, Chair
- Executive Committee, Stanley Hochberg, MD, Chair
- Finance and Contracts Committee, William Creevy, MD, Chair
- Nominating Committee, Ravin Davidoff, MD, Chair
Amount of Shared Savings/Losses
- Agreement period beginning 2015, Performance Year 2015: $4,217,885
Shared Savings Distribution
- Agreement period beginning 2015, Performance Year 2015
- Proportion invested in infrastructure: 50%
- Proportion of distribution to ACO participants: 50%
Payment Rule Waivers
- No, our ACO does not utilize the SNF 3-Day Rule Waiver
Quality Performance Results
|2015 Reporting Period|
|Measure Number||Measure Name||ACO Performance Rate||Mean Performance Rate (SSP- ACOs)|
|ACO-1||CAHPS: Getting Timely Care, Appointments, and Information||76.01||80.61|
|ACO-2||CAHPS: How Well Your Providers Communicate||94.35||92.65|
|ACO-3||CAHPS: Patients’ Rating of Provider||93.73||91.94|
|ACO-4||CAHPS: Access to Specialists||78.10||83.61|
|ACO-5||CAHPS: Health Promotion and Education||64.66||59.06|
|ACO-6||CAHPS: Shared Decision Making||75.11||75.17|
|ACO-7||CAHPS: Health Status/Functional Status||69.92||72.30|
|ACO-34||CAHPS: Stewardship of Patient Resources*||22.41||26.87|
|ACO-8||Risk Standardized, All Condition Readmission||15.41||14.86|
|ACO-35||Skilled Nursing Facility 30-day All-Cause Readmission Measure (SNFRM)* Readmission||20.54||18.07|
|ACO-36||All-Cause Unplanned Admissions for Patients with Diabetes*||42.84||54.60|
|ACO-37||All-Cause Unplanned Admissions for Patients with Heart Failure*||73.38||76.96|
|ACO-38||All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions||57.22||62.92|
|ACO-9||Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)||1.08||1.11|
|ACO-10||Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)||1.16||1.04|
|ACO-11||Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements||90.79%||76.22%|
|ACO-39||Documentation of Current Medications in the Medical Record*||77.61%||84.07%|
|ACO-13||Falls: Screening for Future Fall Risk||42.18%||56.46%|
|ACO-14||Preventive Care and Screening: Influenza Immunization||67.96%||62.03%|
|ACO-15||Pneumonia Vaccination Status for Older Adults||77.03%||63.73%|
|ACO-16||Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up||56.11%||71.15%|
|ACO-17||Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention||83.21%||90.16%|
|ACO-18||Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan||27.71%||45.25%|
|ACO-19||Colorectal Cancer Screening||64.94%||60.06%|
|ACO-20||Breast Cancer Screening||75.33%||65.67%|
|ACO-21||Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented||44.22%||70.04%|
|ACO-40||Depression Remission at Twelve Months*||N/A||N/A|
|ACO-27||Diabetes Mellitus: Hemoglobin A1c Poor Control||18.05%||20.38%|
|ACO-41||Diabetes: Eye Exam*||57.52%||41.05%|
|ACO-28||Hypertension: Controlling High Blood Pressure||60.88%||69.62%|
|ACO-30||Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic||89.90%||83.82%|
|ACO-31||Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)||94.92%||87.22%|
|ACO-33||Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)||87.50%||77.73%|
CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.
* = Measure required beginning Reporting Year 2015.
N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A.