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MSSP Public reporting

ACO Name and Location:

MaineHealth Accountable Care Organization, LLC
110 Free Street
Portland, ME  04101-3908

ACO Primary Contact: 

Jennifer Moore
110 Free Street
Portland, ME 04101
(207) 482-7051
moorej@mmc.org

ACO Participants:

2016 MSSP Participant List

ACO Participants in Joint Ventures between ACO Professionals and Hospital:

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

ACO Governing body:

Michael Albaum, MD, Voting Member and Chair, ACO Participant Representative, Southern Maine Health Care
Mark Fourre, MD; Voting Member and Vice Chair, ACO Participant Representative, LincolnHealth
Albert Swallow, Voting Member and Treasurer, ACO Participant Representative, Maine Medical Center
Andrea Patstone, Voting Member and Secretary, ACO Participant Representative, Maine Medical Center
Christopher Sprowl; Voting Member, ACO Participant Representative, Maine Medical Partners
Daniel Landry, MD; Voting Member, ACO Participant Representative, Spectrum Medical Group
Gregory Bowers, Voting Member, Community Stakeholder Representative
Kathleen Herlihy, MD; Voting Member, ACO Participant Representative, Stephens Memorial Hospital Association
Lugene Inzana, Voting Member, ACO Participant Representative, Maine Medical Center
Mark Biscone, Voting Member, ACO Participant Representative, Waldo County General Hospital
Michael Clark, MD, Voting Member, ACO Participant Representative, Lifespan Family Healthcare LLC
Nathan Wilson, MD, Voting Member, ACO Participant Representative, Southern Maine Health Care
Richard Petersen, Voting Member, ACO Participant Representative, Maine Medical Center
Roger Pezzuti, Voting Member, Medicare Beneficiary Representative
Scott D. Mills, MD, Voting Member, Midcoast Health

Key ACO Clinical and Administrative Leadership:

ACO Executive: Elizabeth H. Johnson, MD
Chief Medical Officer: Jeffrey Aalberg, MD
Chief Operating Officer and Compliance Official: Jennifer Moore

ACO Committees and Committee Leaderships:

Value Oversight Committee: Cindy Wade and Dr. Scott Mills, Co-chairs
Physician Engagement & Alignment Committee, Dr. Mark Fourre, Chair
Nominating Committee, Dr. Michael Albaum, Chair
Executive Committee, Dr. Michael Albaum, Chair
Finance Committee, Albert Swallow and Dr. Mark Fourre, Co-chairs
Contracting & Network Management Committee, Colin McHugh and Dr. Carl Demars, Co-chairs

Types of ACO Participants that form the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinics (RHC)
  • Federally Qualified Health Centers (FQHC)

Shared Savings and Losses:

  • Agreement Period beginning 2012, Performance Year 1, 2012 & 2013: $9,406,443
  • Agreement Period beginning 2012, Performance Year 2014: $0
  • Agreement Period beginning 2012, Performance Year 2015: $0

Shared Saving Distribution:

  • Agreement period beginning 2012, Performance Year 1, 2012 & 2013
    • Proportion invested in infrastructure And
    • Proportion invested in redesigned care processes/resources:   10-20%
    • Proportion of distribution to ACO participants:  80 – 90%
  • Agreement Period beginning 2012, Performance Year 2014, 2015
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants:   0%

Payment Rule Waivers:

  • No, our ACO does not utilize 3-day Rule Waiver

Quality Performance Results:

2015 Quality Performance Results Table (.pdf)

2012-2014 Quality Performance Results Table (.pdf)


110 Free Street | Portland, Maine 04101 | (207) 661-7001