The Physician Organization of Michigan ACO, LLC (POM ACO) is a physician-led partnership of approximately 6,000 Michigan providers working together to provide better care for patients, better health for populations and lower overall health care costs.
Physician Organization of Michigan ACO, LLC
2600 Green Road, Suite 150-C
Ann Arbor, MI 48105-4631
Terrisca Des Jardins, MHSA
Medicare Shared Savings Program ACOs
For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.
Adrian Sheremeta MD PC
Advanced Orthopedic Specialists, PC
Agha Internal Medicine Associates, PC
Alpine Family Podiatry PC
Ankle & Foot Associates Of Northern Michigan Pc*
Ann Arbor Endocrinology And Diabetes Associates, P.C..
Arthur R Jeynes DPM, PC
Associates in Physical Medicine & Rehabilitation, P.C.
Badhwar Associates Inc
Bluesky Health, PLLC
Bradley E Seel DPM PC
Brian R. Drabik DO PC
Brighton Family Physicians PC
Brooks Lyon & Brooks Do Pc
Browne Medical PLC
Cadillac After Hours Clinic PLLC
Cadillac Chiropractic Center PC
Caritas Center for Womens Health, P.C.
Carl E Lipnik MD PC
Catherine McAuley Health Services Corp
Center for Digestive Care LLC*
Center for Plastic & Reconstructive Surgery, P.C.
Chelsea Professional Services
Cherry Hill Village Family Medicine
Chowdhury MD PLLC
Clarence Richard Barnett Md Plc
Comprehensive Health Care Associates and Prevention Medicine P.C.
Creekside Vision & Hearing, Plc
Croswell Podiatry PLLC
David Fivenson MD Dermatology PLLC
Donna J. Tal, M.D., P.C.
Downriver Internal Medicine Assoc
Dr David W Mansky DPM, PC
Dr. Jack A Dekkinga MD PC
Dr. Jeff Y The D.O.
Edith Nemeth, M.D. P.L.C.
Emmaus Health PLLC
EPMG of Michigan PC
Family Medicine PC
Fowlerville Medical Center Plc
Gastroenterology Specialist PC
Grand Rapids Women's Health, PC
Gursharn S. Dosanjh MD PC
Huron Gastroenterology Associates P.C.
Huron Ophthalmology, P.C.*
Huron River Radiation Oncology Specialists, P.C.
Huron Valley Radiology, P.C.
IHA Health Services Corporation
Immediate Care Medical Center PC
John P Lagrand M D P C
Joseph Bruno MD PC
Kathleen Knapp Do Pc
Kiley Chiropractic Life Center
L Michael Sterenberg DO PLLC
Lafond Medical P C
Laura E. Babe, M.D., P.L.C.
Levan Internists PC
Lewis & McCorry PC
Livingston Internal Medicine PC
Loney Chiropractic, PC
Maine Medical Center Plc
Marcia Vanderbroek Do Pc
Mark S Obrien Md Plc
Mark W Sawka MD PC
Mary Lee MD PC
Medical Office Of John Vassallo Md
Michigan Otolaryngology Surgery
Michigan Pain Consultants, PC
Michigan Pain Institute, P.C.
Midmichigan Health Services
MidMichigan Medical Center-Gratiot
MidMichigan Medical Center-Midland
Muaiad Shihadeh MD PC
Naser N Sukhon MD PC
Otsego Memorial Hospital
Packard Health, Inc.
Pamela J Hackl DO PLC
Parchment Family Practice PC
Partners In Family Health Plc
Randall Street Medical PC
Rebecca Patrias, MD
REGENTS OF THE UNIVERSITY OF MICHIGAN
Renal Associates of West Michigan PC
Riverwood Family Medicine PC
Ronald Vanderlaan, Md, Pllc
SJMHS Livingston Orthopedic Surgical Group
Soorya Sharma MD PC
Southeast Internal Medicine PLLC
St. Mary Mercy Physician Practices
Thornapple Ophthalmology Thornapple Ophthalmology Assoc Pc
West Michigan Family Health, PC
Western Michigan Bone & Joint Surgeons PC
William F Murray MD PC
ACO Participants in Joint Ventures Between ACO Professionals and Hospitals
NOTE: ACO participants involved in a joint venture are identified by an * next to their names on the Participant List.
- Steven Bernstein MD, MPH, Voting Member, ACO Participant Representative: Regents of the University of Michigan (UM)
- Brian Brausa MD, Voting Member, ACO Participant Representative: Ankle & Foot Associates of Northern Michigan Pc (WCM)
- Randall Clark MD, Voting Member, ACO Participant Representative: Riverwood Family Medicine PC (AH)
- Pankaj Jandwani MD, Voting Member, ACO Participant Representative: MidMichigan Medical Center-Gratiot (MCCO)
- Madhura Mansabdar MD, Voting Member, Vice-Chair, ACO Participant Representative: MidMichigan Medical Center-Gratiot, MidMichigan Medical Center-Midland, MidMichigan Health Services (MCCO)
- Robert Mee MD, Voting Member, ACO Participant Representative: Otsego Memorial Hospital (WCM)
- Kimberly Norris MD, Voting Member, Secretary, ACO Participant Representative: Creekside Vision & Hearing PLC (AH)
- Bev Nugent, MBA, Voting Member, Treasurer, ACO Participant Representative: Regents of the University of Michigan (UM)
- Timothy Peterson MD, Voting Member, ACO Executive, Chairman, ACO Participant Representative: Regents of the University of Michigan (UM)
- Mohammad Salameh MD, Voting Member, ACO Participant Representative: IHA Health Services Corporation (IHA)
- Jeffrey Sanfield MD, Voting Member, ACO Participant Representative: Ann Arbor Endocrinology and Diabetes Associates, P.C. (HVPA)
- Michael Sanson MD, Voting Member, ACO Participant Representative: Chelsea Professional Services (HVPA)
- Mark Sawka MD, Voting Member, ACO Participant Representative: Mark W Sawka MD PC (OSP)
- Rodrigo Tobar, Jr. DO, Voting Member, ACO Participant Representative: Family Medicine PC (OSP)
- Marti Walsh MD, Voting Member, ACO Participant Representative: IHA Health Services Corporation (IHA)
- Georgiann Ziegler,Voting Member, Medicare Beneficiary Representative
- David Serlin MD, Non-Voting Member, Executive Medical Director
- Terrisca Des Jardins, Non-Voting Member, POM ACO Administrative Director
- Rebecca Hulea JD, Non-Voting Member, Compliance Officer
- Grace Calderon, Non-Voting Member, Community Stakeholder
- Mary Greeley, Non-Voting Member, Community Stakeholder
- Jeni Hughes, Non-Voting Member, Community Stakeholder
- Melissa Kirshner, Non-Voting Member, Community Stakeholder
- Michelle Ilitch, Non-Voting Member, Community Stakeholder
- Deb Roberts, Non-Voting Member, Community Stakeholder
- Kim Speese, Non-Voting Member, Community Stakeholder
Key ACO Clinical and Administrative Leadership
- ACO Executive: Timothy A. Peterson, MD, MBA, FACEP
- Executive Medical Director: David Serlin, MD
- Compliance Officer: Rebecca Hulea, JD
- Quality Assurance and Improvement Officer: David Serlin, MD
ACO Committees and Committee Leadership:
- Clinical Management and Oversight: David Serlin, MD, Chair
- Compliance: Rebecca Hulea, JD, Chair
- IT & Clinical Decision Support: Sandeep Vijan, MD, Chair
- Medicare Beneficiary: Georgiann Ziegler, Chair
- Operations and Finance: Jeni Hughes, Chair
Types of ACO Participants or Combinations of Participants that Formed POM ACO
- ACO professionals in a group practice arrangement,
- A network of individual practices of ACO professionals,
- A hospital employing ACO professionals,
- A federally qualified health center (FQHC), and
- A rural health center (RHC)
Amount of Shared Savings/Losses
Second Agreement Period
Performance Year 2017: $20,715,184
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes / resources: 21%
- Proportion of distribution to ACO participants: 49%
Performance Year 2016: $0
First Agreement Period
Performance Year 2015: $0
Performance Year 2014: $12,075,693
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO Participants: 35%
Performance Year 2013: $0
Payment Rule Waivers
No, our ACO does not utilize the SNF 3-day Rule Waiver.
Waivers of the Federal Fraud and Abuse Laws
ACO Participation Waiver
Physician Organization of Michigan ACO, LLC (“ POM ACO”) Operational Waivers
POM ACO has entered into a Medicare Shared Savings Program (“MSSP”) Participation Agreement with Centers for Medicare and Medicaid Services (“CMS”), effective January 1, 2013 (“Participation Agreement”). CMS and the Office of Inspector General for the United States Department of Health and Human Services (“HHS OIG”) jointly issued waivers in connection with the MSSP that waive the application of the federal fraud and abuse laws to certain MSSP arrangements, including the federal Anti-Kickback Statute and Physician Self- Referral Law so long as certain conditions prescribed by the final waivers are satisfied. One such waiver is the ACO Participation Waiver, which waives the federal fraud and abuse laws provided certain conditions are met, including the following: (i) the ACO has entered into a participation agreement and remains in good standing; (ii) the ACO satisfies certain governance, leadership and management requirements; (iii) the ACO’s governing body has made and duly authorized a bona fide determination that the arrangement is reasonably related to the purposes of the Shared Savings Program; (iv) the arrangement and its authorization are documented; and the description of the arrangement is publicly disclosed, pursuant to certain additional guidance set forth by CMS and OIG.
This document is intended to meet the public disclosure requirements set forth in the final waivers. This document will be supplemented as additional arrangements arise consistent with the timing requirements set forth by CMS and OIG in the final rule.
At a meeting on January 22, 2016, of the POM ACO Board of Managers (“Board”), the Board made a bona fide determination that certain agreements between Quality Review Organizations (“QROs”) (a list is set forth in Appendix A to this document) and QRO participants (which are defined as ACO participants) are reasonably related to the purposes of the shared savings program. In furtherance of the goals of the MSSP, POM ACO contracts with QROs to ensure quality of care provided by QRO participants in a particular region and each QRO makes payments to each of its QRO participants in a manner detailed to CMS in the Participation Agreement.
At a meeting on Janury 22, 2016, of the Board, the Board made a bona fide determination that agreements between POM ACO and each QRO are reasonably related to the purposes of the shared savings program. Each QRO provides quality improvement and similar functions at a regional level on behalf of POM ACO and furthermore, makes distributions of the shared savings payment (if earned) to its QRO participants based upon certain metrics that have been previously provided to CMS in the Participation Agreement.
At a meeting on April 22, 2016, of the Board, the Board made a bona fide determination that a Management Services Agreement between POM ACO and University of Michigan is reasonably related to the purposes of the shared savings program. University of Michigan retains highly-trained staff experienced in certain areas, including, without limitation, providing clinical leadership and health informatics services. The Board has made the determination that from a cost-effectiveness standpoint, it is efficient to secure these services for POM ACO through an agreement with University of Michigan. The services provided pursuant to the agreement are explicitly defined in a budget that is pre-approved by the Board.
Care Collaboration Arrangement Waiver (MidMichigan Medical Center - Midland)
At the June 22, 2018 meeting of the POM ACO Board of Managers, the Board made a bona fide determination that a care collaboration arrangement between the Regents of the University of Michigan (“U-M”) and MidMichigan Medical Center – Midland (“MidMichigan”) is reasonably related to the purposes of the shared savings program, including improved care coordination and quality improvement. Both MidMichigan and U-M are ACO Participants in POM ACO. Under the arrangement and at all times subject to beneficiary freedom of choice, MidMichigan inpatients will be transferred to U-M to receive certain specialized health care services unavailable at MidMichigan. Following their receipt of the specialized services, patients will be transferred back to MidMichigan by an unrelated ambulance supplier to convalesce in their local community. U-M and Midland are separated by over 100 miles and the Board has made the determination that this arrangement will improve the quality of care of patients and improve patient satisfaction by allowing patients to recover from complex procedures closer to their community. This arrangement will further the quality goals of the ACO through the coordination of care of the two ACO participants.
Care Collaboration Arrangement Waiver (St. Joseph Mercy Hospital Ann Arbor)
At a meeting on August 24, 2018 of the POM ACO Board of Managers (“Board”), the Board made a bona fide determination that a collaborative arrangement among IHA Health Services Corporation (“IHA”), St. Joseph Mercy Hospital, Ann Arbor (“St. Joseph Mercy Ann Arbor”), and Regents of the University of Michigan (“University of Michigan Health System”) is reasonably related to purposes of the Medicare Shared Savings Program, specifically, care coordination and efficient service delivery and meets the necessary requirements to grant an ACO Participation Waiver. The arrangement involves the development of a general medicine unit at St. Joseph Mercy Ann Arbor that will be staffed by University of Michigan faculty pursuant to a contractual arrangement between University of Michigan Health System and IHA. Both IHA and St. Joseph Mercy Ann Arbor are part of Trinity Health – Michigan, and both IHA and the University of Michigan Health System are currently participants in POM ACO, and anticipate transitioning to ACO tracks that are risk-bearing such that any incentive for overutilization of Medicare-payable items and services would be eliminated. The arrangement is in furtherance of ensuring care is delivered in the most efficient setting possible, in an effort to reduce costs to the Medicare program and to taxpayers, and improve patient satisfaction and quality of care. As part of this arrangement, patients will be transported by ambulance from University of Michigan Health System to St. Joseph Mercy Ann Arbor pursuant to a contractual arrangement between University of Michigan Health System and an ambulance vendor. Such ambulance transfers are medically necessary but do not meet Medicare coverage guidelines for ambulance services. Under this arrangement, Medicare beneficiaries will at all times retain freedom of choice to receive health care services from any facility.
Quality Performance Results
2017 Quality Performance Results:
POM ACO has a number of resources for people who have a question or concern about compliance. The POM ACO Compliance Hotline has been established as a way to raise financial, regulatory and patient safety issues.
POM ACO is committed to providing an environment where individuals can safely and confidentially come forward to identify potential serious inquiries.
Callers to the POM ACO Compliance Hotline can remain anonymous. Customary resolutions methods, such as talking with your supervisor or physician organization's leaders, are still important first-line approaches for reporting compliance concerns to try to reach a resolution locally.
The POM ACO Compliance Hotline is available for situations where conventional channels are uncomfortable or otherwise inappropriate, or when you wish to remain anonymous. Please keep in mind however, that certain types of reports may be difficult to pursue if you choose to remain anonymous.
POM ACO has contracted with a professional compliance call center to handle the calls and route information back to the appropriate areas for handling. You may contact them by phone or by submitting an on-line form 24 hours a day, 7 days a week.
Toll free number 1-855-260-0919
On-line form www.reportlineweb.com/pomaco