ACO mosaic | Henry Ford Health System

Name and location of the ACO

Physicians Responsible Care Organization Henry Ford, LLC; D / B / A ACO mosaic
A Ford Place, Suite 2E

Main contact ACO

Jane thornhill
313-874-1466
[email protected]

Organization Information

ACO participants:

ACO Governing Body:

Key clinical and administrative leadership of the ACO:

COA Executive: Jane Thornhill
Medical Director: Bruce Muma, MD
Chief Compliance Officer: Kevin Durell, DO
Qualified Healthcare Professional: Joyce Leon, MD

Associate committees and committee leadership:

Types of ACO participants, or combinations of participants, that formed the ACO:

ACO professionals in group practice arrangements. Partnerships or joint venture agreements between hospitals and ACO professionals. Hospitals employing ACO professionals.

Shared savings and losses

Amount of shared savings / losses:

• N / A, Henry Ford Physicians Accountable Care Organization is in its first agreement period and has yet to receive financial reconciliation results.

Breakdown of shared savings:

• N / A, Henry Ford Physicians Accountable Care Organization is in its first agreement period and has yet to receive financial reconciliation results.

Quality performance results:

• The Henry Ford Physicians Accountable Care organization did not participate in the Shared Savings Program during the 2020 performance year, therefore this section is not applicable at this time.

Derogations from payment rules

• 3 day rule waiver for skilled nursing facilities (SNF):
  • Our ACO uses the SNF 3-Day Rule Waiver, in accordance with 42 CFR § 425.612.
• Payment exemption for telehealth services:
  • Our ACO clinicians provide telehealth services using the flexibilities of 42 CFR § 425.612 (f) and 42 CFR § 425.613.

Waivers of fraud and abuse

• Waiver of ACO pre-participation:

The following information describes each agreement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed agreement.

Application and operational services:

• Parties to the arrangement: ACO, ACO participants, ACO providers / suppliers and vendors providing services to ACO, ACO participants and / or ACO providers / suppliers.
• Arrangement date: As of January 1, 2021.
• Articles, services, goods or facilities provided: ACO entered into an agreement whereby Henry Ford Health System (an ACO Participant) provided all funding for back office, management, professional, and infrastructure and technology services information needed to reorganize the ACO, submit an MSSP application, and qualify for participation in the MSSP. By virtue of this agreement, the ACO Participants have agreed to participate in the ACO and MSSP, and to provide in-kind services to and for the ACO and other ACO Participants. Each of the ACO participants also participates in one of the three regional networks. Each of the three regional networks has agreed to reimburse Henry Ford Health System (“HFHS”), on a pro rata basis, the total amount spent by HFHS for such administrative, management, professional and information technology infrastructure and services. . . This arrangement included the review and revision of the ACO statutes, operating agreement and participation agreements; submission of the MSSP request and supporting documents; acquire and provide the MSSP reimbursement mechanism; and fulfill all MSSP signing event requirements.
• Date and nature of any modification to the arrangement, if applicable: Nothing.

• Waiver of ACO pre-participation:

The following information describes each agreement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed agreement.

Operational services:

• Parties to the arrangement: ACO, ACO participants, ACO providers / suppliers and vendors providing services to ACO, ACO participants and / or ACO providers / suppliers.
• Arrangement date: As of January 1, 2021.
• Articles, services, goods or facilities provided: The ACO has entered into a Management Services Agreement under which the Henry Ford Physician Network (“HFPN”) will provide all administrative, management, professional services, as well as infrastructure and technology services to the ACO. information related to ACO’s participation in the MSSP. Each of the three regional networks will be responsible for an equal, pro rata share of the fees charged by HFHS for providing these services to the ACO under the management services agreement.
• Date and nature of any modification to the arrangement, if applicable: Nothing.