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BMC Integrated Care Services and the Medicare Shared Savings Program

BMC Integrated Care Services (BMCICS) promotes the highest quality of coordinated patient care, patient safety and cost effective care among its participating providers through our integrated and coordinated managed care contracts and related medical management programs.

Medicare Designates BMCICS as an Accountable Care Organization (ACO).

BMCICS provides information to physicians and their staff on our managed care contracts, their requirements and their implementation processes.

Our medical management program supports our providers in promoting high-quality, efficient care by:

  • Minimizes variations in practice by monitoring, quality and effectiveness
  • Monthly quality reports
  • Provides prior authorizations for medically necessary or medically appropriate care
  • Conducts provider and member surveys
  • Credentials and re-credentials providers

Provider FAQ
Beneficiary FAQ

Contact Information

Phone: 617.478.3525
Fax: 617.897.0860
[email protected]


Public Reporting

ACO Name and Location

BMC Integrated Care Services, Inc.
One Boston Medical Center Place
Boston, Massachusetts 02118

ACO Primary Contact

Primary Contact Name

Jessica Pagani

Primary Contact Phone Number

617-638-0996

Primary Contact Email Address

[email protected]

ACO Participants

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Trustees of Boston University

Y

South End Community Health Center

Y

Child Health Foundation of Boston, Inc.

Y

Mattapan Community Health Center, Inc.

Y

Codman Square Health Center, Inc

Y

South Boston Community Health Center, Inc.

Y

Boston University Mallory Pathology Associates, Inc.

Y

Faculty Practice Foundation Inc

Y

Internal Medical Associates-EBNHC

Y

Boston University Obstetrics and Gynecology Foundation, Inc.

Y

Bumc Otolaryngologic Foundation Inc

Y

Boston University Affiliated Physicians, Inc.

Y

Boston University General Surgical Associates, Inc.

Y

Boston University Medical Center Radiologists, Inc.

Y

Boston Emergency Physician Foundation, Inc.

Y

Boston University Medical Center Urologists, Inc.

Y

Boston University Neurosurgical Associates, Inc.

Y

Boston Medical Center Corporation

Y

Boston University Dermatology, Inc.

Y

Boston University Family Medicine, Inc.

Y

Boston University Orthopaedic Surgical Associates, Inc.

Y

Boston University Psychiatry Associates, Inc.

Y

Boston University Neurology Associates, Inc.

Y

Faculty Practice Foundation Boston Univ Plastic Surgery Assoc

Y

Dorchester House Multi-Service Center

Y

Upham's Corner Health Committee, Inc.

Y

Evans Medical Foundation Inc

Y

Boston University Radiation Oncology, Inc.

Y

ACO Governing Body

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Doyle

Frank

Director

10%

Other: Executive Director of Boston Healthnet representing multiple community health centers

N/A

Creevy

William

Director

10%

Other: President of Faculty Practice Foundation, Inc.

Faculty Practice Foundation Inc.

Davidoff

Ravin

Director

10%

ACO Participant Representative

Boston Medical Center Corporation

Hochberg

Stanley

President

10%

ACO Participant Representative

Boston Medical Center Corporation

Halpin

William

Director

10%

ACO Participant Representative

South Boston Community Health Center, Inc.

Coleman

David

Director

3.57%

ACO Participant Representative

Faculty Practice Foundation Inc.

Tseng

Jennifer

Director

3.57%

ACO Participant Representative

Boston University General Surgical Associates, Inc.

Lee-Parritz

Aviva

Director

3.57%

ACO Participant Representative

Boston University Obstetrics and Gynecology Foundation, Inc.

Vinci

Robert

Director

3.57%

ACO Participant Representative

Child Health Foundation of Boston, Inc.

Jack

Brian

Director

3.57%

ACO Participant Representative

Boston University Family Medicine, Inc.

Olshaker

Jonathan

Director

3.57%

ACO Participant Representative

Boston Emergency Physician Foundation, Inc.

Tifft

Charles

Director

3.57%

ACO Participant Representative

Boston University Affiliated Physicians, Inc.

Culpepper

Larry

Director

3.57%

ACO Participant Representative

Boston University Family Medicine, Inc.

Caruso

Lisa

Director

3.57%

ACO Participant Representative

Faculty Practice Foundation Inc.

Samet

Jeffrey

Director

3.57%

ACO Participant Representative

Faculty Practice Foundation Inc.

Williams

Charles

Director

3.57%

Other: Medical Director of Boston Healthnet representing multiple community health centers

N/A

Severin

Philip

Director

3.57%

ACO Participant Representative

Codman Square Health Center, Inc.

Jacobson

Brian

Director

3.57%

ACO Participant Representative & ACO Medical Director

Evans Medical Foundation, Inc.

Chobanian

Aram

Director

3.57%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership

Betsey Eltonhead

ACO Executive

Brian Jacobson

Medical Director

Kim Greene

Compliance Officer

Brian Jacobson

Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Finance/Budget Committee of Boston Accountable Care Organization Inc.,

William Creevy, MD – President of Boston University Medical Group

Quality, Clinical, Information Technology & Informatics Committee of Boston Accountable Care Organization

Charlie Williams, MD – Medical Director of HealthNet and Brian Jacobson, MD, MPH – ACO Medical Director

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $4,217,885

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • Proportion invested in infrastructure: 50%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

77.49

79.9

ACO-2

CAHPS: How Well Your Providers Communicate

94.07

92.63

ACO-3

CAHPS: Patients' Rating of Provider

92.45

91.93

ACO-4

CAHPS: Access to Specialists

82.59

83.52

ACO-5

CAHPS: Health Promotion and Education

64.08

60

ACO-6

CAHPS: Shared Decision Making

71.94

75.28

ACO-7

CAHPS: Health Status/Functional Status

74.98

71.82

ACO-34

CAHPS: Stewardship of Patient Resources

24.82

27.52

ACO-8

Risk-Standardized, All Condition Readmission

15.41

14.7

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

20.74

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

45.95

53.2

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

75.56

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

59.06

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

11.56

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

16.39

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

92.75

82.72

ACO-39

Documentation of Current Medications in the Medical Record

72.66

87.54

ACO-13

Falls: Screening for Future Fall Risk

53.92

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

70.28

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

82.05

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

51.47

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

90.98

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

39.62

53.63

ACO-19

Colorectal Cancer Screening

69.28

61.52

ACO-20

Breast Cancer Screening

80.99

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

68.71

76.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.6

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.05

18.24

ACO-41

Diabetes: Eye Exam  

55.04

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

60.26

70.52

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

91.97

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

86.87

88.67

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%)

87.06

79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

Note: In the Quality Performance Results file(s) above, search for “BMC Integrated Care Services, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A79410 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.