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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

Boston University Medical Group

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

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

Orlando

Charles

Director

10%

ACO Participant Representative

Boston Medical Center Corporation

Bell

Alastair

Director

10%

ACO Participant Representative

Boston Medical Center Corporation

Davidoff

Ravin

President

10%

ACO Participant Representative

Boston Medical Center Corporation

Creevy

William

Director

10%

Other: President of Boston University Medical Group

Boston University Medical Group

Jacobs

Alice

Director

10%

ACO Participant Representative

Boston University Medical Group

Henderson

David

Director

10%

ACO Participant Representative

Boston University Medical Group

Halpin

William

Director

10%

ACO Participant Representative

South Boston Community Health Center, Inc.

Lopes

Manuel

Director

10%

ACO Participant Representative

East Boston Community Health Center, Inc.

Trivedi

Jagdeep

Director

10%

ACO Participant Representative

Upham's Corner Health Committee, Inc.

Chobanian

Aram

Director

10%

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership

Debra Ogin

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 2017, $0
    • Performance Year 2016, $0 o Performance Year 2015, $4,217,885

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2017
      • 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 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

78.41

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

93.92

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

94.32

92.31

ACO-4

CAHPS: Access to Specialists

81.81

83.32

ACO-5

CAHPS: Health Promotion and Education

65.39

62.30

ACO-6

CAHPS: Shared Decision Making

69.80

75.85

ACO-7

CAHPS: Health Status/Functional Status

71.97

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

18.91

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.89

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.57

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

85.19

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

66.68

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.47

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

23.33

75.32

ACO-13

Falls: Screening for Future Fall Risk

75.67

74.38

ACO-44

Imaging Studies for Low Back Pain

79.71

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

79.35

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

86.80

72.92

ACO-16

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

80.59

70.69

ACO-17

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

95.91

90.48

ACO-18

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

57.28

61.98

ACO-19

Colorectal Cancer Screening

73.60

64.58

ACO-20

Breast Cancer Screening

79.04

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.09

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.78

16.74

ACO-41

Diabetes: Eye Exam

55.70

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

62.40

71.47

ACO-30

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

91.77

86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

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

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.