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
MSOGroupBox@BMCHP-wellsense.org

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 Priscilla O'Heir
Primary Contact Phone Number

617-414-1673
Primary Contact Email Address

priscilla.oheir@bmc.org

ACO Participants

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Trustees of Boston University

Y

Child Health Foundation of Boston, Inc.

Y

Mattapan Community Health Center, Inc.

Y

Manet 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

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

DOT HOUSE HEALTH INC.

Y

Upham's Corner Health Committee, Inc.

Y

Evans Medical Foundation Inc

Y

Boston University Radiation Oncology, Inc.

Y

Boston University Medical Center Anesthesiologists Inc

Y

Boston University Eye Associates Inc

Y

Harbor Health Services Inc

Y

Harvard Street Neighborhood Health Center 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

Bell

Alastair

Director

11.11%

ACO Participant Representative

Boston Medical Center Corporation

Davidoff

Ravin

President

11.11%

ACO Participant Representative

Boston Medical Center Corporation

Creevy

William

Director

11.11%

Other: President of Boston University Medical Group

Boston University Orthopaedic Surgical Associates, Inc.

Jacobs

Alice

Director

11.11%

ACO Participant Representative

Evans Medical Foundation Inc

Henderson

David

Director

11.11%

ACO Participant Representative

Boston University Psychiatry Associates, Inc.

Halpin

William

Director

11.11%

ACO Participant Representative

South Boston Community Health Center, Inc.

Trivedi

Jagdeep

Director

11.11%

ACO Participant Representative

Upham's Corner Health Committee, Inc.

Chobanian

Aram

Director

11.11%

Medicare Beneficiary Representative

N/A

Newsom

Terri

Director

11.11%

ACO Participant Representative

Boston Medical Center Corporation

Key ACO Clinical and Administrative Leadership

Michael Olsen ACO Executive
michael.olsen@bmc.org
Jason Worcester Medical Director
jason.worcester@bmc.org
Craig Bennett Compliance Officer
Jason Worcester 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 Committee

Charlie Williams, MD – Medical Director of HealthNet – 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

  • Third Agreement Period
    • Performance Year 2021, $4,671,498
  • Second Agreement Period
    • Performance Year 2020, $7,087,868
    • Performance Year 2019, $ 2,352,403
    • Performance Year 2018, $1,905,632
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $4,217,885

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: N/A 80%
    • Performance Year 2019
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2018
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%
  • 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: 0%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 100%

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

13.2

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

74.54

74.38

236

Controlling High Blood Pressure

63.45

74.87

318

Falls: Screening for Future Fall Risk

81.67

87.03

110

Preventive Care and Screening: Influenza Immunization

72.46

80.52

226

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

64.49

80.97

113

Colorectal Cancer Screening

71.46

73.63

112

Breast Cancer Screening

72.1

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.69

84.24

321

CAHPS for MIPS3

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1683

0.154

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

42.37

33.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

CAHPS for MIPS Measures:

Measure ID Measure Name Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
CAHPS-1 Getting Timely Care, Appointments, and Information 76.52 84.67
CAHPS-2 How Well Providers Communicate 92.99 93.56
CAHPS-3 Patient’s Rating of Provider 92.85 92.19
CAHPS-4 Access to Specialists 74.59 78.80
CAHPS-5 Health Promotion and Education 65.74 61.61
CAHPS-6 Shared Decision Making 56.45 60.89
CAHPS-7 Health Status and Functional Status 68.99 71.78
CAHPS-8 Care Coordination 86.16 85.66
CAHPS-9 Courteous and Helpful Office Staff 83.40 91.88
CAHPS-11 Stewardship of Patient Resources 25.84 24.71

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
  • Waiver for Payment for Telehealth Services: 
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Patient Advisory Committee – BMC Integrated Care Services, Inc. 

The needs and desires of the patient population of BMC Integrated Care Services is at the forefront of our work. To that end, the BMC Integrated Care Services, as a part of its governance structure, has a Patient Advisory Committee. The purpose of the Committee is to assist the Board in meeting its responsibilities to ensure that the interest of the ACO’s patients, and their families, are met. The Committee has appointed a consumer representative to sit on the BMC Integrated Care Services’ Board of Directors, and intends to recommend a consumer or consumer advocate to represent patients with disabilities to the Board or one of its Committees, in the near future.