PMC ACO and Medical Advantage Score 94% for MIPS in 2017

by | Aug 15, 2018

EAST LANSING, Mich. July 11, 2018 – Medical Advantage announces Professional Medical Corporation Accountable Care Organization (PMC ACO) received exceptional performance in accountable care as measured by the 2017 Merit-based Incentive Payment System MIPS scores. Based in Flint, Michigan, PMC ACO is a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) with about 40 clinicians. The ACO contracts with Medical Advantage for population health, care management, and administrative services.

The Centers for Medicare and Medicaid Services (CMS) MIPS scores for 2017 show that PMC ACO scored 94%, yielding a +1.71% payment adjustment for 2019. Payment adjustments ranging from -4.00% to +2.02% were possible. This strong performance well positions PMC ACO for continued success in MIPS and MSSP, since bonuses and penalties for MIPS performance will both increase in coming years.

The MIPS scores for the 2017 performance year (January 1 to December 31), consist of three parts: quality, advancing care information, and improvement activities. As previously reported, PMC ACO has also made impressive gains on clinical quality measures for 2017. This strong quality performance is reflected in these high MIPS scores. PMC ACO earned an average two-year quality score of 95 percent as reported by CMS. Quality scores are based on the patient/caregiver experience, care coordination/patient safety, preventive health, and care of at-risk populations. “This means patients served by PMC ACO physicians are getting all the necessary preventive screenings and services to maintain high-quality health,” says Mike Grodus, Director of Healthcare Transformation at Medical Advantage.

“We are excited that PMC ACO clinicians are continuing to excel at the factors included in the MIPS scoring” said Paul Maclellan, Medical Advantage CEO. “The ACO’s success is further proof that our unique population health approach accelerates success for ACOs, and ultimately improves patient health,” says MacLellan.

About Medical Advantage

Medical Advantage, a wholly owned subsidiary of The Doctors Company, is an innovator in maximizing health plan and physician clinical and financial performance in value-based contracting. With 20 years of experience managing cost and quality for physician practices, our hands-on approach drives change and positive returns on investment. Through collaboration and guidance, we provide practices and organizations of all sizes with customized, actionable solutions to decrease the cost of care and improve quality. Learn more about our services at medicaladvantagegroup.com or by calling 800.594.6115.

About PMC ACO

Based in Flint Michigan, PMC ACO is dedicated to working collaboratively with specialists, hospitals and their providers to improve quality, reduce cost and enhance patient experience for Medicare beneficiaries. The high-performance ACO has achieved significant quality and financial performance in its Medicare Shared Savings Program contract. The ACO is managed by Medical Advantage. To learn more, visit www.pmcaco.com.

 

Media Contact:

Bill Riley, Marketing Manager | Medical Advantage | 517.999.8090 | briley@medadvgrp.com

Author

  • Allison Solit

    As Medical Advantage’s Director of Marketing, Allison Solit is responsible for both envisioning and executing high-level content strategy and campaigns – with a history of success delivering for a variety of clients. Responsible for managing and leading large teams containing mem...

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