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John C. Lincoln Accountable Care Organization

Name and Location

John C. Lincoln Accountable Care Organization, LLC
2500 W. Utopia Road, Suite 100
Phoenix, AZ 85022

Accountable Care Organization (ACO) Primary Contact

James Dearing, DO
Vice President and Chief Medical Officer
James.Dearing@JCL.com
623-879-3870

Composition of ACO

Hospital employing ACO Professionals

ACO Participating Providers

John C. Lincoln Health Network – North Mountain Hospital

John C. Lincoln Health Network – Deer Valley Hospital

John C. Lincoln Health Network – Desert Mission, LLC

John C. Lincoln, LLC

John C. Lincoln Comprehensive Women's Center, LLC

JCL Gastroenterology, LLC

North Valley Internal Medicine, LLC

JCL Neurology, LLC

JCL Urgent Care, LLC

Breast Imaging Specialists of Arizona, LLC

» View a list of participating providers by specialty

John C. Lincoln Accountable Care Organization
Governing Body

Dr. Carrol Wheat, Voting Member and Chair, John C. Lincoln, LLC, Deer Valley Medical

Dr. James Dearing, Voting Member and Chief Medical Officer, John C. Lincoln, LLC, Dearing Family Medicine

Nathan Anspach, Voting Member and CEO, John C. Lincoln Accountable Care Organization and Physician Network

David Lamparter, Voting Member and CFO, John C. Lincoln Health Network

Bruce Pearson, Voting Member and CEO, John C. Lincoln Health Network – North Mountain Hospital

Dr. Eugenie Anderson, Voting Member, John C. Lincoln Comprehensive Women's Center, Care for Women North Mountain

Dr. Aaron Boor, Voting Member, John C. Lincoln LLC, Del Lago Family Medicine

John Nimsky, Voting Member and Medicare Beneficiary

Jan Elezian, Chief Compliance Officer, Non-Voting Member

John C. Lincoln Accountable Care Organization Committees
and Key Leadership Personnel

  • Medical Management & Quality Committee:

James Dearing, DO, Chair

  • Operations & Technology Committee:

Nathan Anspach, Chair

  • Care Management Subcommittee:

Karla Birkholz, MD, Chair

  • Quality Reporting Subcommittee:

Susan Melker, RN, Chair

  • Performance Management Subcommittee:

Bruce Pearson, Chair

  • Clinical Program Development Subcommittee:

James Dearing, DO, Chair

  • Finance Subcommittee:

David Lamparter, Chair

  • Compliance Subcommittee:

Jan Elezian, Chair

  • Network Operations Subcommittee:

Nathan Anspach, Chair

  • Patient Engagement Subcommittee:

John Nimsky, Chair

ACO Quality Reporting

The goal of an ACO is to deliver seamless, high-quality care for Medicare beneficiaries. The John C. Lincoln ACO is a patient-centered organization where the patient and providers are true partners in care decisions. The ACO is responsible for maintaining a patient-centered focus and developing processes to:

  • Promote evidence-based medicine.
  • Promote patient engagement.
  • Internally and publicly report on quality and cost.
  • Coordinate care.

Quality Measures

To operate as a CMS-certified ACO, the John C. Lincoln ACO is required to demonstrate that it meets the required quality performance standard for that year.

Our Quality Reporting Scores for 2012 and 2013

2012 Quality Performance Report

Care Coordination/Patient Safety 1

Measure Number Measure Name Denominator    Numerator ACO Performance Rate
ACO-8 Risk Standardized, All Condition Readmissions 2 -- -- 14.74
ACO-9 ASC Admissions: COPD or Asthma in Older Adults 0.07 0.04 0.63
ACO-10 ASC Admission: HF 0.16 0.21 1.34
ACO-11 Percent of PCPs who Qualified for EHR Incentive Payment 71 49 69.01%

Notes:

  • 1. For ACO-8, ACO-9 and ACO-10, a lower performance rate indicates better performance.
  • 2. The measure reports a single summary Risk Standardized Readmission Rate, derived from the volume-weighted results of five different models, one for each of the following specialty cohorts (groups of discharge condition categories or procedure categories): surgery/gynecology, general medicine, cardio-respiratory, cardiovascular, and neurology.

2013 Quality Performance Report

Care Coordination/Patient Safety

Measure Number Measure Name Denominator    Numerator ACO Performance Rate
ACO-8 Risk Standardized, All Condition Readmissions -- -- 14.08
ACO-9 ASC Admissions: COPD or Asthma in Older Adults 0.06 0.06 1.03
ACO-10 ASC Admission: HF 0.16 0.23 1.44
ACO-11 Percent of Primary Care Providers Who Successfully Attested for the EHR Incentive Program Incentive Payment 78 64 82.05

Aggregate Amount of Shared Savings/Losses

  • Performance Year 1:

$0

  • Performance Year 2:

TBD

  • Performance Year 3:

TBD

How Shared Savings Are Distributed

The John C. Lincoln Accountable Care Organization is committed to incentive-driven performance and has designed the shared savings model to invest, on a phased-in basis, in provider incentives upon recovering any start-up and operating costs. After paying operating costs, including reimbursing participants and sponsors for any start-up and operating costs they incurred on behalf of John C. Lincoln Accountable Care Organization, the ACO will distribute 60 percent of the remaining total savings as follows:

a.   50 percent to incentivize individual physicians.

b.   30 percent to hospitals.

c.   20 percent to other ACO providers/suppliers.

The remaining 40 percent of savings will be retained for investment in information and care management systems, or for additional provider incentives, as determined on an annual basis by the Governing Board.

Creating an Advance Directive

No one wants to think about the possibility of something bad happening to them or their loved ones. However, it's important to be prepared by having advance directives, which are documents such as a living will, medical and/or mental health power of attorney and pre-hospital do not resuscitate directive.

Have Questions? Need More Information?

Please visit Medicare's website or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.