The Federation ACO, LLC is a physician-led partnership of Michigan providers working together to provide better care for patients, better health for populations and lower overall health care costs.

Federation ACO, LLC
1151 W Milham Avenue
P.O. Box 2016
Portage, MI 49081

ACO Primary Contact
Karin Proos, PharmD
Clinical Executive
Karin.proos@affirmant.com
Phone: 1-877-232-3614

TIN Legal Business Name

ACO Participants ACO Participant in a Joint Venture
Aaron M. VanWagnen, MD, PLLC Y
Ali Orandi, MD, PLC Y
Alimenti Family Medicine Y
Allergy & Asthma Specialists Of Lansing Pllc Y
Alli Med Pllc Y
Alliance Obstetrics & Gynecology, Pllc Y
Andrew M Lafleur Md Plc Y
Anesthesia And Pain Management Y
Araceli C Mesiona-Brucal Md Pllc Y
ARNOLD FAMILY CHIROPRACTIC PLLC Y
Arshad Aqul Md Pllc Y
Arthur R Vendola Md Pc Y
Ashok K Gupta Md Plc Y
B. P. Rajesh, MD, PLLC Y
Beverly Jarema Y
Bosworth Urgent Care Pc Y
Brad E Kremer Pllc Y
Brad Kremer Y
Brent J Raap Do Pc Y
BRIAN T DOYLE MD PLC Y
Bronson Battle Creek Hospital Y
Bronson Lakeview Hospital Y
Bronson Methodist Hospital Y
BRONSON SOUTH HAVEN HOSPITAL Y
Capital Cardiology, PC Y
Cardiology Group Of Lansing Pc Y
Center for Family Health Y
Charlotte Yang Y
Cheryl A Colletti Do Pllc Y
CLAUDIA ZACHAREK MD PLC Y
Cornerstone Family Practice, PLC Y
Covenant Medical Center, Inc Y
Daniel Coffey Y
Daniel Freeman Y
Daniel P Freeman, MD PC Y
David Halsey Y
David Prough Y
Dominador Laynes Y
Donald Brooks Y
Donald C. Jones, MD, PC Y
Donna M ONeill, MD, PC Y
Dr Martins Foot And Ankle Clinic Y
Dr Steven L Drayer Pllc Y
East Lansing Orthopedic Association P C Y
EDGEWATER FAMILY HEALTH PLC Y
Edward W. Sparrow Hospital Association Y
EPMG SOUTHWEST MICHIGAN PLLC Y
EPMG WESTERN MICHIGAN PLLC Y
Erminda Marinas Y
Evelyn Eccles, MD Y
Foremost Podiatry Pc Y
Garland Scott, MD Y
Gary Farhat Y
GRAND RIVER FAMILY CARE PC Y
Great Lakes Eye Care Y
Great Lakes Gastroenterology, PLLC Y
Great Lakes Surgery Center LLC Y
Greater Niles Cardiology, PC Y
Harold D. Sterling, Jr. Dpm, P.C. Y
HILLS & DALES GENERAL HOSPITAL INC Y
Hillsdale Pulmonary Critical Care & Sleep Medicine PC Y
Hospice at Home, Inc Y
Imdad H. Butt, MD, PC Y
Jackson Cardiology & Associates Y
Jackson Cardiology Consultants, PLLC Y
Jackson Family Medical Pllc Y
JACKSON OB GYN PLC Y
Jackson Orthopaedic Care & Surgery PC Y
Jackson Pathology Associates, PC Y
Jackson Radiology Consultants, PC Y
James Bodrie Y
James R LaFleur, MD Y
Jason M. Cochran, DO, PC Y
JILL M PAVEGLIO MD PLC Y
John D. Wenzel, DO, PLLC Y
John M. Stafford, Md, And Associates, P.C. Y
John N Flood Do Pc Y
JONESVILLE HEALTHCARE PLLC Y
Kathleen Anzicek, DO Y
Kidney and Hypertension Specialists, PLLC Y
Lake Michigan Hand Center, PC Y
Lake Michigan Nephrology Llc Y
Lakeland Community Hospital, Watervliet Y
Lakeland Hospitals At Niles And St Joseph Inc Y
Lakeland Immediate Care Center Y
Lakeland Medical Practices Y
Lakeside Healthcare Specialists, PLLC Y
Lansing Cardiovascular Consultants, PC Y
Looking Glass Foot & Ankle Pc Y
Lorna G. Pinson, Md Pllc Y
Lucas A. Julien, MD, PLC Y
Lynn VanWagnen, MD, PC Y
MARK HEINZELMANN Y
Mark Leventer Y
MARLETTE REGIONAL HOSPITAL Y
MATTHEW CAMPBELL, MD, PLC Y
Memorial Hospital Y
MICHAEL SWORDS DO PLLC Y
Michigan Gastroenterology Institute Y
Michigan Institute of Neurological Diseases, PLLC Y
Michigan Spine and Brain Institute Y
MID MICHIGAN ONCOLOGY RADIATION ASSOCIATES PC Y
Mid-Michigan Ear, Nose & Throat, PC Y
Mid-Michigan Gastroenterology Consultants, PC Y
Minoo Khetarpal Md Pllc Y
Nadeem Ullah, MD, LLC Y
OBHG Michigan, PC Y
Okemos Allergy Center, PC Y
Owosso Medical Associates, PC Y
Parminder Jaswal,Md,Plc Y
Patrick Wegman Y
Paul S. Kenyon, MD, PC Y
Philip Barker Y
Phillip Frantzis Y
Physician Anesthesia Service Pc Y
Plasencia Family Medicine Pllc Y
Preecha Supanwanid, Md Pc Y
Pulmonary Clinics Of Southern Michigan Y
RAJAN PASTORIZA MD PLC Y
Rakesh Chokshi Md Plc Y
Rappha Medical Clinic PLLC Y
RAZVAN C OPREANU MD PLC Y
Robert Israel Y
Robert M Doane Md Pc Y
Ronald L Gonzales Md Pllc Y
Ruth Yoon Y
Saginaw Valley Medical Care, PLC Y
Sajeda Nusrat Md Family Medicine Pllc Y
SCHEURER HOSPITAL Y
South Shore Womens Health Care, PC Y
Southern Michigan Pain Consultants, PC Y
Southwest Michigan Center For Orthopaedic And Sports Medicine P Y
Sparrow Carson Hospital Y
Sparrow Clinton Hospital Y
Sparrow Ionia Hospital Y
SPARROW SPECIALTY HOSPITAL Y
Springcrest Family Physicians, PC Y
St. Johns Internal Medicine, PC Y
Subbarao Chavali Y
Summit Podiatry Group, PC Y
Sutinderpal S. Judge, MD, PC Y
Thomas A. Kelly, DO, PC Y
Tony Palmer, MD, PLLC Y
Total Family Health Care Plus Pllc Y
Tri-City Internists, PLC Y
University Medical Specialties PC Y
VALLEY ENT ASSOCIATES PC Y
W. A. Foote Memorial Hospital, Inc Y
Member First Name Member Last Name Member Title Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Ronald Gonzales Chairman 1 ACO Participant Representative Ronald L. Gonzales Md Pllc
Doug Edema Treasurer 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Sharon Deskins Secretary 1 ACO Participant Representative Lakeside Health Care Specialists, PLLC
Scott Larson Voting Member 1 ACO Participant Representative Bronson Methodist Hospital
Courtland Keteyian Voting Member 1 ACO Participant Representative Jackson Family Medical PLLC
Kevin Albosta Voting Member 1 ACO Participant Representative Covenant Medical Center
Mike Tobin Voting Member 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Jerry Booth Voting Member 1 Medicare Beneficiary Representative  N/A
Karin Proos, PharmD – ACO Executive
Ron Gonzalez, MD – Medical Director
Jeromy Timmer – Quality Assurance / Improvement Officer
Karin Proos, PharmD – Compliance Officer
Committee Name Committee Leader Name and Position
Clinical Transformation Committee Dr. Karin Proos
Communications & Education Committee Mr. Larry Daly, Chair
Information Technology & Business Intelligence Dr. Pankaj Jandwani, Chair
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
Amount of Shared Savings/Losses

– First Agreement Period

  • Performance Year 2020, $8,998,867
  • Performance Year 2019, $33,525,775
  • Performance Year 2018, $17,416,779
  • Performance Year 2017, $7,664,465

Shared Savings Distribution

– First Agreement Period

  • Performance Year 2020
    – Proportion invested in infrastructure: 13%
    – Proportion invested in redesigned care processes resources: 12%
    – Proportion of distribution to ACO participants: 75%
  • Performance Year 2019
    – Proportion invested in infrastructure: 13%
    – Proportion invested in redesigned care processes/resources: 12%
    – Proportion of distribution to ACO participants: 75%
  • Performance Year 2018
    – Proportion invested in infrastructure: 13%
    – Proportion invested in redesigned care processes/resources: 12%
    – Proportion of distribution to ACO participants: 75%
  • Performance Year 2017
    – Proportion invested in infrastructure: 13%
    – Proportion invested in redesigned care processes/resources: 12%
    – Proportion of distribution to ACO participants: 75%
ACO# Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.77 0.95
ACO-13 Falls: Screening for Future Fall Risk 90.80 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 82.59 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85.71 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 63.39 71.46
ACO-19 Colorectal Cancer Screening 74.19 72.59
ACO-20 Breast Cancer Screening 74.60 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.71 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 12.10 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.40 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.   For Previous Years’ Financial and Quality Performance Results, please visit date.cms.gov

1151 W Milham Avenue
P.O. Box 2016
Portage, MI 49081
269-552-4245