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.

What’s an ACO?

Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors. When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

Medicare Shared Savings Program ACOs

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html, read Frequently Asked Questions, or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

Federation ACO, LLC
950 Trade Centre Way, Suite 200
Portage, MI 49002
Phone: 1-877-232-3614

ACO Primary Contact
Bill Mayer, MD, MPH
President and CEO
Email: bill.mayer@affirmant.com
Phone: 269-552-4245

TIN Legal Business Name

Aaron M. VanWagnen, MD, PLLC
Ali Orandi, MD, PLC
Alimenti Family Medicine
Allergy & Asthma Specialists Of Lansing Pllc
Alli Med Pllc
Alliance Obstetrics & Gynecology, Pllc
Andrew M Lafleur Md Plc
Anesthesia And Pain Management
Araceli C Mesiona-Brucal Md Pllc
ARNOLD FAMILY CHIROPRACTIC PLLC
Arshad Aqul Md Pllc
Arthur R Vendola Md Pc
Ashok K Gupta Md Plc
B. P. Rajesh, MD, PLLC
Beverly Jarema
Beverly Jarema, DO
Bosworth Urgent Care Pc
Brad E Kremer Pllc
Brad Kremer
Brent J Raap Do Pc
BRIAN T DOYLE MD PLC
Bronson Battle Creek Hospital
Bronson Lakeview Hospital
Bronson Methodist Hospital
BRONSON SOUTH HAVEN HOSPITAL
Capital Cardiology, PC
Cardiology Group Of Lansing Pc
Center for Family Health
Charlotte Yang
Charlotte Yang, MD
Cheryl A Colletti Do Pllc
CLAUDIA ZACHAREK MD PLC
Cornerstone Family Practice, PLC
Covenant Medical Center, Inc
Daniel Coffey
Daniel Freeman
Daniel P Freeman, MD PC
David Halsey
David Halsey, MD
David Prough
Dominador Laynes
Donald Brooks
Donald C. Jones, MD, PC
Donna M O’Neill, MD, PC
Doris Cataquiz
Dr Martins Foot And Ankle Clinic
Dr Steven L Drayer Pllc
East Lansing Orthopedic Association PC
EDGEWATER FAMILY HEALTH PLC
Edward W. Sparrow Hospital Association
EPMG SOUTHWEST MICHIGAN PLLC
EPMG WESTERN MICHIGAN PLLC
Erminda Marinas
Foremost Podiatry Pc
Garland Scott, MD
Gary Farhat
GRAND RIVER FAMILY CARE PC
Great Lakes Gastroenterology, PLLC
Greater Niles Cardiology, PC
Harold D. Sterling, Jr. Dpm, P.C.
HILLS & DALES GENERAL HOSPITAL INC
Hospice at Home, Inc
Imdad H. Butt, MD, PC
Jackson Cardiology & Associates
Jackson Family Medical Pllc
JACKSON OB GYN PLC
Jackson Orthopaedic Care & Surgery PC
Jackson Pathology Associates, PC
Jackson Radiology Consultants, PC
James Bodrie
James Bodrie, MD
James R LaFleur, MD
JILL M PAVEGLIO MD PLC
John D. Wenzel, DO, PLLC
John M. Stafford, Md, And Associates, P.C.
John N Flood Do Pc
JONESVILLE HEALTHCARE PLLC
Kathleen Anzicek, DO
Kidney and Hypertension Specialists, PLLC
Lake Michigan Hand Center, PC
Lake Michigan Nephrology Llc
Lakeland Community Hospital, Watervliet
Lakeland Hospitals At Niles And St Joseph Inc
Lakeland Immediate Care Center
Lakeland Medical Practices
Lakeside Healthcare Specialists, PLLC
Lansing Cardiovascular Consultants, PC
Looking Glass Foot & Ankle Pc
Lorna G. Pinson, Md Pllc
Lucas A. Julien, MD, PLC
Lynn VanWagnen, MD, PC
MARK HEINZELMANN
Mark Leventer
Mark Leventer, MD
Marlette Regional Hospital
MATTHEW CAMPBELL, MD, PLC
Memorial Hospital
MICHAEL SWORDS DO PLLC
Michigan Gastroenterology Institute
MID MICHIGAN ONCOLOGY RADIATION ASSOCIATES PC
Mid-Michigan Gastroenterology Consultants, PC
Minoo Khetarpal Md Pllc
Nadeem Ullah, MD, LLC
OBHG Michigan, PC
Okemos Allergy Center, PC
Owosso Medical Associates, PC
Parminder Jaswal,Md,Plc
Patrick Wegman
Paul S. Kenyon, MD, PC
Philip Barker
Phillip Frantzis
Phillip Frantzis, MD
Physician Anesthesia Service Pc
Plasencia Family Medicine Pllc
Preecha Supanwanid, Md Pc
Pulmonary Clinics Of Southern Michigan
RAJAN PASTORIZA MD PLC
Rakesh Chokshi Md Plc
RAZVAN C OPREANU MD PLC
Robert Israel
Robert Israel, MD
Robert M Doane Md Pc
Ronald L Gonzales Md Pllc
Ruth Yoon
Ruth Yoon, DO
Saginaw Valley Medical Care, PLC
Sajeda Nusrat Md Family Medicine Pllc
SCHEURER HOSPITAL
Scott Beasecker
Scott E Beasecker, MD, PLLC
South Shore Women’s Health Care, PC
Southern Michigan Pain Consultants, PC
Southwest Michigan Center For Orthopaedic and Sports Medicine P
Sparrow Carson Hospital
Sparrow Clinton Hospital
Sparrow Ionia Hospital
Springcrest Family Physicians, PC
St. Johns Internal Medicine, PC
Subbarao Chavali
Summit Podiatry Group, PC
Sutinderpal S. Judge, MD, PC
Thomas A. Kelly, DO, PC
Tony Palmer, MD, PLLC
Total Family Health Care Plus Pllc
University Medical Specialties PC
VALLEY ENT ASSOCIATES PC
W. A. Foote Memorial Hospital, Inc
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
Kenneth O’Neill Secretary 1 ACO Participant Representative Lakeland Medical Practices
Doug Edema Treasurer 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Sharon Deskins Voting Member 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
David Halsey Voting Member 1 ACO Participant Representative David Halsey, MD
Mike Tobin Voting Member 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Jerry Booth Voting Member 1 Medicare Beneficiary Representative  N/A
William Mayer, MD – ACO Executive
Kenneth O’Neill, MD – Medical Director
Ashutosh Goel, MD – Quality Assurance/Improvement Officer
Committee Name Committee Leader Name and Position
Clinical Transformation Committee Dr. Ken O’Neill
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 2019, $33,525,775
  • Performance Year 2018, $17,416,779
  • Performance Year 2017, $7,664,465

Shared Savings Distribution

– First Agreement Period

  • 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-1 CAHPS: Getting Timely Care, Appointments, and Information 83.35 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 93.43 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 91.78 92.69
ACO-4 CAHPS: Access to Specialists 79.14 81.54
ACO-5 CAHPS: Health Promotion and Education 58.36 60.44
ACO-6 CAHPS: Shared Decision Making 64.48 62.78
ACO-7 CAHPS: Health Status/Functional Status 72.23 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 24.54 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 93.21 92.84
ACO-46 CAHPS: Care Coordination 85.92 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.40 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.83 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.53 1.87
ACO-13 Falls: Screening for Future Fall Risk 86.69 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 74.09 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75.86 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Followup Plan 63.01 70.40
ACO-19 Colorectal Cancer Screening 70.56 70.76
ACO-20 Breast Cancer Screening 75.40 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.28 82.17
ACO-40 Depression Remission at Twelve Months 11.49 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 12.90 13.88
ACO-28 Controlling High Blood Pressure 74.19 75.04

For Previous Years’ Financial and Quality Performance Results, please visit date.cms.gov

Payment Rule Waivers

Our ACO does not utilize the SNF 3-Day Rule Waiver.

950 Trade Centre Way
Portage, MI 49002
269-552-4245