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 Contacts
Lawrence Green
Director, Payor Strategy
Email: Lawrence.green@affirmant.com
Phone: 269-552-4211

ACO Participants in Joint Venture

TIN Legal Business Name

Aaron M. VanWagnen, MD, PLLC
Advanced Dermatology, PLLC
Ali Orandi, MD, PLC
Alimenti Family Medicine
Allan L. Tompkins, MD, PC
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
Arshad Aqil, MD, PLLC
Arthur R Vendola, MD, PC
Ashok K Gupta, MD, PLC
Asthma & Allergy Centers Of Central Michigan, PLC
B. P. Rajesh, MD, PLLC
Beals Institute, PC
Beverly Jarema
Beverly Jarema, DO
Bosworth Urgent Care, PC
Brad E Kremer, PLLC
Brad Kremer
Brent J Raap, DO, PC
Bronson Battle Creek Hospital
Bronson Lakeview Hospital
Bronson Methodist Hospital
Capital Cardiology, PC
Cardiology Group Of Lansing, PC
Cardiology Southwest, PC
Cascades Urology, PC
Cedar Street Family Medicine, PC
Center for Family Health
Charles J Taunt Jr, DO, PC
Charles Taunt
Charlotte Yang
Charlotte Yang, MD
Cheryl A Colletti, DO, PLLC
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 Janet Sprague, DO, PC
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
Emergency Medical Associates, PLLC
Erminda Marinas
Foremost Podiatry, PC
Garland Scott, MD
Gary Farhat
Gary Lynd
Gene E. Kielhorn, DO, PC
Great Lakes Family Health Center, PC
Great Lakes Gastroenterology, PLLC

Greater Niles Cardiology, PC
Gregory Optical Co.
Harold D. Sterling, Jr. DPM, P.C.
Harold Sterling
Hospice at Home, Inc.
Imdad H. Butt, MD, PC
J Wesley Mesko, MD, PC
J.A. Consultants, LLC
Jackson Cardiology & Associates
Jackson Family Medical, PLLC
Jackson Orthopaedic Care & Surgery, PC
Jackson Pathology Associates, PC
Jackson Radiology Consultants, PC
James Bodrie
James Bodrie, MD
James F Shetlar, MD, PC
James LaFleur, MD
Janet Sprague
Jason Cochran
Jason Cochran, DO, PC
Jeffrey Potts, MD
John D. Wenzel, DO, PLLC
John Flood
John M. Stafford, Md, And Associates, PC
John Mesko
John N Flood, DO, PC
Kathleen Anzicek, DO
Kidney and Hypertension Specialists, PLLC
Lake Lansing Family Practice, PLLC
Lake Michigan Hand Center, PC
Lake Michigan Nephrology LIC
Lakeland Community Hospital, Watervliet
Lakeland Hospital At Niles And St Joseph, Inc
Lakeland Immediate Care Center
Lakeland Medical Practices
Lakeshore Cardiothoracic & Vascular Surgery
Lakeside Healthcare Specialists, PLLC
Lansing Cardiovascular Consultants, PC
Looking Glass Foot & Ankle, PC
Lorna G. Pinson, MD, PLLC
Louis F Byrne, MD, PC
Lucas A. Julien, MD, PLC
Lynn VanWagnen, MD, PC
Marc Keys
Mark Leventer
Mark Leventer, MD
Matt T. Rosenberg, PC
Matthew Campbell MD, PLC
Memorial Hospital
Michael Swords
Michael Swords, DO, PLLC
Michael Vanderwalker
Michigan Continuum Care, PLLC
Michigan Gastroenterology Institute
Michigan Institute of Neurological Diseases, PLLC
Mid-Michigan Gastroenterology Consultants, PC
Minoo Khetarpal, MD, PLLC
Moses Muzquiz, Jr, MD, PC
Nadeem Ullah, MD, LLC
OBHG Michigan, PC
Okemos Allergy Center, PC
Orthopaedic Specialist of Lansing, PLLC
Owosso Medical Associates, PC
Parminder Jaswal, MD,PIC
Patrick Noud
Patrick Wegman
Paul S. Kenyon, MD, PC
Philip Barker
Phillip Frantzis
Phillip Frantzis, MD
Physician Anesthesia Service, PC
Pinson Urology Center, PC
Plasencia Family Medicine, PLLC
Preecha Supanwanid, MD, PC
Pulmonary And Critical Care Consultants, PLLC
Pulmonary Clinics Of Southern Michigan
R M Beredo, MD, PLLC
Radiology Associates of Berrien County, PC
Rakesh Chokshi, MD, PLC
Robert Doane
Robert Israel
Robert Israel, MD
Robert M Doane, MD PC
Ronald L Gonzales, MD, PLLC
Rose City Family Practice, PC
Ruth Yoon
Ruth Yoon, DO
Saginaw Valley Medical Care, PLC
Sajeda Nusrat Md Family Medicine, PLLC
Scott Beasecker
Scott E Beasecker, MD, PLLC
Sheryl Hasegawa Arthur, DO, PLLC
South Shore Women’s Health Care, 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
Surgical Specialists of St. Joseph, PC
Susan L. Courtnage, MD, PC
Sutinderpal S. Judge, MD, PC
The Podiatric Surgeon, P.C.
Thomas A. Kelly, DO, PC
Tony Palmer, MD, PLLC
Total Family Health Care Plus, PLLC
Total Family Healthcare, PC
Tricity Internists
Tuscola Primary Care, PLC
University Medical Specialties, PC
W. A. Foote Memorial Hospital, Inc.
Walter Korytowsky
Walter Korytowsky, MD

ACO Governing Body

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
Harman Nagler Treasurer 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Kenneth O’Neill Secretary 1 ACO Participant Representative Lakeland Medical Practices
Sharon Deskins Voting Member 1 ACO Participant Representative Lakeside Health Care Specialists, PLLC
Scott Larson Voting Member 1 ACO Participant Representative Bronson Methodist Hospital
John Jones Voting Member 1 ACO Participant Representative Bronson Methodist Hospital
Doug Edema Voting Member 1 ACO Participant Representative Edward W. Sparrow Hospital Association
Kevin Albosta Voting Member 1 ACO Participant Representative Covenant Medical Center
Ray King Voting Member 1 ACO Participant Representative Jackson Family Medical Pllc
David Halsey Voting Member 1 ACO Participant Representative David Halsey, MD
Jerry Booth* Voting Member 1 Medicare Beneficiary Representative  N/A

Key ACO Clinical and Administrative Leadership

William Mayer, MD – ACO Executive
Kenneth O’Neill, MD – Medical Director
Ray King, MD – Compliance Contact
Ashutosh Goel, MD – Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Clinical Transformation Committee Dr. Amy Schultz, Chair
Communications & Education Committee Mr. Larry Daly, Chair
Information Technology & Business Intelligence Dr. Pankaj Jandwani, Chair

Types of ACO Participants, or Combinations of Participants that Formed the ACO

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals

Shared Savings and Losses
Amount of Shared Savings/Losses

  • N/A

Shared Savings Distribution

  • N/A

Shared Savings Distribution

Amount of Shared Savings/Losses

– First Agreement Period

  • Performance Year 2017, $7,664,465

Shared Savings Distribution

– First Agreement Period

  • Performance Year 2017
    – Proportion invested in infrastructure: 13%
    – Proportion invested in redesigned care processes/resources: 12%

2017 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.94 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.11 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.56 92.31
ACO-4 CAHPS: Access to Specialists 80.41 83.32
ACO-5 CAHPS: Health Promotion and Education 63.59 62.30
ACO-6 CAHPS: Shared Decision Making 77.54 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.67 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 24.49 25.68
ACO-8 Risk-Standardized, All Condition Readmission 14.50 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.68 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 52.69 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 81.43 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.14 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.63 1.93
ACO-11 Use of Certified EHR Technology 99.98 98.48
ACO-12 Medication Reconciliation 80.24 75.32
ACO-13 Falls: Screening for Future Fall Risk 79.52 74.38
ACO-44 Imaging Studies for Low Back Pain 71.33 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 70.94 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 73.49 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 65.71 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88.66 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 38.68 61.98
ACO-19 Colorectal Cancer Screening 58.47 64.58
ACO-20 Breast Cancer Screening 70.97 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.16 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.27 16.74
ACO-41 Diabetes: Eye Exam 44.18 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.56 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 94.35 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Federation ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A24538 in the public use files on data.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