UMACO Public Reporting

UMACO Name and Location

United Medical, LLC
800 Delaware Ave, 5th Floor
Wilmington, DE 19801

UMACO Primary Contact

Primary Contact Name	Kemal Erkan
Primary Contact Phone Number	302-451-5600
Primary Contact Email Address	ke@umusa.net

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Advanced Care Obstetrics And Gynecology Pa	Y
Advancexing Pain and Rehabilitation Clinic, PA	Y
Bellevue Heart Group LLC	Y
Brandywine Medical Associates, Inc.	Y
Brandywine Podiatry	Y
Christiana Institute of Advanced Surgery	Y
Clifton H Hunt	Y
Complete Family Care, Inc	Y
Cowan Chiropractic & Rehabilitation, Pa	Y
Dc Medical Services, Llc	Y
Delaware Cardiovascular Associates	Y
Delaware Family Medicine, LLC	Y
Family Medical Associates of Delaware	Y
Family Medicine of Middletown, PA	Y
Family Practice of Hockessin	Y
First State Endocrinology	Y
First State Family Practice, Inc	Y
First State Podiatry, L.L.C.	Y
Heritage Medical Associates, PA	Y
Hosmane Cardiology Llc	Y
Hosmane Eye Care LLC	Y
Kent Pulmonary Associates	Y
Kidney Care Associates PA	Y
Laurel Medical Group, Llc	Y
Linda Lawton	Y
Marita Fallorina Llc Fallorina Marita M Single Member	Y
Maternity And Womens Health L.L.C	Y
Middletown Familycare Associates Llc	Y
Seaford Internal Medicine, LLC	Y
Southside Family Practice, P.A.	Y
United Medical Clinic Of De Llc	Y
Willowdale Internal Medicine Associates LLC	Y
Wilmington Ambulatory Surgical Center, Llc	Y

ACO Governing Body:

Member			Member's Voting Power – Expressed as a percentage or number	Membership Type: Enter ACO Participant Representative, Medicare Beneficiary Representative, Community Stakeholder Representative or Other (of Other, enter description)	ACO Participant TIN Legal Business Name Enter the legal business name with whome the ACO Participant Representative is associated. Enter "N/A" for Medicare Beneficiary and
First Name	Last Name	Title/Position	Member's Voting Power – Expressed as a percentage or number
Kemal	Erkan	Chairman	7.6	ACO Participant Representative	United Medical, Llc
Isaias	Irgau	Vice-Chairman	7.6	ACO Participant Representative	Christiana Institute of Advanced Surgery
Qureshi	Wasif	Member	7.6	ACO Participant Representative	Delaware Cardiovascular Associates
Mayda	Melendez	Member	7.6	ACO Participant Representative	Complete Family Care
Anna	Magat	Member	7.6	ACO Participant Representative	United Medical Clinic of DE, LLC
Susan	Andersen	Member	7.6	Other: ACO Management Representative	N/A
Rufino	Rosal	Member	7.6	ACO Participant Representative	United Medical Clinic of DE, LLC
Zilch	Marsha	Member	7.6	Beneficiary Representative	N/A
David	Jawahar	Member	7.6	ACO Participant Representative	Kent Pulmonary Associates
Carlo	Valencia	Member	7.6	ACO Participant Representative	United Medical Clinic of De Llc
Brian	Horn	Member	7.6	ACO Participant Representative	Southside Family Practice, PA
Ripudaman	Hundal	Member	7.6	ACO Participant Representative	First State Endocrinology
Christopher	Savage	Member	7.6	ACO Participant Representative	Brandywine Podiatry
Irene	Szeto	Member	7.6	ACO Participant Representative	United Medical, LLC

Key ACO clinical and administrative leadership:

Kemal Erkan	ACO Executive
Carlo Valencia	Medical Director
Melizza Dimat	Compliance Officer
Donna Gunkel	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Quality, Compliance & Physician Alignment	Wasif Qureshi, MD, Chairman
Finance & Utilization Review Committee	Kemal Erkan, Chairman
Member Engagement Committee	Isias Irgau, MD. Chairman

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
ACO Entity Type:

ACO professionals in a group practice arrangement.
Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses:

Second Agreement Period

Performance Year 2023: $4,033,531.32
Performance Year 2022: $4,885,894.53
Performance Year 2021: $3,002,495.71
Performance Year 2020: $2,899,009.37
Performance Year 2019: $864,168.35

First Agreement Period

Performance Year 2019: $864,168.35
Performance Year 2018: $0
Performance Year 2017: $0
Performance Year 2016: $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution:

Second Agreement Period

Performance Year 2023

Proportion invested in infrastructure: 5 percent
Proportion invested in redesigned care processes/resources: 10 percent
Proportion of distribution to ACO participants: 85 percent

Performance Year 2022

Proportion invested in infrastructure: 5 percent
Proportion invested in redesigned care processes/resources: 10 percent
Proportion of distribution to ACO participants: 85 percent

Performance Year 2021

Proportion invested in infrastructure: 5 percent
Proportion invested in redesigned care processes/resources: 10 percent
Proportion of distribution to ACO participants: 85 percent

Performance Year 2020

Proportion invested in infrastructure: 5 percent
Proportion invested in redesigned care processes/resources: 10 percent
Proportion of distribution to ACO participants: 85 percent

Performance Year 2019

Proportion invested in infrastructure: 5 percent
Proportion invested in redesigned care processes/resources: 10 percent
Proportion of distribution to ACO participants: 85 percent

First Agreement Period

Performance Year 2019

Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A

Performance Year 2018

Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A

Performance Year 2017

Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A

Performance Year 2016

Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A

Quality Performance Results

2022 Quality Performance Results:
Quality performance results are based on "CMS Web Interface"

ACO#	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	9.16	9.84
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	81.45	80.97
236	Controlling High Blood Pressure	CMS Web Interface	72.16	77.80
318	Falls: Screening for Future Fall Risk	CMS Web Interface	93.46	89.42
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	65.00	70.76
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	83.33	79.29
113	Colorectal Cancer Screening	CMS Web Interface	77.69	77.14
112	Breast Cancer Screening	CMS Web Interface	83.14	80.36
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	92.75	87.05
370	Depression Remission at Twelve Months	CMS Web Interface	54.55	16.58
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	3.96	6.25
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	0.1557	0.1553
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	81.01	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	91.73	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	90.64	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	74.75	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	64.55	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.73	61.60
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.34	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	81.55	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	88.88	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	23.21	26.69

For Previous Years' Financial and Quality Performance Results, Please Visit data.cms.gov

Note: In the Quality Performance Results file(s) above, search for “United Medical, LLC” or "UM ACO" to view the quality performance results. This ACO can also be found by using the ACO ID A2754 in the public use files on data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR §425.613.

Questions? Call 1.877.266.9166

Public Reporting

UMACO Name and Location

UMACO Primary Contact

Organizational Information

Shared Savings and Losses

Quality Performance Results

Payment Rule Waivers