Winchester Community Accountable Care Organization (WinACO)

WinACO was recently selected as one of the 106 new ACOs in Medicare, ensuring as many as 4 million Medicare Fee-for-Service beneficiaries across the United States now have access to high-quality, coordinated care.

Through ACOs, doctors and health care providers work together to provide high-quality care to Medicare Fee-for-Service patients. Since passage of the Affordable Care Act, more than 250 ACOs have been established. Beneficiaries seeing providers who are participating in an ACO always have the freedom to choose doctors inside and outside of the ACO. ACOs share with Medicare any savings generated from lowering the growth in health care costs while meeting standards for quality care.

Location/Primary Contact
Winchester Community Accountable Care Organization
41 Highland Avenue
Winchester, MA 01890

Administrative Contact – Beth Haubner
WinchesterCommunityACO@winhosp.org
781-756-2901

Composition
Winchester Hospital, Winchester Physician Associates, Inc., Stoneham Medical Group, LLC., Family Care Center, PC., Billerica Family Physicians, Caring For All, PC., and William Zucker, M.D. are participants in the Winchester Community Accountable Care Organization under a provider agreement entered into by each of the entities.

Participants
  • Winchester Hospital
  • Winchester Physician Associates, Inc.
  • Stoneham Medical Group, LLC
  • Family Care Center, PC
  • Fathyeh Marvasti, MD
  • Caring for All, PC
  • William Zucker, M.D.

Leadership

  • Governing Body

    • Dale Lodge, President, WinACO participant representative, Winchester Physician Associates, Inc.
    • Matthew Woods, Treasurer, WinACO participant representative, Winchester Hospital
    • Joel Solomon, MD, Clerk, WinACO participant representative, Winchester Physician Associates, Inc.
    • Richard Iseke, MD, Chief Medical Officer, WinACO participant representative, Winchester Hospital
    • Martha McCarty MD, Quality Officer, WinACO participant representative, Winchester Physician Associates, Inc.
    • Najmuddin Patwa, MD, WinACO participant representative, Stoneham Medical Group, LLC
    • Salvador Albanese, MD, WinACO participant representative, Winchester Physician Associates, Inc.
    • Harris Ghaus, MD, WinACO participant representative, Winchester Physician Associates, Inc.
    • Mary Sweeney, WinACO participant representative, Winchester Hospital
    • Kathy Schuler, RN, WinACO participant representative, Winchester Hospital
    • James Young, Medicare beneficiary representative
  • Committees and Key Leadership Personnel

    • Quality Committee:  Martha McCarty, MD and Catharine Robertson, Co-Chairs
    • Compliance Committee:  Harris Ghaus, MD and Catharine Robertson, Co-Chairs
    • Finance Committee: Joel Solomon, MD and Matthew Woods, Co-Chairs
    • Network Development Committee: Richard Iseke, MD, Chair

Click here to view the WinACO organization chart.

Amount of Shared Savings/Losses
  • Performance Year 1: $5.82M
  • Performance Year 2: TBD
  • Performance Year 3: TBD

How Shared Savings Are Distributed
Up to 50 percent of the ACO portion of shared savings to “Reinvestment Fund” (up to 66 percent of this may be used to reimburse any participant for infrastructure funds).  The remainder will be distributed among participants. 

Reinvest in infrastructure:  50 percent

  • Up to 66 percent of this may be used to reimburse any participant for infrastructure funds
  • Remaining will be distributed among participants. 

Distribution to ACO Participants:  50 percent

2013 Quality Performance Results Available on Physician Compare Website

WinACO Summary Chart 2013 v2

For more information on how to interpret scores on the above quality performance measures, click here

On December 18, CMS added new quality data to the Physician Compare website, in accordance with its public reporting authority, and public reporting requirements for the Shared Savings Program. The data include:

  • Performance rates on 4 Group Practice Reporting Option (GPRO) measures in the 2013 reporting period for: 214 Shared Savings Program ACOs; 23 Pioneer ACOs; and 139 large group practices —D M-15, DM-13, DM-16, and CAD-7.
  • Performance rates on 4 Patient/Caregiver Experience measures from the CAHPS for ACOs survey in the 2013 reporting period: ACO #1, ACO #2, ACO #3, and ACO #5.

To find ACO data, visit the Physician Compare websiteand click on the Accountable Care Organization (ACO) Quality Data link under Additional Information. The link will take you to a page where you can search by specific ACO name or by browsing an index. You can also reach Winchester Community ACO page directly by clicking here.

More Information about Accountable Care Organizations

For general questions or additional information about Accountable Care Organizations, please visit Medicare's website or call 1-800-MEDICARE (1-800-633-4227) - TTY users should call 1-877-486-2048.