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    ACO Name and Location

    DMH Health Network
    2300 N. Edward St.
    Decatur, IL 62526

    ACO Primary Contact

    Mark Burmester, SVP of Strategy and Performance Improvement
    mburmester@dmhhs.org
    217-876-2146

    ACO Participants

    1. Decatur Memorial Hospital
    2. Millennium Pain Center, LLC
    3. Center for Sight of Central IL I SC
    4. Decatur Radiology Physicians
    5. Gregory L Totel MD SC
    6. Marshall F Brustein MD
    7. Michael E Clark DPM
    8. Midwest Neurology Associates SC
    9. Nehemiah Tan MD SC
    10. Prairie Eye Center LTD
    11. Raycraft and Jones LLC
    12. Vita Center for Women LLC
    13. Women’s Health Care Specialists of Decatur LLC
    14. Samuel E Potts DPM
    15. Internal Medicine Subspecialty Associates LTD
    16. Debra Jackson
    17. Drs Graham & Graham LTD
    18. Surgical Specialists of Central Illinois SC

    ACO Participants in joint venture between ACO professionals and hospitals
    Not applicable

    ACO Governing Body

    1. Dr. Michael Wall, Chairman, ACO Participant Representative, Decatur Memorial Hospital
    2. Dr. Anthony McCormack, Vice Chair, ACO Participant Representative, Decatur Memorial Hospital
    3. Dr. Monika Moni, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    4. Dr. Roberto Pabalate, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    5. Dr. Ted Clark, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    6. Dr. Madhu Jyothinagaram, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    7. Dr. Charles Ellington, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    8. Dr. William Franklin, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    9. Dr. Jeffrey Trachtenberg, Voting Member, ACO Participant Representative, Decatur Memorial Hospital
    10. Dr. David Baumberger, Voting Member, ACO Participant, Decatur Memorial Hospital
    11. Mr. Timothy D. Stone Jr., Voting Member, Other, Chief Executive Officer of Decatur Memorial Hospital
    12. Dr. Michael Zia, Voting Member, Medicare Beneficiary Representative

    Key ACO clinical and administrative leadership

        1. Sr. Vice President, DMH Health Network: Mr. Mark A. Burmester
        2. Executive Director, ACO: Mr. Nick Bernard
        3. Medical Director: Dr. John Bradley
        4. Compliance Officer: Mrs. Linda Fahey, DNP

    Associated committees and committee leadership

    1. Population Health/Quality Assurance Committee: Dr. John Bradley, Chair
    2. Membership & Network Development Committee: Dr. Anthony McCormack, Chair
    3. Finance Committee: Dr. David Baumberger, Co-chair & Dr. Jeffrey Trachtenberg, Co-Chair
    4. Consumer Engagement Committee: Dr. Michael Zia, Chair
    5. Information Technology Committee: Dr. Madhu Jyothinagaram, Chair

    Types of ACO participants or combinations of participants that formed the ACO

    1. Network of individual practices of ACO professionals
    2. Hospital employing ACO professionals

    Amount of Shared Savings and Losses (TBD)

    • Agreement period beginning 2018, Performance Year 1: $TBD

    Shared Savings Distribution (TBD)

    • Agreement period beginning 2018, Performance Year 2018
      • Proportion invested in infrastructure: 30%
      • Proportion of distribution to ACO participants: 70%

    Payment Role Waivers

    • No, our ACO does not use the SNF 3-Day Rule Waiver

    Quality Performance Results (TBD)

    • TBD

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