ACO Name and Location:

  • MaineHealth Accountable Care Organization, LLC
  • 110 Free Street
  • Portland, ME 04101-3908

ACO Primary Contact:

Organizational Information:

ACO Participants:

2017 MSSP Participant List

ACO Participants in Joint Ventures between ACO Professionals and Hospital:

No participants are involved in a joint venture between ACO professionals and hospitals

MaineHealth ACO Board of Directors/Governing Body:

Dr. Michael Albaum; Voting Member and Chair, MaineHealth ACO Participant Representative, Southern Maine Health Care
Dr. Mark Fourre; Voting Member and Vice Chair, MaineHealth ACO Participant Representative, Waldo County General Hospital,Pen Bay Medical Center, and Coastal Healthcare Alliance
Lugene Inzana, Voting Member and Secretary, MaineHealth ACO Participant Representative, Maine Medical Center
Albert Swallow; Voting Member and Treasurer, MaineHealth ACO Participant Representative, Maine Medical Center
Dr. Michael Clark; Voting Member, MaineHealth ACO Participant Representative, Lifespan Family Healthcare LLC
Dr. Kathleen Herlihy; Voting Member, MaineHealth ACO Participant Representative, Stephens Memorial Hospital Association
Dr. Daniel Landry; Voting Member, MaineHealth ACO Participant Representative, Spectrum Medical Group
Andrea Patstone, Voting Member, MaineHealth ACO Participant Representative, Maine Medical Center
Richard Petersen; Voting Member, MaineHealth ACO Participant Representative, Maine Medical Center
Dr. Joel Botler; Voting Member, MaineHealth ACO Participant Representative, Maine Medical Partners
Dr. Nathan Wilson; Voting Member, MaineHealth ACO Participant Representative, Southern Maine Health Care
Dr. Roger Pezzuti; Voting Member, Medicare Beneficiary Representative
Stephen Merz; Voting Member, Community Stakeholder Representative, Maine Behavioral Health
Dr. Joan Boomsma, Voting Member, MaineHealth
Dr. Scott D. Mills; Voting Member, Mid Coast-Parkview Health

Key ACO Clinical and Administrative Leadership:

ACO Executive: Dr. Elizabeth H. Johnson
Chief Medical Officer: Dr. Jeffrey Aalberg
Compliance Official & Chief Operating Officer: Ms. Jennifer Moore
Quality Assurance/Improvement Officer: Dr. Jeffrey Aalberg

Associated Committees and Committee Leadership

Behavioral Health Committee: Greg Bowers, Chair 
Contracting & Network Management Committee:
Colin McHugh and Dr. Carl Demars, Co-chairs
Executive Committee:
Dr. Michael Albaum, Chair
Finance Committee:
Albert Swallow and Dr. Michael Akom, Co-chairs
Nominating Committee:
Dr. Michael Albaum, Chair
Physician Engagement & Alignment Committee: 
Dr. Michael Clark, Chair
Value Oversight Committee: Cindy Wade and Dr. Nate Wilson, Co-chairs

Types of ACO Participants that form the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinics (RHC)
  • Federally Qualified Health Centers (FQHC)

Shared Savings and Losses:

Agreement Period beginning 2012, Performance Year 1, 2012 & 2013: $9,406,443
Agreement Period beginning 2012, Performance Year 2014: $0
Agreement Period beginning 2012, Performance Year 2015: $0

Shared Saving Distribution:

  • Agreement period beginning 2012, Performance Year 1, 2012 & 2013
    • Proportion invested in infrastructure And
    • Proportion invested in redesigned care processes/resources: 10-20%
    • Proportion of distribution to ACO participants: 80 – 90%
  • Agreement Period beginning 2012, Performance Year 2014, 2015
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 0%

Payment Rule Waivers:

MaineHealth ACO does not utilize 3-day Rule Waiver

Quality Performance Results:

2015 Quality Performance Results Table (.pdf)
2012-2014 Quality Performance Results Table (.pdf)

Maine Health