The Midwest DCE, LLC (“Midwest”) Governing Body voted to terminate and exit the Midwest ACO REACH model without liability, effective March 31, 2024. If Midwest Participant and Preferred Providers have questions, please contact your Pearl Health Customer Success representative or visit pearlhealth.com to learn more about our other ACO REACH and MSSP offerings. Thank you.

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About Midwest DCE

Midwest DCE is a Medicare REACH ACO – Realizing Equity, Access, and Community Health Accountable Care Organization. Midwest is one of a limited number of organizations across the country participating in the model with the Centers for Medicare and Medicaid Innovation (CMS). If your physician is participating with Midwest DCE, you will receive a letter in the mail welcoming you.

As ACO providers, your primary care physician will develop a treatment plan specific to your health care needs. By working closely together with you to coordinate the care you receive, the physicians that care for you can more effectively keep you well and improve your overall health and quality of life.

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Medicare's Accountable Care Organizations (ACO) Realizing Equity, Access, and Community Health (REACH) Model

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ACO Information

View Midwest DCE’s 2024 Participating and Preferred Providers.

Participating Providers
Preferred Providers

Shared Savings and Shared Losses

Performance Year 1 (2022 formerly the Direct Contracting model): -$4,160.07

Performance Year 2 (2023): -$233,528.53

Quality Measure Performance for all Performance Years

Performance Year 1 (2022 formerly the Direct Contracting model):
  • Risk-Standardized, All-Condition Readmission: 15.42
  • Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions: 30.81
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions: 63.46
  • Consumer Assessment of Healthcare Research and Quality: 100% for reporting
Performance Year 2 (2023):
  • Risk-Standardized, All-Condition Readmission: 15.91
  • Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions: 36.40
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions: 75.35
  • Consumer Assessment of Healthcare Research and Quality: 79.06%

How Shared Savings Will Be Distributed

Performance Year 1 (2022 formerly the Direct Contracting model):
  • Proportion to infrastructure and redesigned care processes: 0%
  • Proportion to ACO Participants and Preferred Providers: 100%
Performance Year 2 (2023):
  • Proportion to infrastructure and redesigned care processes: 0%
  • Proportion to ACO Participants and Preferred Providers: 100%

ACO Anonymous Compliance Reporting

Midwest has an Anonymous Compliance Reporting webform that is accessible to all individuals including Medicare Beneficiaries. This form will allow you to report any compliance concerns related to the ACO, and can be accessed by visiting: pearlhealth.com/anonymousreporting. You can choose to report anonymously or provide your contact information. The information you provide will be transmitted to the ACO Compliance Officer who will follow-up on the report. The ACO has a non-retaliation policy which means you don’t need to fear making a good faith report. We rely on individuals like you to let us know when something is wrong.

If you ever feel that you are being retaliated against, please call the ACO Compliance Officer: Bailey Acevedo at 518-588-2988.