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CMS Reporting

Caravan Health ACO 43 LLC

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ACO Name and Location

Caravan Health ACO 43 LLC 
dba


4055 Valley View Ln, Suite 700

Dallas, TX 75244

ACO Primary Contact

Primary Contact Name Kristine Miller
Primary Contact Phone Number 916-542-4568
Primary Contact Email Address kmiller@signifyhealth.com

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

EAST PHILLIPS COUNTY HOSPITAL DISTRICT

Y

WEISER VALLEY HOSPITAL DISTRICT

Y

RIVERVIEW HOSPITAL

Y

MADISON HEALTHCARE SERVICES

Y

LAC QUI PARLE CLINIC OF MADISON, INC

Y

CUYUNA REGIONAL MEDICAL CENTER

Y

GLENDIVE MEDICAL CENTER, INC

Y

J. ARTHUR DOSHER MEMORIAL HOSPITAL

Y

P R HEALTH CORPORATION

Y

CALLAWAY HOSPITAL DISTRICT

Y

COQUILLE VALLEY HOSPITAL DISTRICT

Y

CAHRMC LLC

Y

DEWITT MEDICAL DISTRICT

Y

MITCHELL COUNTY HOSPITAL DISTRICT

Y

BAYLOR COUNTY HOSPITAL DISTRICT

Y

MEDINA COUNTY HOSPITAL DISTRICT

Y

ELECTRA HOSPITAL DISTRICT

Y

GRAHAM HOSPITAL DISTRICT

Y

GRAHAM HOSPITAL DISTRICT

Y

GPCH LLC

Y

GRAHAM HOSPITAL DISTRICT

Y

WILBARGER COUNTY HOSPITAL DISTRICT

Y

SHC MEDICAL CENTER - TOPPENISH

Y

LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

Y

ADAMS COUNTY HOSPITAL 2

Y

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Y

MONUMENT HEALTH RAPID CITY HOSPITAL INC

Y

MONUMENT HEALTH NETWORK INC

Y

SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION

Y

KNOXVILLE COMMUNITY HOSPITAL INC

Y

MERCY MEDICAL CENTER-CENTERVILLE

Y

DECATUR COUNTY HOSPITAL

Y

MEMORIAL HOSPITAL ASSOCIATION

Y

HAWARDEN REGIONAL HEALTHCARE CLINICS LLC

Y

PALO ALTO COUNTY HOSPITAL

Y

DALLAS COUNTY HOSPITAL

Y

HAMILTON COUNTY PUBLIC HOSPITAL

Y

MANNING REGIONAL HEALTHCARE CENTER

Y

HANCOCK COUNTY HEALTH SYSTEM

Y

RINGGOLD COUNTY HOSPITAL

Y

FRANKLIN GENERAL HOSPITAL

Y

KOSSUTH REGIONAL HEALTH CENTER

Y

ELLSWORTH MUNICIPAL HOSPITAL

Y

GUTTENBERG MUNICIPAL HOSPITAL

Y

DAVIS COUNTY HOSPITAL

Y

MITCHELL COUNTY MEMORIAL HOSPITAL

Y

ADAIR COUNTY MEMORIAL HOSPITAL

Y

MONROE COUNTY HOSPITAL

Y

BAUM HARMON MERCY HOSPITAL

Y

HAWARDEN REGIONAL HEALTHCARE

Y

MADISON COUNTY MEMORIAL HOSPITAL

Y

MERCY MEDICAL CENTER NEW HAMPTON

Y

EASTLAND MEMORIAL HOSPITAL DISTRICT

Y

DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6

Y

CENTRAL COMMUNITY HOSPITAL

Y

MERCY MEDICAL CENTER-NEWTON

Y

PHYSICIAN PRACTICES OF MSMC LLC

Y

COUNTY OF MURRAY

Y

KARNES COUNTY HOSPITAL DISTRICT

Y

DIMMIT REGIONAL HOSPITAL

Y

BOSQUE COUNTY HOSPITAL DISTRICT

Y

SOUTHERN COOS HEALTH DISTRICT

Y

FRIO HOSPITAL ASSOCIATION

Y

COMMONWEALTH HEALTHCARE CORPORATION

Y

MADELIA HEALTH

Y

TYLER COUNTY HOSPITAL DISTRICT

Y

HASKELL COUNTY HOSPITAL

Y

PECOS COUNTY MEMORIAL HOSPITAL

Y

ROLLING PLAINS MEMORIAL HOSPITAL

Y

ERICK MADRIGAL MD MBA INC

Y

OLNEY-HAMILTON HOSPITAL DISTRICT

Y

HANSFORD COUNTY HOSPITAL DISTRICT

Y

SCURRY COUNTY HOSPITAL DISTRICT

Y

ST ALOISIUS HOSPITAL INC

Y

LUTHERAN CHARITY ASSOCIATION

Y

NORTH WHEELER COUNTY HOSPITAL DISTRICT

Y

REGIONAL WEST MEDICAL CENTER

Y

ERLANGER HEALTH

Y

ST LUKES HOSPITAL

Y

NORTHWOOD DEACONESS HEALTH CENTER

Y

TOWNER COUNTY MEDICAL CENTER INC

Y

ASHLEY MEDICAL CENTER

Y

COOPERSTOWN MEDICAL CENTER

Y

NELSON COUNTY HEALTH SYSTEM

Y

TIOGA MEDICAL CENTER

Y

WISHEK HOSPITAL-CLINIC ASSOCIATION

Y

ST ANDREWS HOSPITAL

Y

REGIONAL WEST GARDEN COUNTY

Y

STONEWALL MEMORIAL HOSPITAL

Y

LYNN COUNTY HOSPITAL DISTRICT

Y

LINTON HOSPITAL

Y

MERCY MEDICAL CENTER-DYERSVILLE

Y

MERCY HOSPITAL OF FRANCISCAN SISTERS INC

Y

SYRINGA GENERAL HOSPITAL DISTRICT CIF

Y

JACKSON COUNTY PUBLIC HOSPITAL

Y

DANIELS MEMORIAL HOSPITAL

Y

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Y

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION

Y

OCHILTREE HOSPITAL DISTRICT

Y

DISCOVERY MEDICAL NETWORK SWEETWATER LLC

Y

WAYNE COUNTY HOSPITAL

Y

VAN BUREN COUNTY HOSPITAL

Y

CAMERON MEMORIAL COMMUNITY HOSPITAL INC

Y

CHRISTIAN UNITY HOSPITAL CORPORATION

Y

GENESIS MEDICAL CENTER, ALEDO

Y

MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP

Y

 

ACO governing body:

Member
First Name

Member
Last Name

Member Title/Position

Member’s Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Jerry

Neria

Board Member

2.857%

ACO Participant Representative

ERICK MADRIGAL MD MBA INC

Kurt

Stauder

Board Member

2.857%

ACO Participant Representative

MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP

Michael

Hassell

Board Member

2.857%

ACO Participant Representative

East Phillips County Hospital

Lynda

Barcelo

Board Member

2.857%

ACO Participant Representative

Physician Practices of MSMC, LLC

Lillian

Dittrick

Board Member

2.857%

ACO Participant Representative

Mercy Rural ACO, LLC

Abner

King

Board Member

2.857%

ACO Participant Representative

SYRINGA GENERAL HOSPITAL DISTRICT CIF

Steven 

Hale

Board Member

2.857%

ACO Participant Representative

Weiser Memorial Hospital

Eric

Marcotte

Board Member

2.857%

ACO Participant Representative

Riverview Hospital

Sarah

Hagan

Board Member

2.857%

ACO Participant Representative

Cameron Memorial Community Hospital Inc

Erik 

Bjerke

Board Member

2.857%

ACO Participant Representative

Madison Healthcare Services

David

Walz

Board Member

2.857%

ACO Participant Representative

MADELIA HEALTH

Luke

Schryvers

Board Member

2.857%

ACO Participant Representative

County Of Murray

Amy

Hart

Board Member

2.857%

ACO Participant Representative

Cuyuna Regional Medical Center

Esther

Muna

Board Member

2.857%

ACO Participant Representative

Commonwealth Healthcare Corporation

Kody

Brinton

Board Member

2.857%

ACO Participant Representative

DANIELS MEMORIAL HOSPITAL

Jenn

Keck

Board Member

2.857%

ACO Participant Representative

Memorial Hospital Association

MJ

Marx

Board Member

2.857%

ACO Participant Representative

Glendive Medical Center

Lynda

Stanley

Board Member

2.857%

ACO Participant Representative

J. Arthur Dosher Memorial Hospital

Peter

Edis

Board Member

2.857%

ACO Participant Representative

McKenzie County Healthcare Systems Inc

Marcus

Lewis

Board Member

2.857%

ACO Participant Representative

P R Health Corporation

Alfred

Sams

Board Member

2.857%

ACO Participant Representative

Rough Rider High Value Network

Brett

Eggleston

Board Member

2.857%

ACO Participant Representative

Callaway Hospital District

Andrea

Eaton

Board Member

2.857%

ACO Participant Representative

Regional West Medical Center

Bradley

Howell

Board Member

2.857%

ACO Participant Representative

REGIONAL WEST GARDEN COUNTY

Jeff

Lang

Board Member

2.857%

ACO Participant Representative

Coquille Valley Hospital District

Raymond

Hino

Board Member

2.857%

ACO Participant Representative

Southern Coos Health District

Christine

Papineau

Board Member

2.857%

ACO Participant Representative

Monument Health Rapid City Hospital Inc.

Lynn

DeJaco

Board Member

2.857%

ACO Participant Representative

Erlanger Health

Paul

Aslin

Board Member

2.857%

ACO Participant Representative

TORCH CIN LLC

Ramona

Hicks

Board Member

2.857%

ACO Participant Representative

Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

Brian

Gibbons

Board Member

2.857%

ACO Participant Representative

Sunnyside Community Hospital Association

Jennifer

Lewis

Board Member

2.857%

ACO Participant Representative

Lincoln County Public Hospital District 1

Corey

Fedie

Board Member

2.857%

ACO Participant Representative

Adams County Hospital 2

Kerry

Slater

Board Member

2.857%

ACO Participant Representative

Memorial Hospital of Laramie County

Marla

Christensen-Opitz

Board Member

2.857%

Medicare Beneficiary

N/A

 

Key ACO clinical and administrative leadership:

Khue Nguyen ACO Executive
Jerry Neria, MD Medical Director
Emma Oakley Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer

 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0
    • Performance Year 2022, $0

Shared Savings Distribution

  • 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 2020
      • 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 2021
      • 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 2022
      • 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.

Measure # Measure Name Collection Type Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 19.70 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 66.00 76.97
236 Controlling High Blood Pressure CMS Web Interface 68.56 76.16
318 Falls: Screening for Future Fall Risk CMS Web Interface 67.91 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 54.10 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 54.55 79.27
113 Colorectal Cancer Screening CMS Web Interface 57.03 75.32
112 Breast Cancer Screening CMS Web Interface 67.89 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.83 86.37
370 Depression Remission at Twelve Months CMS Web Interface 0.00 16.03
321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1663 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 29.96 30.97

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

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