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CMS Reporting

Caravan Health ACO 50 LLC

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ACO Name and Location

Caravan Health ACO 50 LLC


4055 Valley View Ln, Suite 700

Dallas, TX 75244

ACO Primary Contact

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

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

BAXTER COUNTY REGIONAL HOSPITAL INC

Y

BAXTER COUNTY REGIONAL HOSPITAL INC

Y

BAXTER EMERGENCY GROUP PLLC

Y

BAXTER REGIONAL ENTERPRISES, LLC

Y

BAXTER REGIONAL HEALTH SYSTEM

Y

CORNERSTONE MEDICAL CLINIC PLLC

Y

EAR NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME PA

Y

FIRST IN SERVICE HOSPITALISTS PA

Y

HOSPICE OF THE OZARKS

Y

J HARLEY BARROW JR MD PLLC

Y

KILGORE VISION CENTER

Y

LINCOLN PADEN MEDICAL GROUP PLLC

Y

MARK S KING, MD, PA

Y

MOUNTAIN HOME UROLOGY PA

Y

NEWMAN, M.D. PLASTIC SURGERY, P.A.

Y

OZARK EYE CENTER PA

Y

OZARK SURGICAL GROUP

Y

SOUTHERN MONO HEALTH CARE DISTRICT

Y

LOWER VALLEY HOSPITAL ASSOCIATION

Y

HOSPITAL AUTHORITY OF WASHINGTON COUNTY

Y

WC PHYSICIAN GROUP LLC

Y

BELMOND COMMUNITY HOSPITAL

Y

IOWA SPECIALTY HOSPITAL-CLARION

Y

GUTHRIE COUNTY HOSPITAL

Y

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL

Y

MINIDOKA MEMORIAL HOSPITAL

Y

LOST RIVERS MEDICAL CENTER

Y

FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION

Y

SCHOOLCRAFT MEMORIAL HOSPITAL

Y

BARAGA COUNTY MEMORIAL HOSPITAL

Y

CHRISTOPHER G WEBB MD PA

Y

SAUK PRAIRIE HEALTHCARE INC

Y

OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3

Y

NORTH LINCOLN COUNTY HOSPITAL DISTRICT

Y

WISE CLINICAL CARE ASSOCIATES

Y

JACOBSON MEMORIAL HOSPITAL CARE CENTER

Y

BOX BUTTE GENERAL HOSPITAL

Y

CHEYENNE COUNTY HOSPITAL ASSOCIATION INC

Y

PRESENTATION MEDICAL CENTER

Y

CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION

Y

SOUTHWEST HEALTHCARE SERVICES

Y

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Y

GLACIAL RIDGE HOSPITAL DISTRICT

Y

EATON RAPIDS MEDICAL CENTER

Y

HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA

Y

ACADIANA MEDICINE CLINIC, APMC

Y

SPRINGHILL MEDICAL SERVICES, INC.

Y

TOWNSEND HEALTH SYSTEMS INC

Y

SOUTHLAND EMERGENCY MEDICAL SERVICES LLC

Y

SOUTHLAND HOSPITALIST GROUP, LLC

Y

HENRY COUNTY MEMORIAL HOSPITAL

Y

HELEN NEWBERRY JOY HOSPITAL

Y

MICHAEL BURNELL

N

METOYER MEDICAL CORPORATION INC

Y

TATE PRIMARY CARE LLC

Y

FAMILY HEALTHCARE OF BEAUREGARD, LLC

Y

DAKIN OTOLARYNGOLOGY LLC

Y

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Y

SOUTH GEORGIA EMERGENCY MEDICINE ASSOCIATES PC

Y

OPELOUSAS GENERAL HOSPITAL AUTHORITY

Y

CHRIS L GRANGER M D LLC

Y

NEW CASTLE CLINIC INC

Y

AMGIR, INC.

Y

BROOKS COUNTY HOSPITAL

Y

JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Y

CCSG, INC

Y

HOSPITAL AUTHORITY OF MITCHELL COUNTY

Y

ARKANSAS ORTHOPEDICS & SPORTS MEDICINE, P.A.

Y

MOUNTAIN HOME RADIOLOGY CONSULTANTS

Y

GRADY GENERAL HOSPITAL

Y

REGIONAL ORTHOPAEDIC HEALTH CARE

Y

RADIOLOGY ASSOCIATES OF THE OZARKS, PLLC

Y

CFVHS ED PHYSICIANS

Y

REGIONAL DIABETES AND ENDOCRINE CENTER

Y

BLADEN HEALTHCARE LLC

Y

CFV EXPRESS CARE BILLING SERVICES LLC

Y

CFV SPECIALTY CARE BILLING SERVICES, LLC

Y

CAPE FEAR NEUROSURGERY

Y

VALLEY INFECTIOUS DISEASE CARE

Y

CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP LLC

Y

COATS MEDICAL SERVICES LLC

Y

HARNETT HEALTH SYSTEM INC

Y

HERITAGE FAMILY PHYSICIANS

Y

ANGIER MEDICAL SERVICES, LLC

Y

HOKE HEALTHCARE LLC

Y

LILLINGTON MEDICAL SERVICES, LLC

Y

DUNN MEDICAL SERVICES LLC

Y

HARNETT OBGYN LLC

Y

MID-COLUMBIA MEDICAL CENTER

Y

ST LUKES COMMUNITY HOSPITAL

Y

ARCHBOLD MEDICAL GROUP, INC.

Y

ADVANCED BERKSHIRE MEDICAL IMAGING PC

Y

BERKSHIRE EAR, NOSE, THROAT AND AUDIOLOGICAL ASSOCIATES, P.C.

Y

THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC

Y

WESTERN MASSACHUSETTS PATHOLOGY SERVICES, PC

Y

FAIRVIEW HOSPITAL

Y

BERKSHIRE FACULTY SERVICES INC

Y

BERKSHIRE RADIATION ONCOLOGY PC

Y

CONTEMPORARY RHEUMATOLOGY SPECIALISTS, PC

Y

BERKSHIRE ORTHOPAEDIC ASSOCIATES INC

Y

BERKSHIRE FAMILY PRACTICE ASSOCIATES PC

Y

SUBURBAN INTERNAL MEDICINE, INC.

Y

FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS

Y

DALTON MEDICAL ASSOCIATES, LLP

Y

BERKSHIRE MEDICAL CENTER INC

Y

LOGAN HEALTH - WHITEFISH

Y

BURGESS HEALTH CENTER

Y

CRAWFORD COUNTY MEMORIAL HOSPITAL

Y

KALISPELL REGIONAL MEDICAL CENTER INC

Y

ASANTE PHYSICIAN PARTNERS

Y

ASANTE ASHLAND COMMUNITY HOSPITAL LLC

Y

SOUTHERN OREGON CHIROPRACTIC LLC

Y

SOUTHERN OREGON HOSPITALISTS PC

Y

OREGON INTERNAL MEDICINE LLC

Y

SOUTHERN OREGON CARDIOLOGY LLC

Y

SOUTHERN OREGON NEUROSURGICAL & SPINE ASSOCIATES, PC

Y

VISTA PATHOLOGY LABORATORY LLC

Y

CLINIC FOR DERMATOLOGY & WELLNESS LLC

Y

SOUTHERN OREGON CHIROPRACTIC-ASHLAND LLC

Y

YASMIN MALDONADO-STITT MD A LIMITED LIABILITY COMPANY

Y

ANESTHESIA ASSOCIATES OF MEDFORD PC

Y

OREGON SURGICAL SPECIALISTS PC

Y

GASTROENTEROLOGY CONSULTANTS PC

Y

MEDFORD EAR NOSE AND THROAT CLINIC PC

Y

MEDFORD RADIOLOGICAL GROUP PC

Y

REHABILITATION MEDICINE PHYSICIANS OF SOUTHERN OREGON PC

Y

HEMATOLOGY ONCOLOGY ASSOCIATES, P.C.

Y

MEDFORD WOMENS CLINIC LLP

Y

WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC

Y

ASHLAND ANESTHESIA ASSOCIATES LLC

Y

THREE RIVERS RADIOLOGY ASSOCIATES, PC

Y

PAIN CARE OF OREGON LLC

Y

MEDWELLNESS CONSULTING LLC

Y

WINNESHIEK MEDICAL CENTER

Y

MONADNOCK COMMUNITY HOSPITAL

Y

RUSH MEMORIAL HOSPITAL

Y

MEMORIAL COMMUNITY HOSPITAL CORPORATION

Y

NORTHFIELD HOSPITAL

Y

JOHNSON MEMORIAL HEALTH SERVICES

Y

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Y

UNIVERSITY OF CONNECTICUT HEALTH CENTER

Y

PROVIDENCE HEALTH ALLIANCE

Y

SETON FAMILY OF DOCTORS

Y

MARGOLIN AND KEINARTH, PA

Y

TONY SHALLIN MD PA

Y

HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

Y

KUMAR SATHIANATHAN MD PA

Y

AUSTIN HEALTH PARTNERS PLLC

Y

CAROMONT MEDICAL GROUP INC

Y

RADIATION ONCOLOGY GROUP CONSULTANTS P C

Y

GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1

Y

HOLDERMANN INC

Y

Howard W Morningstar MD

N

COMMUNITY MEMORIAL HOSPITAL

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

Melanie

Van Winkle

Board Member

2.040%

ACO Participant Representative 

Southern Mono Healthcare District

Korrey

Klein

Board Member

2.040%

ACO Participant Representative

The Lower Valley Hospital Association

Lynne

Byrd

Board Member

2.040%

ACO Participant Representative

Archbold Medical Group, Inc.

Amy

McDaniel

Board Member

2.040%

ACO Participant Representative

Belmond Community Hospital

Amy

McDaniel

Board Member

2.040%

ACO Participant Representative

Iowa Specialty Hospital Clarion

Christopher

Stipe

Board Member

2.040%

ACO Participant Representative

Guthrie County Hospital

Lynn

Wold

Board Member

2.040%

ACO Participant Representative

Burgess Health Center

Erin

Muck

Board Member

2.040%

ACO Participant Representative

Crawford County Memorial Hospital

Steven

Slessor

Board Member

2.040%

ACO Participant Representative

Winneshiek Medical Center

Barry

Jacobsen

Board Member

2.040%

ACO Participant Representative

Shelby County Chris A. Myrtue Memorial Hospital

Tom

Murphy

Board Member

2.040%

ACO Participant Representative

Minidoka Memorial Hospital

Kristy

Unruh

Board Member

2.040%

ACO Participant Representative

Lost Rivers Medical Center

Kristin

Boldt

Board Member

2.040%

ACO Participant Representative

Fairfield Memorial Hospital Association

Corrine

Morris

Board Member

2.040%

ACO Participant Representative

Henry County Memorial Hospital

Deborah

Hummel

Board Member

2.040%

ACO Participant Representative

Rush Memorial Hospital

Pete

Johnson

Board Member

2.040%

ACO Participant Representative

Springhill Medical Services, Inc.

Larry

Meese

Board Member

2.040%

ACO Participant Representative

Hospital Service District 1 of East Baton Rouge Parish

Amanda

Fontenot

Board Member

2.040%

ACO Participant Representative

Opelousas General Health System

Traci

Thibodeaux

Board Member

2.040%

ACO Participant Representative

Hospital Service District No. 2 of the Parish of Beauregard State of LA

Scott

St. George

Board Member

2.040%

ACO Participant Representative

Berkshire Medical Center Inc.

Hunter

Nostrant

Board Member

2.040%

ACO Participant Representative

Helen Newberry Joy Hospital

Marc

Marcotte

Board Member

2.040%

ACO Participant Representative

Schoolcraft Memorial Hospital

Tim

Johnson

Board Member

2.040%

ACO Participant Representative

Eaton Rapids Medical Center

Rob

Stowe

Board Member

2.040%

ACO Participant Representative

Baraga County Memorial Hospital

Kristin

Jacobson

Board Member

2.040%

ACO Participant Representative

Johnson Memorial Health Services

Kirk

Stensrud

Board Member

2.040%

ACO Participant Representative

Glacial Ridge Hospital District

Steve

Underdahl

Board Member

2.040%

ACO Participant Representative

Northfield Hospital

Steve

Pautler

Board Member

2.040%

ACO Participant Representative

Ste. Genevieve County Memorial Hospital

Steve

Todd

Board Member

2.040%

ACO Participant Representative

St. Luke Community Hospital

Justin

Tiffany

Board Member

2.040%

ACO Participant Representative

Townsend Health Systems Inc

Adam

Smith

Board Member

2.040%

ACO Participant Representative

Kalispell Regional Medical Center Inc

Bart

Fiser

Board Member

2.040%

ACO Participant Representative

Cumberland County Hospital

Tod

Erickson

Board Member

2.040%

ACO Participant Representative

CaroMont Medical Group, Inc.

Dennis

Goebel

Board Member

2.040%

ACO Participant Representative

Southwest Healthcare Services

Darla

Roder

Board Member

2.040%

ACO Participant Representative

Cavalier County Memorial

Chris

Albertson

Board Member

2.040%

ACO Participant Representative

Presentation Medical Center

TyAwna

Ackerman

Board Member

2.040%

ACO Participant Representative

Jacobson Memorial Hospital Care Center

Manuela

Banner

Board Member

2.040%

ACO Participant Representative

Memorial Community Hospital Corporation

Jason

Petik

Board Member

2.040%

ACO Participant Representative

Cheyenne Hospital Association, Inc.

Lori

Mazanec

Board Member

2.040%

ACO Participant Representative

Box Butte General Hospital

Lauren

Peck-Wood

Board Member

2.040%

ACO Participant Representative

Community Memorial Hospital

Wendy

Apland

Board Member

2.040%

ACO Participant Representative

Mid-Columbia Medical Center

Doug

Ward

Board Member

2.040%

ACO Participant Representative

Asante Health Network

David

Byrom

Board Member

2.040%

ACO Participant Representative

Coryell County Memorial Hospital

Philip

Eaves

Board Member

2.040%

ACO Participant Representative

Ascension Seton ACO

John

White

Board Member

2.040%

ACO Participant Representative

Okanogan County Public Hospital District No. 3

Shawn

Lerch

Board Member

2.040%

ACO Participant Representative

Sauk Prairie Memorial Hospital

Daniel

Ordyna

Board Member

2.040%

ACO Participant Representative

NORTH LINCOLN COUNTY HOSPITAL DISTRICT

Lavonne

Charbonneau

Board Member

2.040%

Medicare Beneficiary

N/A

 

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Khue Nguyen
Medical Director: Adam Smith, DO
Compliance Officer: Emma Oakley
Quality Assurance/Improvement Officer: Rayna Caplan

 

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:

  • Second Agreement Period
    • Performance Year N/A
  • First Agreement Period N/A
    • Performance Year
Shared Savings Distribution:
  • Second Agreement Period
    • Performance Year N/A
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year N/A
      • 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:
Our ACO did not participate in the Shared Savings Program in the 2022 performance year, therefore this section is not applicable at this time.

Measure # Measure Name Rate ACO Mean
       

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov 

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

ACO Participation Waiver:

AWV Scheduling Initiative 

  • Parties to the arrangement: Caravan Health ACO 43 and ACO Participants
  • Date of arrangement: January 1, 2024
  • Items, services, goods, or facility provided: See description below
  • Date and nature of any amendments to the arrangement, if applicable: N/A 

 

The board made a bona fide determination effective January 1, 2024, that the AWV Scheduling Initiative is reasonably related to the purpose of the MSSP to manage and coordinate care for Medicare fee-for-service beneficiaries throughout the ACO.  The AWV Scheduling initiative is intended to increase the likelihood that patients whom CMS has identified as assigned or assignable to the ACO under the MMSP and whom CMS has recognized would benefit from an AWV will receive an AWV. The AWV Scheduling initiative includes a provision of scheduling services to ACO participants at no cost to assist in increasing availability and performance of medically necessary and appropriate AWVs on patients whom CMS has identified as assigned to the ACO under the MSSP. Caravan in collaboration with, and subject to the approval of, ACO shall develop and implement appropriate operating processes and procedures to implement the AWV Scheduling Initiative and ensure that the provision of services on a no cost basis is limited to the AWV Scheduling Initiative, unless otherwise approved by the Board of Managers. ACO participants shall ensure that each completed AWV shall include all required elements and associated quality data for patients whom CMS has identified as assigned to the ACO under the MSSP.

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