ACO Name and Location
Collaborative ACO 30 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 |
BLUESTEM HEALTH |
Y |
FORT HEALTHCARE INC |
Y |
GREATER REGIONAL MEDICAL CENTER |
Y |
NATHAN LITTAUER HOSPITAL ASSOCIATION |
Y |
HILLSDALE COMMUNITY HEALTH CENTER |
Y |
MCKENZIE MEMORIAL HOSPITAL |
Y |
ALTRU HEALTH SYSTEM |
Y |
UPMC CHAUTAUQUA AT WCA |
Y |
LUTHERAN SOCIAL SERVICES OF UPSTATE NEW YORK, INC. |
Y |
SUMMIT HEALTHCARE ASSOCIATION |
Y |
SUMMIT HEALTHCARE MEDICAL ASSOCIATES |
Y |
CONNELLY CARE PLLC |
Y |
DON SHUMWAY D P M PC |
Y |
HOSPITALIST MEDICINE HEALTHCARE LLC |
Y |
IAN BRIMHALL PC |
Y |
NORTHEASTERN ANESTHESIA PLLC |
Y |
WHITE MOUNTAIN FOOT AND ANKLE CARE CENTER PLLC |
Y |
PEACE HEALTH PARTNERS, PC |
Y |
PHYSICIAN SPECIALISTS OF NORTHERN JERSEY LLC |
Y |
HOLY NAME CARDIOLOGY ASSOCIATES, PC |
Y |
HOUSE PHYSICIAN PARTNERS PC |
Y |
MULKAY CARDIOLOGY CONSULTANTS AT HOLY NAME MEDICAL CENTER, PC |
Y |
GLENCOE REGIONAL HEALTH SERVICES |
Y |
HOLY NAME MEDICAL CENTER INC |
Y |
WEST RIVER HEALTH SERVICES |
Y |
GRANT COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 |
Y |
WELIA HEALTH |
Y |
GRANT CO PUBLIC HOSPITAL DISTRICT 3 |
Y |
DAVID F PORTER D.O., P.A. |
Y |
HENDRICKS COUNTY HOSPITAL |
Y |
BIRCH TREE MEDICAL ASSOCIATES PA |
Y |
HOLY NAME PULMONARY ASSOCIATES PC |
Y |
HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES PC |
Y |
CLIFFSIDE MEDICAL LLC |
Y |
COMPREHENSIVE ENDOCRINOLOGY PC |
Y |
DAVID FRIDMAN LLC |
Y |
FOOT & ANKLE THERAPY PC |
Y |
JEFFREY RAPAPORT,MD,PA |
Y |
MARIA ANN RAMOS, MD, PA |
Y |
METROHEALTH, LLC |
Y |
NORTH JERSEY INFECTIOUS DISEASE GROUP LLC |
Y |
PODIATRY FOOT & ANKLE INSTITUTE |
Y |
SALUS MED PC |
Y |
I PALTROWITZ MD J GOLDFARB MD MSCHMIDT MD PA |
Y |
BREAST IMAGING PARTNERS, PC |
Y |
EXCELCARE MEDICAL ASSOCIATES PA |
Y |
HOLY NAME HEALTH PHYSICIANS PC |
Y |
PRIMARY CARE OF ORADELL |
Y |
RADIATION ONCOLOGY PARTNERS PC |
Y |
J & E MEDICAL SPECIALTIES, PC |
Y |
HOLY NAME MEDICAL ASSOCIATES, PC |
Y |
FAMILY MEDICINE CLINIC, P.C. |
Y |
GREAT LAKES PHYSICIAN PRACTICE PC |
Y |
GENESIS ANESTHESIA PROVIDERS, LLC |
Y |
GENESIS EMERGENCY PHYSICIANS LLC |
Y |
GENESIS PRIMARY CARE PHYSICIANS, LLC |
Y |
GENESIS HEALTHCARE SYSTEM |
Y |
GENESIS MEDICAL GROUP, LLC |
Y |
GERIATRICS AND INTERNAL MEDICINE ASSOCIATES OF NORTHEAST LLC |
Y |
WITHAM MEMORIAL HOSPITAL |
Y |
ALLEN PARISH HOSPITAL DISTRICT NO 3 |
Y |
PHOEBE PHYSICIAN GROUP INC |
Y |
YOUR FAMILY PRACTICE TEAM PC |
Y |
WHITE MOUNTAIN RADIOLOGY |
Y |
NOR-LEA HOSPITAL DISTRICT |
Y |
CENTRAL MONTANA MEDICAL FACILITIES INC |
Y |
GENERAL CONFERENCE CORP OF SDA |
Y |
CHEYENNE REGIONAL PHYSICIANS GROUP LLC |
Y |
COMMUNITY HOSPITAL OF ANACONDA |
Y |
THE CHAUTAUQUA CENTER INC |
Y |
HAMBLIN DERMATOLOGY PLLC |
Y |
JEFFREY M REAGAN MD PLLC |
Y |
JEFFREY R LESUEUR MD PC |
Y |
MOORE ORTHOPEDICS AND SPORTS MEDICINE PA |
Y |
ALONZO JAMES DAVIS IVMDPHDPC |
Y |
TMC TANNER PAIN MANAGEMENT INC |
Y |
TMC BUCHANAN FAMILY HEALTHCARE CENTER |
Y |
TANNER ONCOLOGY SERVICES INC |
Y |
TMG NORTHWEST GEORGIA ONCOLOGY CENTER INC |
Y |
TANNER PRIMARY CARE OF ROANOKE INC |
Y |
JEFFERSON REGIONAL ANESTHESIA LLC |
Y |
MONTICELLO MEDICAL CLINIC PLC |
Y |
PAUL W DAVIS MD PA |
Y |
TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC |
Y |
TANNER MEDICAL GROUP INC |
Y |
TMC WOODLAND FAMILY HEALTHCARE, INC. |
Y |
TANNER NEUROSCIENCE SPECIALIST |
Y |
TANNER PRIMARY CARE OF WEDOWEE INC |
Y |
TMC-BEHAVIORAL HEALTH OF WEST GEORGIA |
Y |
TMC HARALSON FAMILY HEALTHCARE CENTER |
Y |
C & S MEDICAL BLDG. INC. |
Y |
TMC TALLAPOOSA FAMILY HEALTHCARE CENTER |
Y |
TMC IMMEDIATE CARE, INC |
Y |
WEDOWEE SPECIALTY CLINIC INC |
Y |
TMC-WEST GEORGIA ANESTHESIA ASSOCIATES INC. |
Y |
3:16 FAMILY MEDICINE, LLC |
Y |
WEST GEORGIA INTERNAL MEDICINE PC |
Y |
MORRIS HOSPITAL |
Y |
MCDONOUGH COUNTY HOSPITAL DISTRICT |
Y |
REMLO |
Y |
SULLIVAN COUNTY COMMUNITY HOSPITAL |
Y |
GOOD SAMARITAN HOSPITAL ASSOCIATION |
Y |
CARTERET MEDICAL GROUP LLC |
Y |
LAKE VILLAGE CLINIC PA |
Y |
MEDICAL ASSOCIATES PLC |
Y |
DELTA MEMORIAL HOSPITAL |
Y |
DEWITT HOSPITAL & NURSING HOME INC |
Y |
DREW MEMORIAL HOSPITAL, INC |
Y |
FAMILY MEDICINE OF WHITE HALL, P.A. |
Y |
STANLEY BURLESON |
N |
JEFFERSON HOSPITAL ASSOCIATION INC |
Y |
RIDGECREST REGIONAL HOSPITAL |
Y |
THE BIBB COUNTY HEALTHCARE AUTHORITY |
Y |
ACO governing body:
Member |
Member |
Member Title/Position |
Member’s Voting Power (Expressed as a percentage) |
Membership Type |
ACO Participant Legal Business Name, if applicable |
Heather |
Desmond |
Board Member |
3.030% |
ACO Participant Representative |
The Bibb County Healthcare Authority |
Andrea |
Taylor |
Board Member |
3.030% |
ACO Participant Representative |
Arkansas Rural Health Partnership Clinically Integrated Network, LLC |
Jon |
Felton |
Board Member |
3.030% |
ACO Participant Representative |
Summit Healthcare Association |
Celia |
Mills |
Board Member |
3.030% |
ACO Participant Representative |
Ridgecrest Regional Hospital |
Clint |
Hoffman |
Board Member |
3.030% |
ACO Participant Representative |
Tanner Health System |
Andrew |
Porter |
Board Member |
3.030% |
ACO Participant Representative |
General Conference Corp Of Sda |
Matt |
McCutchan |
Board Member |
3.030% |
ACO Participant Representative |
Greater Regional Medical Center |
Jennifer |
Moore |
Board Member |
3.030% |
ACO Participant Representative |
Family Medicine Clinic, P.C. |
Patrick |
Durkin |
Board Member |
3.030% |
ACO Participant Representative |
Morris Hospital |
Adrian |
Macgregor |
Board Member |
3.030% |
ACO Participant Representative |
McDonough County Hospital District |
Michelle |
Franklin |
Board Member |
3.030% |
ACO Participant Representative |
Sullivan County Community Hospital |
Elizabeth |
Wright, MD |
Board Member |
3.030% |
ACO Participant Representative |
Hendricks County Hospital |
Geri |
Klayer |
Board Member |
3.030% |
ACO Participant Representative |
Witham Memorial Hospital |
Jackie |
Reviel |
Board Member |
3.030% |
ACO Participant Representative |
Allen Parish Hospital District No. 3 |
Steve |
Barnett |
Board Member |
3.030% |
ACO Participant Representative |
McKenzie Memorial Hospital |
Jeremiah |
Hodshire |
Board Member |
3.030% |
ACO Participant Representative |
Hillsdale Community Health Center |
Ben |
Davis |
Board Member |
3.030% |
ACO Participant Representative |
Glencoe Regional Health Services |
Randy |
Ulseth |
Board Member |
3.030% |
ACO Participant Representative |
Welia Health |
Cody |
Langbehn |
Board Member |
3.030% |
ACO Participant Representative |
Central Montana Medical Facilities, Inc |
Halli |
Perala |
Board Member |
3.030% |
ACO Participant Representative |
Community Hospital of Anaconda |
Dr. Clyde |
Brooks |
Board Member |
3.030% |
ACO Participant Representative |
Carteret Medical Group LLC |
Erik |
Christianson |
Board Member |
3.030% |
ACO Participant Representative |
Good Samaritan Hospital Association |
Alyson |
Komele |
Board Member |
3.030% |
ACO Participant Representative |
West River Health Services |
Heather |
Strandell |
Board Member |
3.030% |
ACO Participant Representative |
Altru Health System |
Brad |
Meyer |
Board Member |
3.030% |
ACO Participant Representative |
Bluestem Health |
Dr. Randy |
Tartacoff |
Board Member |
3.030% |
ACO Participant Representative |
Holy Name Medical Center |
Dan |
Hamilton |
Board Member |
3.030% |
ACO Participant Representative |
Nor Lea Hospital District |
Jim |
Sherry |
Board Member |
3.030% |
ACO Participant Representative |
Chautauqua County Health Network |
Geoff |
Peck |
Board Member |
3.030% |
ACO Participant Representative |
Nathan Littauer Hospital Association |
Linda |
Supplee |
Board Member |
3.030% |
ACO Participant Representative |
Genesis Hospital |
Rosalinda |
Kibby |
Board Member |
3.030% |
ACO Participant Representative |
Grant County Public Hospital District No 3 |
Catherine |
Johnson |
Board Member |
3.030% |
ACO Participant Representative |
Fort HealthCare, Inc. |
Kerry |
Slater |
Board Member |
3.030% |
ACO Participant Representative |
Cheyenne Regional Physicians Group, LLC |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
Key ACO Clinical and Administrative Leadership:
Khue Nguyen | ACO Executive |
Dr. Steven Reeves | 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 2022, $0
- Performance Year 2023, $0
Shared Savings Distribution:
- First Agreement Period
- 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
- Performance Year 2023
- 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
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.
2023 Quality Performance Results:
Our ACO did not participate in the Shared Savings Program in the 2023 performance year, therefore this section is not applicable at this time.
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.
ACO Participation Waiver:
AWV Scheduling Initiative
- Parties to the arrangement: Collaborative ACO 30 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
Caravan Health ACO 30 LLC (“Company”) maintains and operates an accountable care organization (“ACO”) that participates in the Medicare Shared Savings Program (“MSSP”). Pursuant to Section 1899(f) of the Social Security Act (42 U.S.C. § 1395jjj), the Secretary of the Department of Health and Human Services (“HHS”) made available certain waivers of federal fraud and abuse laws in connection with the operation of ACOs that have entered into a participation agreement, as defined under 42 C.F.R. § 425.20, under the MSSP with the Centers for Medicare & Medicaid Services (“CMS”).
The Company Board of Managers (the “Board”) has approved two arrangements for protection under ACO Participation Waivers. Use of the ACO Participation Waiver requires public disclosure of certain elements of the arrangement. This document establishes the public disclosure requirements set forth in the MSSP waivers. This document will be supplemented as additional arrangements arise consistent with the timing requirements set forth in the waivers.
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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