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CMS Reporting

Collaborative ACO 30 LLC

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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
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

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
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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