Medicare ACO

ACO NAME & LOCATION

Community Health Center Network of Idaho (CHCNI)
1087 W. River St. Boise, ID 83702

ACO PRIMARY CONTACT

David Garrett
Phone: 208-898-3828
Email: dgarrett@idahochc.org

 

ACO PARTICIPANTS

ACO Participants ACO Participant in Joint Venture

Boundary Regional Community Health Center, Inc.

(Kaniksu Community Health)

 N

The Family Medicine Residency of Idaho, Inc.

(Full Circle Health)		 N
Adams County Health Center Inc. N

Community Council of Idaho, Inc.

(Community Family Clinic)		 N

Community Health Clinics Inc.

(Terry Reilly Health Services)

 N
Health West Inc. N
Family Services Corporation  N
Valley Family Health Care, Inc N

Glenns Ferry Health Center, Inc.

(Desert Sage Health Centers)

 N

Benewah Medical Center

(Marimn Health)

 N

Upper Valley Community Health Services, Inc.

(Grand Peaks)

 N

Community Health Association of Spokane

 N

Dirne Health Centers Inc.

 N

Challis Area Health Center Inc.

 N

 

 

ACO GOVERNING BODY

Member
First Name		 Member
Last Name		 Member
Title/Position		 Member's
Voting Power		 Membership
Type		 ACO Participant Legal
Business Name & D/B/A
Mendy Stanford Board Member 6.66 ACO Participant Representative Adams County Health Center, Inc.
Janice  Jordan Board Member 6.66 ACO Participant Representative Benewah Medical Center
Arnold Cantu Board Member 6.66 ACO Participant Representative Community Council of Idaho, LLC
Aaron Wilson Board Member 6.66 ACO Participant Representative Community Health Association of Spokane
Aaron Houston Board Member 6.66 ACO Participant Representative Family Health Services Corporation
Ted Epperly Board Member 6.66 ACO Participant Representative Full Circle Health 
Mary Ferguson Board Member 6.66 ACO Participant Representative Glenns Ferry Health Center, Inc.
Lori Sessions Board Member 6.66 ACO Participant Representative Upper Valley Community Health Services, Inc.
Mindy  Benedetti Board Member 6.66 ACO Participant Representative Health West, Inc.
Michael  Baker Board Member 6.66 ACO Participant Representative Dirne Health Centers, Inc.
Kevin  Knepper Board Member 6.66 ACO Participant Representative Boundary Regional Community Health Center
Heidi Hart Board Member 6.66 ACO Participant Representative Community Health Clinics, Inc.
Ken Hart Board Member 6.66 ACO Participant Representative Valley Family Health Care, Inc.
Steve Rembelski Board Member 6.66 ACO Participant Representative Challis Are Health Center
David Garrett Board Member 6.66 ACO Participant Representative Idaho Primary Care Association
Denise  Chuckovich Beneficiary  0 ACO Participant Representative N/A

 

 

KEY CLINICAL & ADMINISTRATIVE LEADERSHIP

  • ACO Executive: David V. Garrett
  • Medical Director: Andrew Baron, MD
  • Compliance Officer: Luke Malek, JD
  • Quality Assurance/Improvement Officer: Aaron Wilson, JD

 

ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP

Committee Name Committee Leader Name & Position
Quality & Clinical Informatics Susan Ault, APRN        Chairperson
Finance Kevin Knepper              Chairperson
VBC Performance Committee  Aaron Houston             Chairperson

 

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Federal Qualified Health Center, FQHCs

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2022, $2,027,687
  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $0
    • Performance Year 2020, $2,517,896
    • Performance Year 2021, $8,835,310

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2022 
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 75%
  • First Agreement Period
    • Performance Year 2018 
      • Proportion invested in infrastructure: NA%
      • Proportion invested in redesigned care processes/resources: NA%
      •  Proportion of distribution to ACO participants: NA%
    • Performance Year 2019 
      • Proportion invested in infrastructure: NA%
      • Proportion invested in redesigned care processes/resources: NA%
      • Proportion of distribution to ACO participants: NA%
    • Performance Year 2020 
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2021
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 75%

     

    Quality Performance Results

    2022 Quality Performance Results:

    Quality Performance results are based on the CMS Web Interface collection type 

    Measure #

    Measure Name

    Reported Performance Rate

    Current Year Mean Performance Rate (SSP ACOs)
    001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 10.95 10.71
    134 Preventative care and Screening: Screening for Depression and Follow-up Plan 82.38 76.97
    236 Controlling High Blood Pressure  73.15 76.16
    318 Falls: Screening for Future Fall Risk 73.39 87.83
    110 Preventative Care and Screening: Influenza Immunization 56.12 77.34
    226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.92 79.27
    113 Colorectal Cancer Screening 66.67 75.32
    112 Breast Cancer Screening 63.60 78.07
    438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  79.08 86.37
    370 Depression Remission at Twelve Months 26.63 16.03
    321 CAHPS for MIPS3 N/A N/A
    479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 -- --
    MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 -- --

     

    For previous year's 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

    Fraud & Abuse Waivers

    • ACO Pre-Participation Waiver:
    The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.
    For each arrangement, provide the following information:
      • Parties to the arrangement: 14 parties to the arrangement. Above.
      • Date of Arrangement: 01/01/2021
      • Items, services, goods, or facility provided: Healthcare Services
      • Date and nature of any amendments to the arrangement, if applicable: N/A
    • ACO Participation Waiver:
    The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.
    For each arrangement, provide the following information:
      • Parties to the arrangement: 14 parties to the arrangement. Above.
      • Date of Arrangement: 01/01/2021
      • Items, services, goods, or facility provided: Healthcare Services
      • Date and nature of any amendments to the arrangement, if applicable: N/A