Medicare ACO
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ACO NAME & LOCATIONCommunity Health Center Network of Idaho, LLC |
ACO PRIMARY CONTACTMoriah Nelson |
ORGANIZATIONAL INFORMATION
ACO PARTICIPANTS
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| Adams County Health Center, Inc. | Y/N |
| Challis Area Health Center | Y/N |
| Community Council of Idaho, Inc. (Community Family Clinic) | Y/N |
| Community Health Association of Spokane (CHAS Health) | Y/N |
| Family Health Services Corporation | Y/N |
| The Family Medicine Residency of Idaho, Inc. | Y/N |
| Glenns Ferry Health Center, Inc. (Desert Sage Health Centers) | Y/N |
| Upper Valley Community Health Services, Inc. (Grand Peaks Medical and Dental) | Y/N |
| Health West, Inc. | Y/N |
| Dirne Health Centers, Inc. (Heritage Health) | Y/N |
| Boundary Regional Community Health Center, Inc. (Kaniksu Community Health) | Y/N |
| Benewah Medical Center (Marimn Health) | Y/N |
| Community Health Clinics, Inc. (Terry Reilly Health Services) | Y/N |
| Valley Family Health Care, Inc. | Y/N |
ACO GOVERNING BODY
| Member Last Name | Member First Name | Member Title/Position | Member's Voting Power | Membership Type | ACO Participant Legal Business Name & D/B/A |
|---|---|---|---|---|---|
| Kim | Smith | Chief Executive Officer | 1 | ACO Participant Representative | Adams County Health Center, Inc. |
| Steve | Rembelski | Chief Executive Officer | 1 | ACO Participant Representative | Challis Area Health Center |
| Arnold | Cantu | Clinic Administrator | 1 | ACO Participant Representative | Community Council of Idaho, LLC (Community Family Clinic) |
| Aaron | Wilson | Chief Executive Officer | 1 | ACO Participant Representative | Community Health Association of Spokane (CHAS Health) |
| Aaron | Houston | Chief Executive Officer | 1 | ACO Participant Representative | Family Health Services Corporation |
| Ted | Epperly | Chief Executive Officer | 1 | ACO Participant Representative | Family Medicine Residency of Idaho, Inc. |
| Mary | Ferguson | Chief Executive Officer | 1 | ACO Participant Representative | Glenns Ferry Health Center, Inc. (Desert Sage Health Centers) |
| Lori | Sessions | Chief Executive Officer | 1 | ACO Participant Representative | Upper Valley Community Health Services, Inc. (Grand Peaks Medical & Dental) |
| Michael | Baker | Chief Executive Officer | 1 | ACO Participant Representative | Dirne Health Centers, Inc. (Heritage Health) |
| Kevin | Knepper | Chief Executive Officer | 1 | ACO Participant Representative | Boundary Regional Community Health Center, Inc. (Kaniksu Community Health) |
| Janice | Jordan | Chief Executive Officer | 1 | ACO Participant Representative | Benewah Medical Center (Marimn Health) |
| Heidi | Hart | Chief Executive Officer | 1 | ACO Participant Representative | Community Health Clinics, Inc. (Terry Reilly Health Services) |
| Tim | Heinze | Chief Executive Officer | 1 | ACO Participant Representative | Valley Family Health Care, Inc. |
| Denise | Chuckovich | Beneficiary | 1 | Medicare Beneficiary Representative | N/A |
| David | Garrett | Board Member | 1 | Community Stakeholder Representitive | N/A |
KEY CLINICAL & ADMINISTRATIVE LEADERSHIP
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ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP
| Committee Name | Committee Leader Name & Position |
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| Quality & Clinical Informatics | Susan Ault, Quality Assurance/Improvement Officer |
| Utilization Review | Andrew Baron, MD, Medical Director |
| Finance | Mary Ferguson, Board Member |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
Amount of Shared Savings/Losses
- Third Agreement Period
- Performance Year 2020, $2,517,896
- Second Agreement Period
- Performance Year 2019, $0
- First Agreement Period
- Performance Year 2018, $0
Shared Savings Distribution
- Third Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 75%
- Second 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
- First Agreement Period
- Performance Year 2018
- 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
2020 Quality Performance Results:
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ACO# |
Measure Name |
Rate |
ACO Mean |
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ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
N/A |
N/A |
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ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
7.4 |
0.95 |
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ACO-13 |
Falls: Screening for Future Fall Risk |
64.13 |
84.97 |
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ACO-14 |
Preventive Care and Screening: Influenza Immunization |
58.8 |
76.03 |
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ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
87.72 |
81.67 |
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ACO-18 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
80.07 |
71.76 |
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ACO-19 |
Colorectal Cancer Screening |
64.74 |
72.59 |
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ACO-20 |
Breast Cancer Screening |
60.51 |
74.05 |
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ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
84.65 |
83.37 |
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ACO-27 |
Diabetes: Hemoglobin A1c Poor Control (>9%) |
15.91 |
14.7 |
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ACO-28 |
Controlling High Blood Pressure |
75 |
72.87 |
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 and 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 year's financial and quality performance results, please visit data.cms.gov.
Payment Rule Waivers
- 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.