Medicare ACO
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ACO NAME & LOCATIONCommunity Health Center Network of Idaho, LLC |
ACO PRIMARY CONTACTMoriah Nelson |
ORGANIZATIONAL INFORMATION
All participants are involved in a joint venture.
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ACO GOVERNING BODY
| Name & Title | Member's Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA |
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| Kim Smith, Board Member | 1 | ACO Participant Representative | Adams County Health Center, Inc. |
| Steve Rembelski, Board Member | 1 | ACO Participant Representative | Challis Area Health Center |
| Arnold Cantu, Board Member | 1 | ACO Participant Representative | Community Council of Idaho, LLC (Community Family Clinic) |
| Aaron Wilson, Board Member | 1 | ACO Participant Representative | Community Health Association of Spokane (CHAS Health) |
| Aaron Houston, Board Member | 1 | ACO Participant Representative | Family Health Services Corporation |
| Ted Epperly, Board Member | 1 | ACO Participant Representative | Family Medicine Residency of Idaho, Inc. |
| Mary Ferguson, Board Member | 1 | ACO Participant Representative | Glenns Ferry Health Center, Inc. (Desert Sage Health Centers) |
| Lori Sessions, Board Member | 1 | ACO Participant Representative | Upper Valley Community Health Services, Inc. (Grand Peaks Medical & Dental) |
| Mindy Benedetti, Board Member | 1 | ACO Participant Representative | Health West, Inc. |
| Michael Baker, Board Member | 1 | ACO Participant Representative | Dirne Health Centers, Inc. (Heritage Health) |
| Kevin Knepper, Board Member | 1 | ACO Participant Representative | Boundary Regional Community Health Center, Inc. (Kaniksu Health Services) |
| Helo Hancock, Board Member | 1 | ACO Participant Representative | Benewah Medical Center (Marimn Health) |
| Heidi Hart, Board Member | 1 | ACO Participant Representative | Community Health Clinics, Inc. (Terry Reilly Health Services) |
| Tim Heinze, Board Member | 1 | ACO Participant Representative | Valley Family Health Care, Inc. |
| Denise Chuckovich, Beneficiary | 1 | Medicare Beneficiary Representative | N/A |
| Yvonne Ketchum-Ward, Board Member | 1 | Community Stakeholder Representative | Idaho Primary Care Association |
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
- First Agreement Period
- Performance Year 2018, $0
- Second Agreement Period
- Performance Year 2019, $0
- Third Agreement Period
- Performance Year 2020, $2,517,896
Shared Savings Distribution
- 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
- 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
- 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%
Quality Performance Results
2020 Quality Performance Results:
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ACO# |
Measure Name |
Rate |
ACO Mean |
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ACO-8 |
Risk Standardized, All Condition Readmission |
N/A |
N/A |
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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.
To anonymously report any ACO-related compliance issues, please call the CHCNI ACO line at (208) 972-5600.