ACO Name and Location

River Valley Rural ACO LLC
7509 NW Tiffany Springs Parkway
Kansas City, Missouri 64153

ACO Primary Contact

Primary Contact Name Desiree Brewer
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address dbrewer@caravanhealth.com
 

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Reid Physician Associates, Inc. Y
 
 
ACO governing body:
Member Member’s Voting Power Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Lingle Paul Member 1 Medicare Beneficiary Representative N/A
Bawa, M.D. Rohit Chairman 1 ACO Participant Representative Reid Physician Associates, Inc.
Knight Chris Treasurer 1 ACO Participant Representative Reid Physician Associates, Inc.
Dickman Angie Secretary 1 ACO Participant Representative Reid Physician Associates, Inc.
Foust-Cofield Misit Member 1 ACO Participant Representative Reid Physician Associates, Inc.
Kester Billie Member 1 ACO Participant Representative Reid Physician Associates, Inc.
Beall Kelly Member 1 ACO Participant Representative Reid Physician Associates, Inc.
 
Key ACO clinical and administrative leadership:
Craig Kinyon ACO Executive
Patrick Anderson Medical Director
Randall Bierman Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Information Technology Committee Phil Scott, DO, Chairman
Care Coordination & Patient Engagement Committee Dan Wegg, M.D., Chairman
Evidence-Based Medicine Committee Patrick Anderson, M.D., Sole Member
Finance Committee John McBride, Chairman
Quality & Performance Improvement Committee Dan Wegg, M.D., Chairman
 
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
  • Rural Health Clinic (RHC)
 

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2017
      • 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 2016
      • 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 2015
      • 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

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 77.08 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 90.59 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.39 92.31
ACO-4 CAHPS: Access to Specialists 84.10 83.32
ACO-5 CAHPS: Health Promotion and Education 62.51 62.30
ACO-6 CAHPS: Shared Decision Making 73.06 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.50 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 29.80 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.20 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.27 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 43.84 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 67.22 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.30 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.04 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 30.01 75.32
ACO-13 Falls: Screening for Future Fall Risk 87.10 74.38
ACO-44 Imaging Studies for Low Back Pain 63.79 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 66.95 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 69.96 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 81.45 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.62 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 63.07 61.98
ACO-19 Colorectal Cancer Screening 67.07 64.58
ACO-20 Breast Cancer Screening 66.27 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.19 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.65 16.74
ACO-41 Diabetes: Eye Exam 38.55 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 72.02 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 96.85 86.86



































































































Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. Note: In the Quality Performance Results file(s) above, search for “River Valley Rural ACO LLC” or “Reid ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A33146 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Public Disclosure Language for MSSP ACO Waivers

To avail itself of the Participation Waiver, Reid ACO (“Company ACO”) has made a good faith determination that the following arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (MSSP) and is publically disclosing such arrangements in accordance with the requirements of the MSSP.
Provision of Medical Equipment. The Company ACO is currently participating in the MSSP as an accountable care organization (“ACO”). In connection with its ACO activities, Company ACO or one or more of its ACO participant(s) (as identified on this website) including such participant’s providers, will provide to patients, free or below fair market value, medical equipment that the Company ACO or ACO participant or provider reasonably determines is necessary or useful for the patient to fully engage in preventive care, or to adhere to his/her treatment, drug or follow-up care regimes or to manage his/her chronic disease or condition. This arrangement was approved by the board of the Company ACO on April 30, 2015 and is expected to be effect in until December 31, 2018.
Provision of Delivery Services and Medication. The Company ACO is currently participating in the MSSP as an accountable care organization (“ACO”). In connection with its ACO activities, Company ACO or one or more of its ACO participant(s) (as identified on this website) including such participant’s providers, will provide to patients, (i) free or discounted (including, below fair market value) delivery of medications; or (ii) free medications to patients with demonstrated financial need. The provision of (i) free or discounted (including, below fair market value) delivery of medications, and of (ii) free medications to patients with demonstrated financial need, by the Company ACO, or by a Company ACO participant or provider, is necessary or useful for the patient to fully engage in preventive care, or to adhere to his/her treatment, drug or follow-up care regimes or to manage his/her chronic disease or condition. This arrangement was approved by the board of the Company ACO on April 30, 2015 and is expected to be in effect until December 31, 2018.
Transportation Services. The Company ACO is currently participating in the MSSP as an accountable care organization (“ACO”). In connection with its ACO activities, Company ACO or one or more of its ACO participant(s) (as identified on this website) including such participant’s providers, will provide to patients affordable transportation options, which includes the provision of shuttle services or a coupon or voucher that patients can use to purchase transportation services from a transportation vendor, in order to ensure patients are able to keep appointments with primary care providers, and obtain necessary medications and other necessary medical services all of which advance one or more of the following clinical goals: (a) adherence to a treatment regime; (b) adherence to a drug regime; (c) adherence to a follow-up care plan; or (d) management of a chronic disease or condition. This arrangement was approved by the board of the Company ACO on April 30, 2015 and is expected to be in effect until December 31, 2018.
Home Improvements. The Company ACO is currently participating in the MSSP as an accountable care organization (“ACO”). In connection with its ACO activities, Company ACO or one or more of its ACO participant(s) (as identified on this website) including such participant’s providers may provide to patients with one or more of the following documented ICD-10 conditions: (1) Z91.81 history of falling or at risk for falls; (2) R29.6 recurrent falls; (3) R26.9 gait abnormality; (4) R53.1 weakness; (5) M62.81 generalized muscle weakness; (6) R54 frailty; (7) G83.10 monoplegia of limb; (8) M81.8 osteoporosis without current pathological fracture; (9) S72.90 / S72.91 / S72.92 sequelae of hip fracture; (10) I69.359 late effects of stroke (hemiplegia / hemiparesis, unspecified side); (11) Z89.519 below knee amputation status; or (12) Z89.619 above knee amputation status; free or discounted home improvement items or services not to exceed two thousand dollars ($2,000) per patient pursuant to a safety environment assessment which details the rationale for necessary home improvement items and/or services and a documented determination that the patient cannot afford to make or purchase the necessary home improvement items and/or services. The provision of free or discounted home improvement items and/or services shall be supported by a follow-up care plan which substantiates the rationale for the provision of such home improvement items and/or services, including risk of injury and expected role of the home improvement items and/or services to improve preventive care, adherence to treatment, drug or follow-up care regimes, or to manage a chronic disease or condition. This arrangement was approved by the board of the Company ACO on May 25, 2017 and is expected to be in effect until December 31, 2018.
Nutritional Food. The Company ACO is currently participating in the MSSP as an accountable care organization (“ACO”). In connection with its ACO activities, Company ACO or one or more of its ACO participant(s) (as identified on this website) including such participant’s providers may provide to patients free or below fair market value nutritional food items or services to patients with demonstrated financial need. The provision of free or discounted nutritional food items and/or services shall be supported by a determination by a physician or mid-level provider that the patient has certain medical condition(s), identified a follow-up care plan, which addresses the clinical implications and rationale for the necessity of the provision of nutritional food items and/or services to improve preventive care, adherence to treatment, drug or follow-up care regimes, or to manage a chronic disease or condition. This arrangement was approved by the board of the Company ACO on August 24, 2017 and is expected to be in effect until December 31, 2018.
 
For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.