ACO Name and Location

National Rural ACO 10 LLC
dba Indiana Rural ACO
7509 NW Tiffany Springs Parkway
Suite 310
Kansas City, MO 64153

ACO Primary Contact

Primary Contact Name Greg Paris
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Cannelton Clinic N
Tell City Clinic N
Fayette Memorial Hospital Association Inc Y
Perry County Memorial Hospital Y
Decatur County Memorial Hospital Y
Sullivan County Community Hospital Y
Troy Clinic N
Perry County Family Practice N
DC Integrated Medicine Corporation N
MSO Clinics, Inc. Y
Perry County OB/GYN N
Perry County Surgical Associates N
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
McKinney Rex Treasurer 1 ACO participant representative Decatur County
White Randy  Vice Chairman 1 ACO participant representative Fayette Regional
Dozier Carol  Chairman 1 ACO participant representative Kings Daughters
Herwig Brian  Board Member 1 ACO participant representative Perry County
Franklin Michelle  Secretary 1 ACO participant representative Sullivan County
Tucker Ellen  Board Member 1 Medicare Beneficiary Representative N/A
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Stewart Jennings Medical Director
LeeAnn Hastings Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Information Technology Committee Hap Beckes
Care Coordination & Patient Engagement Committee Lori Resler
Evidence-Based Medicine Committee Dr. Divyesh Purohit
Finance Committee Scott Andritsch
Quality & Performance Improvement Committee Kathy Weber
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
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

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.44 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.78 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.41 92.31
ACO-4 CAHPS: Access to Specialists 83.97 83.32
ACO-5 CAHPS: Health Promotion and Education 55.40 62.30
ACO-6 CAHPS: Shared Decision Making 74.53 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.60 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 30.21 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.23 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.05 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.34 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 87.19 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 67.56 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.83 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 88.62 75.32
ACO-13 Falls: Screening for Future Fall Risk 81.71 74.38
ACO-44 Imaging Studies for Low Back Pain 63.01 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 69.64 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 67.87 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 78.28 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.37 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 50.41 61.98
ACO-19 Colorectal Cancer Screening 71.54 64.58
ACO-20 Breast Cancer Screening 65.76 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.48 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.73 16.74
ACO-41 Diabetes: Eye Exam 37.65 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.42 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 95.67 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 “National Rural ACO 10 LLC” or “Indiana Rural ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A75055 in the public use files on

Payment Rule Waivers

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