ACO Name and Location

National Rural ACO 16 LLC
dba Magnolia-Evergreen 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 gparis@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Surgery Clinic of Philadelphia N
Anointed Nephrology & HTN N
ANDERSON PHYSICIAN ALLIANCE INC Y
Britt Medical Group LLC N
KDMC Physician Clinics LLC N
Neshoba Physician Billing Service Y
Kings Daughters Medical Center Y
Meridian Medical Associates, PA Y
Neshoba County General Hospital Y
Tri-State Memorial Hospital Y
Columbia County Hospital District Y
Sunnyside Community Hospital Association 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
Wee Don Chairman 1 ACO participant representative Tri-State Memorial Hospital
McCall Lee Vice Chairman 1 ACO participant representative Neshoba County General Hospital
Gibbons Brian Board Member 1 ACO participant representative Sunnyside Community Hospital  Association
Hoover Alvin Secretary 1 ACO participant representative Kings Daughters Medical Center
Anderson John Board Member 1 ACO participant representative Anderson Physician Alliance
Haarala Casey Board Member 1 ACO participant representative Meridian Medical Associates
McGuire Shane Treasurer 1 ACO participant representative Columbia County Hospital District
Redd Mary Lu Board Member 1 Medicare Beneficiary Representative N/A
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
Scot Bell 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  Steve Taylor
Care Coordination & Patient Engagement Committee  Cheri Walker
Evidence-Based Medicine Committee  Dr. Jeffery Ross
Finance Committee  Randy Pirtle
Quality & Performance Improvement Committee  Connie Lee
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, $4,920,692
 
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: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
 

Quality Performance Results

2017 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.78 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.27 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.44 92.31
ACO-4 CAHPS: Access to Specialists 84.03 83.32
ACO-5 CAHPS: Health Promotion and Education 60.67 62.30
ACO-6 CAHPS: Shared Decision Making 76.93 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.59 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 33.04 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.32 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.58 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 57.22 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 85.21 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.45 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.57 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 72.67 75.32
ACO-13 Falls: Screening for Future Fall Risk 92.22 74.38
ACO-44 Imaging Studies for Low Back Pain 62.07 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 71.37 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 76.95 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 73.39 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.38 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 52.77 61.98
ACO-19 Colorectal Cancer Screening 63.10 64.58
ACO-20 Breast Cancer Screening 67.05 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.69 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.06 16.74
ACO-41 Diabetes: Eye Exam 42.46 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 67.97 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.97 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 16 LLC” or “Magnolia-Evergreen ACO”to view the quality performance results. This ACO can also be found by using the ACO ID A55037 in the public use files on data.cms.gov.

Payment Rule Waivers

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