ACO Name and Location

Caravan Health ACO 16 LLC
dba Huntsville ACO
7509 NW Tiffany Springs Parkway
Ste. 310
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)
Marshall Medical Center North N
Marshall Medical Center South N
Pulmonary And Sleep Associates N
Athens Limestone Health Services N
TENNESSEE VALLEY PEDIATRIC SURGERY N
Huntsville Hospital Pediatric Neurology N
Seth D. Rayburn MD PC N
Madison Surgical Associates N
Neurology Consultants of Huntsville, P.C. N
The Valley Foundation N
Huntsville Hospital Madison Internal Medicine N
Huntsville Hospital Internal Medicine N
Healthcare Authority of The City of Huntsville Y
Noel General Surgery PC N
Athens and Limestone County Health Care Authority N
CRNA Services of DGH N
Athens Limestone Health Services Llc N
Tennessee Valley Gynecologic Oncology Associates N
NW ALABAMA PRACTICE MANAGEMENT, LLC N
Huntsville Hospital Medical Clinic at Hampton Cove N
Limestone Internal Medicine Center N
Highlands Internal Medicine, Llc N
HH OBSERVATON CENTER N
Marshall Medical Center South Burson Urology N
Marshall Medical Center North Medical Centers Behavioral Health Clinic N
Marshall Medical Center North Medical Centers Behavioral Health Clinic N
Valley Obstetrics & Womens Pelvic Health Center N
Huntsville Hospital Palliative Care Services N
Athens Limestone ER Physicians N
Huntsville Hospital Surgical Associates of Madison N
HH Health System – Morgan LLC N
Capshaw Family Care N
Tennessee Valley Family Medical N
Rogersville Family Care N
Limestone Urology Associates N
Decatur Morgan Gastroentrology N
DECATUR MORGAN INFECTIOUS DISEASES & TRAVEL MEDICINE N
MedExpress Red Bay LLC N
Athens Neurological N
HARTSELLE FAMILY PRACTICE N
HARTSELLE MED-PEDS N
DECATUR MORGAN PRIMARY CARE N
GROWING TOGETHER PEDIATRICS N
DECATUR WOMENS HEALTHCARE N
HH Digestive Disease Center N
Alh Hospitalist N
AthensLimestone Sleep Clinic N
Medwest Clinic N
Athens Family Medicine N
HH Health System – Shoals LLC N
Athens Limestone Pain Center N
HH Surgical Associates – Robert Lancaster MD N
HH PHYSICIAN CARE HAZEL GREEN N
Koonce Surgical PC N
DECATUR MORGAN NEUROLOGY N
HH Health System- Athens Limestone LLC Y
Milestone Pediatrics N
HH HEALTH SYSTEM-MORGAN INC. N
The Healthcare Authority of the City of Huntsville Y
DECATUR MORGAN INTERNAL MEDICINE N
The Health Care Authority Of The City Of Huntsville Y
Rheumatology Associates of North Alabama N
Tejanand Mulpur N
Hazel Green Pediatrics N
EMERGENCY PHYSICIANS GROUP N
Iqbal Saeed MD LLC N
Rama Nadella N
Marshall Medical Center South Moore Obgyn Services N
Marshall Medical Center South Medical Oncology Services N
Decatur Morgan Hospitalist Group N
Health Care Authority of The City of Huntsville Y
Huntsville Hospital Lung Center N
Huntsvile Hospital Anesthesia N
TENNESSEE VALLEY PAIN CONSULTANTS, PC N
Huntsville Hospital Endocrine and Diabetes Clinic N
HUNTSVILLE HOSPITAL SPINE AND NEURO CENTER N
Valley Internal Medicine N
HH Heart Center LLC N
NASH Physician Billing N
HH Physician Care – Elkton Tennessee N
Eastside Family Medicine N
HH PHYSICIAN CARE-FAYETTEVILLE MEDICAL ASSOCIATES N
Waddell Center Family Medicine N
Marshall Medical Center South Manganaris Pulmonology N
Marshall Medical Center South Diamond Hospital Services N
Northeast Alabama Dermatology LLC N
Elkmont Community Care  N
Medical East 

N

Breast Care Center, P.C. N
Northeast Alabama Vascular and Vein Specialist N
Eyecare Associates, INC. Y
William E Holcom, MD & 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
Samz Jeff Chairman 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Chappell,
MD
Robert Secretary 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Powers Kelli Treasurer 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Doughty Tracy Vice-Chairman 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Corn Rick Board Member 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Storey Paul Board Member 1 ACO Participant Representative HH Health System – Shoals LLC
Richardson Nat Board Member 1 ACO Participant Representative HH Health System – Morgan LLC
Pryor David Board Member 1 ACO Participant Representative HH Health System – Athens Limestone LLC
Arora, MD Amit Board Member 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Tabereaux,
MD
Paul Board Member 1 ACO Participant Representative HH Heart Center LLC
W.
Bentley, Jr.
Philip Board Member 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Finch, MD Dick Board Member 1 Medicare
Beneficiary Representative
 
Spillers David Board Member 1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
Hassen Zia Board Member 1 ACO Participant Representative Independent
Smalligan Roger Board Member 1 ACO Participant Representative Valley Foundation/UAB
Gore Gary Board Member 1 ACO Participant Representative Marshall Medical Center
Morrison MD James ACO Medical Director  1 ACO Participant Representative Health Care Authority Of The City Of Huntsville
 
Key ACO clinical and administrative leadership:
Greg Paris ACO Executive
James Morrison Jr., MD 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 Rick Corn, Chairman
Care Coordination & Patient Engagement Committee Tracy Doughty, Chairman
Evidence-Based Medicine Committee Dr. James Morrison, Chairman
Finance Committee Kelli Powers, Chairman
Quality & Performance Improvement Committee Dr. Robert Chappell, Chairman
 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Critical Access Hospital (CAH) billing under Method II
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)
 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $3,479,397
 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: Enter percent or dollar amount
      • Proportion invested in redesigned care processes/resources: Enter percent or dollar amount
      • Proportion of distribution to ACO participants: Enter percent or dollar amount
 

Quality Performance Results

2018 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.46 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.97 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.58 92.45
ACO-4 CAHPS: Access to Specialists 83.09 81.50
ACO-5 CAHPS: Health Promotion and Education 60.41 59.26
ACO-6 CAHPS: Shared Decision Making 59.35 61.94
ACO-7 CAHPS: Health Status/Functional Status 71.54 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 30.50 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.24 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.78 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 37.49 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 77.43 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.62 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.19 1.98
ACO-11 Use of Certified EHR Technology 98.95 98.20
ACO-12 Medication Reconciliation Post-Discharge 66.56 85.91
ACO-13 Falls: Screening for Future Fall Risk 73.39 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 58.62 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 78.88 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 72.22 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 72.24 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.00 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 50.20 66.74
ACO-19 Colorectal Cancer Screening 61.04 68.27
ACO-20 Breast Cancer Screening 72.58 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.63 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 25.00 15.51
ACO-41 Diabetes: Eye Exam 44.35 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 63.20 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 91.13 88.92
 
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.  
Note: In the Quality Performance Results file(s) above, search for “Caravan Health ACO 16 LLC” or “Huntsville ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3579 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
Arrangements Disclosed
 
The ACO Board of Managers for Caravan Health ACO 16 LLC (“Board”) has formally determined the following arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (“MSSP”), as required for use of the MSSP ACO Participation Waiver:
 
Participant Support Arrangements
 
Under the applicable Participant Agreements between the ACO and the Participants listed above, certain Participants are designated as Principal Participants and others are Non-Principal Participants.  Under the Service Agreements between each Participant and Caravan Health, Inc., the Principal Participants have agreed to pay for certain ACO-related expenses of the Non-Principal Participants in their respective regions, including management fees owed by each Non-Principal Participant.  In each case, the fees and other expenses paid by the Principal Participants on behalf of the Non-Principal Participants will be set in advance, will not vary based on the volume or value of any referrals between the Principal Participants and Non-Principal Participants (except to the extent such referrals indirectly contribute to the earning of shared savings or shared losses as applicable).
 
Through a formal resolution dated November 21, 2017, the Board determined that these arrangements are reasonably related to the purposes of the Medicare Shared Savings Program because they facilitate the participation of the Non-Principal Participants in the Medicare Shared Savings Program, which: i) promotes the accountability of Non-Principal Participants for the quality, cost, and overall care for a Medicare patient population as described in the Shared Savings Program; ii) promotes the management and coordination of care for Medicare fee-for-service beneficiaries attributed to Non-Principal Participants through an ACO; and iii) encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients, including Medicare beneficiaries, served by Non-Principal Participants.