ACO Name and Location

Caravan Health ACO 34 LLC
7509 NW Tiffany Springs Parkway
Kansas City, Missouri 64153

ACO Primary Contact

Primary Contact Name Lisa Goldenstein
Primary Contact Phone Number (916) 542-4573
Primary Contact Email Address

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
INTEGRIS Ambulatory Care Corporation 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
Wandel Bill R. Board Member 1 Medicare
Beneficiary Representative
Glover Sunnie Board Member 0 ACO Participant Representative INTEGRIS Ambulatory Care Corporation
Rutter, MD James Vice-Chairman 1 ACO Participant Representative INTEGRIS Ambulatory Care Corporation
Cruzan, MD Jeff Chairman 1 ACO Participant Representative INTEGRIS Ambulatory Care Corporation
Wall, MD Raymond “Louie” Secretary/Treasurer 1 ACO Participant Representative INTEGRIS Ambulatory Care Corporation
Key ACO clinical and administrative leadership:
Karen Hendren ACO Executive
Earl Elliott, 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 Denise Trimble McGinnis, Chairman
Care Coordination & Patient Engagement Committee Natha Norman, Chairman
Evidence-Based Medicine Committee Jeff Cruzan, MD, Chairman
Finance Committee Kim Moody, Chairman
Quality & Performance Improvement Committee Earl Elliott, MD, Chairman
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses
  • N/A
Shared Savings Distribution
  • N/A

Quality Performance Results

Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

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 34 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 April 18, 2018, 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.