ACO Name and Location

Caravan Health ACO 13 LLC
dba Berkshire ACO
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153


ACO Primary Contact

Primary Contact Name Riley Page
Primary Contact Phone Number 916-542-4714
Primary Contact Email Address

Organizational Information

ACO participants
ACO Participants ACO Participant in Joint Venture (Enter Y or N)

Berkshire Family Associates, LLP
ACO governing body:
Member Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Rodowicz Darlene Executive Director 1 ACO Participant Representative Berkshire Medical Center Inc
Phelps David Board Member 1 ACO Participant Representative Berkshire Medical Center Inc
Hornstein Dr. Edmund Chairman 1 ACO Participant Representative Berkshire Medical Center Inc
McInerney Dr. Michael Vice-Chairman 1 ACO Participant Representative Berkshire Medical Center Inc
Boudreau Cheryl  Board Member 1 Medicare Beneficiary
Rogers John ACO Board Member 1 ACO Participant Representative Berkshire Health Systems
McDonald Ann Secretary 1 ACO Participant Representative Berkshire Health Systems
Camillo Chris ACO Board Memeber  1 ACO Participant Representative Berkshire Health Systems
Key ACO clinical and administrative leadership:
Darlene Rodowicz  ACO Executive
Dr. Michael Mclnerney 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 William Young, Chairman
Care Coordination & Patient Engagement Committee Ann McDonald, Chairman
Evidence-Based Medicine Committee Edmund Hornstein, Chairman
Finance Committee Deborah Delaney, Chairman
Quality & Performance Improvement Committee William DeMarco, 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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • 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

2019 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.46 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 93.98 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.15 92.69
ACO-4 CAHPS: Access to Specialists 78.04 81.54
ACO-5 CAHPS: Health Promotion and Education 61.87 60.44
ACO-6 CAHPS: Shared Decision Making 66.19 62.78
ACO-7 CAHPS: Health Status/Functional Status 75.92 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 20.91 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 91.34 92.84
ACO-36 CAHPS: Care Coordination 84.63 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.83 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.86 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.83 1.87
ACO-13 Falls: Screening for Future Fall Risk 83.40 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 80.62 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.56 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 67.20 70.40
ACO-19 Colorectal Cancer Screening 76.00 70.76
ACO-20 Breast Cancer Screening 77.61 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.41 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.08 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.62 75.04
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
  • For Previous Years’ Financial and Quality Performance Results, Please Visit
Note: In the Quality Performance Results file(s) above, search for “Caravan Health ACO 13 LLC” or “Berkshire ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A3576 in the public use files on


Arrangements Disclosed
The ACO Board of Managers for Caravan Health ACO 13 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 March 20, 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.


 Caravan Health ACO 13 LLC, d/b/a Berkshire ACO (“Berkshire ACO”), is currently participating in the Medicare Shared Savings Program (the “MSSP”) pursuant to a Participation Agreement with the Centers for Medicare and Medicaid Services (“CMS”).  The Secretary of the U.S. Department of Health and Human Services has issued waivers of certain federal fraud and abuse laws that may otherwise limit innovation by accountable care organizations participating in the MSSP (see “Medicare Program; Final Waivers in Connection With the Shared Savings Program”, 80 Fed. Reg. 66,726 (Oct. 29, 2015)) (the “Final Rule”).  Pursuant to the Final Rule, Berkshire ACO seeks waiver protection for the arrangement described below.
On January 30, 2020, the Berkshire ACO Board of Managers duly authorized the arrangement described below (the “Arrangement”) and made a bona fide determination that such Arrangement is reasonably related to the purposes of the MSSP for the reasons set forth below.
Berkshire ACO, Berkshire Health Systems, Inc., parent of Berkshire Medical Center, Inc. (“BMC”), a community hospital that is the principal Participant in Berkshire ACO, and certain medical practices that are also Berkshire ACO Participants (the “Practices”) are parties to EHR Practice Participation Agreements (the “EHR Agreements”).  Under the EHR Agreements, BMC, through Berkshire ACO, has provided the Practices with financial support for implementation and training costs for the MEDITECH Expanse electronic health record and practice management system (the “System”) used by the Practices, as well as certain other ancillary software used by the Practices through or in conjunction with the System.  This financial support will cover the costs of fully paid-up licenses to the System and certain other ancillary software, together with training costs and, among other benefits, will assist Berkshire ACO and its Participants to manage and coordinate care for Medicare fee-for-service beneficiaries through an ACO, and encourage investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients, including Medicare beneficiaries. Specifically, the Arrangement will improve the accuracy of patient health information; facilitate the exchange of patient health information between and among Berkshire ACO Participants and their ACO Providers/Suppliers who have a role in coordinating and managing care for Medicare beneficiaries aligned with Berkshire ACO; reduce the provision of duplicative testing; contribute to meeting the quality performance standards of the MSSP; enhance patient safety by maintaining complete and accurate medical records; and  allow Berkshire ACO Medicare beneficiaries to better able to communicate with their health care providers through use of a BHS patient portal.

Deadline to join a Caravan-supported ACO is August 3. Speak with a Caravan expert today.

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