Caravan Health ACO 20 LLC

ACO Name and Location

Caravan Health ACO 20 LLC
dba Stratum Med 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	rpage@caravanhealth.com

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Carle Health Care Incorporated	Y
Hoopeston Community Memorial Hospital	N
Richland Memorial Hospital	N
Central Washington Health Services Association	Y
Wenatchee Valley Hospital	N
Hutchinson Clinic PA Inc	Y
Christie Clinic, LLC	Y
McFarland Clinic, PC	Y
Jefferson City Medical Group, PC	Y
JCMG Ancillary Services LLC	N
JCMG Mental Health LLC	N
The Iowa Clinic PC	Y
JCMG Surgery Center, Inc.	N
Mankato Clinic, LTD.	Y
Mankato Clinic Endoscopy Center, LLC	N
Advanced Womens Healthcare SC	Y
Applied Pain Institute LLC	Y
Associates in Dermatology SC	Y
Bloomington Primary Care, LTD.	Y
Bloomington Radiology SC	Y
Bloomington Rehabilitation Associates LLC	Y
Central Illinois Center for Wellness LLC	Y
Chad Tattini MD LLC	Y
Community Cancer Care Center LLC	Y
Digestive Disease Consultants LTD	Y
Laura C Randolph MD SC	Y
MCLEAN County Foot & Ankle LTD	Y
MCLEAN County Orthopedics LTD	Y
Medical Hills Internists LLC	Y
Mid-Illinois Hematology Oncology Associates LTD	Y
Midwest Allergy Sinus Asthma SC	Y
Obstetrics And Gynecology Care Associates, S.C.	Y
Orthopedic and Sports Enhancement Center, LLC	Y
Otis Allen MD SC	Y
Premier Medical Group, LLC	Y
Pro Podiatry, LLC	Y
Sarah Dutta OBGYN SC	Y
Susan Svientek, MD, SC	Y
CARLE WEST PHYSICIAN GROUP INC	Y
GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE LLC	Y
CORTESE FOOT AND ANKLE CLINIC PC	Y
CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC.	Y
PAIGE C HOLT MD LTD	Y
OBSTETRICS & GYNECOLOGY II LTD	Y
UNION HOSPITAL INC	Y
UNION ASSOCIATED PHYSICIANS CLINIC LLC	Y
PROVIDENCE MEDICAL GROUP, LLC	Y
CARLE BROMENN MEDICAL CENTER	Y
CARLE EUREKA HOSPITAL	Y
PAIN CENTERS OF MINNESOTA-MANKATO, LLC	Y

 
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
Vogelsang	April	Board Member	1	ACO Participant Representative	Carle Health Care Incorporated
Taylor, MD	Christina	ACO Medical Director	0	ACO Participant Representative	McFarland Clinic
Heck	Mike	Vice-Chairman	1	ACO Participant Representative	Hutchinson Clinic
Perry	Andrew	Secretary	1	ACO Participant Representative	McFarland Clinic
Vallier	Ben	Treasurer	0	Non-Voting Member	Jefferson City Medical Group
Kramer	Trent	ACO Executive Director	0	Other	N/A
Koger	Ben	Board Member	0	Other	N/A
Zielke	David	Chairman	1	ACO Participant Representative	The Iowa Clinic. P.C.
Bilger	Kenny	Board Member	1	ACO Participant Representative	Christie Clinic
Farrow	Randy	Board Member	1	ACO Participant Representative	Mankato Clinic, Ltd.
Astin	Melissa	Board Member	1	ACO Participant Representative	Jefferson City Medical Group
Legel	Thomas	Board Member	0	Other	N/A
Skinner	Don	Board Member	1	ACO Medicare Beneficiary	N/A
Stangeland	Stuart	Board Member	1	ACO Participant Representative	Jefferson City Medical Group
Garrison, MD	Mitchell	Board Member	1	Other	N/A
Schrader	Jim	Board Member	1	ACO Participant Representative	Union Hospital Inc

 
Key ACO clinical and administrative leadership:

Trent Kramer	ACO Executive
Christina Taylor, 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
Executive Committe	David Zielke- Chairman
Steering Committee	Trent Kramer-Executive Director

 
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

 

Shared Savings and Losses

Amount of Shared Savings/Losses

• First Agreement Period
  • Performance Year 2020, $9,787,812.65
  • Performance Year 2019, $4,237,354.12

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019
Shared Savings Distribution

• First Agreement Period
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 90%
      • Performance Year 2019
        • Proportion invested in infrastructure: 10%
        • Proportion invested in redesigned care processes/resources: 0%
        • Proportion of distribution to ACO participants: 90%

 Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019

Quality Performance Results

2020 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.03	.95
ACO-13	Falls: Screening for Future Fall Risk	83.04	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	85.71	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	90.0	81.67
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	84.04	71.46
ACO-19	Colorectal Cancer Screening	81.01	72.59
ACO-20	Breast Cancer Screening	81.78	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	85.25	83.37
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	11.66	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	73.38	72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.