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

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
Carle West Physician Group Y
Central Illinois Center for Wellness LLC Y
Central Illinois Neuro Health Sciences, LTD.. Y
Central Illinois Orhtopedic Surgery II LLC. Y
Chad Tattini MD LLC Y
Community Cancer Care Center LLC Y
Cortese Foot and Ankle Clinic PC Y
Dermatology and MOHS Surgery Institute LTD Y
Digestive Disease Consultants LTD Y
Guardian Headache & Pain Management Institute LLC 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
Nona Fulk, M.D., SC Y
Normal Bloomington Anesthesilogists, LTD Y
Obstetrics & Gynecology II LTD Y
Obstetrics And Gynecology Care Associates, S.C. Y
Orthopedic and Sports Enhancement Center, LLC Y
Otis Allen MD SC Y
Paige C Holt MD LTD Y
Premier Medical Group, LLC Y
Pro Podiatry, LLC Y
Sarah Dutta OBGYN SC Y
Susan Svientek, MD, SC 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 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  1 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.
Kolner Stuart Board Member 1 ACO Medicare Benediciary N/A
Astin  Melissa  Board Member  1 ACO Participant Representative Jefferson City Medical Group 
Legel  Thomas  Board Member  0 Other N/A
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 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 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

2019 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.83 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.27 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.01 92.69
ACO-4 CAHPS: Access to Specialists 79.62 81.54
ACO-5 CAHPS: Health Promotion and Education 57.86 60.44
ACO-6 CAHPS: Shared Decision Making 57.69 62.78
ACO-7 CAHPS: Health Status/Functional Status 75.16 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 24.84 26.17
ACO-45 CAHPS: Corteous and Helpful Office Staff 93.50 92.84
ACO-46 CAHPS: Care Coordination  86.07 86.89
ACO-8 Risk Standardized, All Condition Readmission 13.43 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.28 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.68 1.87
ACO-13 Falls: Screening for Future Fall Risk 84.36 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 86.50 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77.27 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 83.77 70.40
ACO-19 Colorectal Cancer Screening 78.29 70.76
ACO-20 Breast Cancer Screening 80.00 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.71 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.32 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.99 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. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

For Previous Years’ Financial and Quality Performance Results, Please Visit


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

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