ACO Name and Location

Caravan Health ACO 41 LLC
dba: Avera Prairie View ACO
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

 

ACO Primary Contact

Primary Contact Name Desiree Brewer
Primary Contact Phone Number 916-542-4705
Primary Contact Email Address dbrewer@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Avera McKennan Y
City of Brookings  Y
Heart Hospital of South Dakota LLC Y
Avera St. Marys  Y
Avera St. Lukes Y
Avera Queen of Peace  Y
Lakes Regional Hospital Y
Floyd Valley Hospital Y
Spencer Municipal Hospital Y
Rural Health Care Inc  Y
Anesthesiology Associates, Inc. N
Midwest Ear, Nose & Throat Associates PC N
Northwest Iowa Urologist OC N
NWIA Bone, Joint & Sports Surgeons, PC N
Northwest Iowa Ear Nose and Throat PC N
Opthalmology LTD N
Surgical Institute of South Dakota PC N
Midwest Radiology and Imaging PC N
Ophthalmology LTD Eye Surgery Center LLC N
Northwest Iowa Surgeons PC N
Orthopaedics PC N
Northwest Iowa Anesthesia Associates  N
Physicians Laboratory, LTD. N
Physicians Laboratory of Northwest Iowa LTD N
USC Ambulatory Surgical Center Prof LLC N
Urology Specialists Chartered  N
Yankton Medical Clinic PC N
Sacred Heart Health Services  Y
Avera At Home N
   
 
 
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
Bates  Rob  Board Member 1 ACO Participant Representative Avera St. Marys 
Flicek David Board Member 1 ACO Participant Representative Avera Mckennan
Bumgarner William Board Member 1 ACO Participant Representative Spencer Municipal Hospital
Basel, MD David  Board Member  1 ACO Participant Representative Avera McKennan
Ekeren Doug Board Member 1 ACO Participant Representative Avera Sacred Heart 
Clark Tom Board Member  1 ACO Participant Representative Avera Queen of Peace
Forkel  Todd Board Member 1 ACO Participant Representative Avera St. Luke
Gibbs Michael Board Member 1 ACO Participant Representative Heart Hospital of South Dakota LLC
Hardwick Jim Board Member 1 ACO Participant Representative Rural Health Care Inc. 
Harrington  Jason Board Member 1 ACO Participant Representative Lakes Regional Healthcare 
Wright Dustin Board Member 1 ACO Participant Representative Floyd Valley 
Merkley Jason Board Member 1 ACO Participant Representative City of Brookings
Fanta, MD Susan Board Member 1 ACO Participant Representative Sacred Heart Health Services 
Clark Patrick Board Member 1 ACO Medicare Beneficiary  Avera McKennan
Timpe David Board Member 0 ACO Participant Representative Avera McKennan
Bergeleen Teri Board Member 0 ACO Participant Representative Avera McKennan Hospital and University Health System
 
Key ACO clinical and administrative leadership:
David Flicek ACO Executive
Dr. David Basel Medical Director
Leeann Hastings Compliance Officer
Eric Boyce Quality Assurance/Improvement Officer
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Executive Committee David Flicek-Chairman 
Steering Committee Rob Bates- Vice-Chairman 
 
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
  • 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

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.
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