CMS Reporting

Caravan Health ACO 15 LLC

ACO Name and Location

Caravan Health ACO 15 LLC
dba Prairie Vista Care Organization
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

ACO Primary Contact

Primary Contact Name Teri Bergeleen
Primary Contact Phone Number 605-322-4576
Primary Contact Email Address Teri.Bergeleen@avera.org 

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Hendricks Community Hospital Assn & Retirement Home Y
Avera Tyler Y
Avera Marshall Y
Pipestone County Medical Center Y
Avera Granite Falls Y
AVERA HOLY FAMILY Y
SIOUX CENTER HEALTH Y
Hegg Memorial Hospital Y
ST BENEDICT HEALTH CENTER Y
Freeman Regional Health Services Y
PLATTE COMMUNITY MEMORIAL HOSPITAL INC Y
MARSHALL COUNTY MEMORIAL HOSPITAL Y
LANDMANN JUNGMAN MEMORIAL HOSPITAL CORPORATION Y
AVERA ST ANTHONYS HOSPITAL Y
Regional Health Services of Howard County Y
Avera Gettysburg 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
Gemar Greg Board Member 1 Medicare Beneficiary Representative N/A
Gale Melissa Vice-Chairman 1 ACO Participant Representative Landmann Jungman Memorial Hospital Corporation
Streier Debbie Board Member 1 ACO Participant Representative  Avera Marshall
Zevenbergen Glenn Board Member 1 ACO Participant Representative Hegg Memorial Hospital
Burris Brad Board Member 1 ACO Participant Representative Pipestone County Medical Center
Bradner Nicholas  Board Member 1 ACO Participant Representative Freeman Regional Health Services
Kooiman Tom Board Member 1 ACO Participant Representative Avera Granite Falls
Gollaher Jeff Board Member 1 ACO Participant Representative Hendricks Community Hospital Assn & Retirement Home
Blasius Rita Chairman 1 ACO Participant Representative St. Benedict Health Center
Bergeleen Teri Board Member 0 Other N/A
Burket Mark Board Member 1 ACO Participant Representative Platte Community Memorial Hospital Inc
Herzberg Deb Board Member 1 ACO Participant Representative  Avera Holy Family
Nelson Cory Board Member 1 ACO Participant Representative Sioux Center Health
Sanger Larissa Board Member 1 Other N/A
Consbruck Todd Board Member 1 ACO Participant Representative Avera St Anthony’s Hospital
Basel Daivd ACO Medical Director 1 Other N/A 
Fosness Nick Board Member 1 ACO Participant Representative Marshall County Memorial Hospital

Key ACO clinical and administrative leadership:

David Flicek ACO Executive
David Basel, 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 Eric Boyce, Chairman
Care Coordination & Patient Engagement Committee Brett Kollars, Chairman
Evidence-Based Medicine Committee David Basel, Chairman
Finance Committee Teri Bergeleen, Chairman
Quality & Performance Improvement Committee Bret Kollars, Chairman

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $1,755,090.00
    • Performance Year 2020, $0
    • Performance Year 2021, $0

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%
    • 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 2021
      • 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

2021 Quality Performance Results:

Measure# Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 13.09 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 82.75 74.38
236 Controlling High Blood Pressure 71.38 74.87
318 Falls: Screening for Future Fall Risk  97.96 87.03
110 Preventative Care and Screening: Influenza Immunization 83.63 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 75 80.97
113 Colorectal Cancer Screening 81.21 73.63
112 Breast Cancer Screening 81.48 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.4 84.24
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1376 0.154
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 35.14 33.99

 

Please note, the Quality ID #: 370 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 data.cms.gov

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