CMS Reporting

Caravan Health ACO 20 LLC

ACO Name and Location

Caravan Health ACO 20 LLC
dba Stratum Med ACO


4055 Valley View Ln, Suite 700

Dallas, TX 75244

 

ACO Primary Contact

Primary Contact Name Kristine Miller
Primary Contact Phone Number 916-542-4568
Primary Contact Email Address kmiller@signifyhealth.com

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

McFarland Clinic. PC

Y

ABCM Corporation

Y

THE IOWA CLINIC PC

Y

PET CO LLC

Y

Family Health Care Of Siouxland Plc

N

The Iowa Clinic, P.C.

Y

HOOPESTON COMMUNITY MEMORIAL HOSPITAL

N

Carle Health Care Incorporated

Y

Residential Alternatives of Illinois, INC

N

Heritage Manor Bloomington LLC

N

Clark-Lindsey Village, Inc.

N

Westminster Village

N

HERITAGE MANOR NORMAL, LLC

N

Heritage Health Danville

N

RICHLAND MEMORIAL HOSPITAL INC

Y

Christie Clinic, LLC

Y

OTIS ALLEN MD SC

Y

PAIGE C HOLT MD LTD

Y

CHAD TATTINI MD LLC

Y

MIDWEST ALLERGY SINUS ASTHMA SC

Y

SUSAN SVIENTEK, MD, SC

Y

BLOOMINGTON PRIMARY CARE, LTD.

Y

LAURA C RANDOLPH MD SC

Y

ORTHOPEDIC AND SPORTS ENHANCEMENT CENTER, LLC

Y

CENTRAL ILLINOIS ORTHOPEDIC SURGERY II LLC.

Y

MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD

Y

SARAH DUTTA OBGYN SC

Y

ASSOCIATES IN DERMATOLOGY SC

Y

OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES, S.C.

Y

CENTRAL ILLINOIS CENTER FOR WELLNESS LLC

Y

MEDICAL HILLS INTERNISTS LLC

Y

APPLIED PAIN INSTITUTE LLC

Y

GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE LLC

Y

PREMIER MEDICAL GROUP, LLC

Y

OBSTETRICS & GYNECOLOGY II LTD

Y

ADVANCED WOMENS HEALTHCARE SC

Y

CARLE WEST PHYSICIAN GROUP INC

Y

CARLE EUREKA HOSPITAL

Y

CARLE BROMENN MEDICAL CENTER

Y

ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTER S

Y

Carle West Physician Group Inc.

Y

CHPP Specialty Group

N

CHPP Primary Care Group

N

Union Hospital Inc

Y

PROVIDENCE MEDICAL GROUP, LLC

Y

UNION ASSOCIATED PHYSICIANS CLINIC LLC

Y

Putnam County Hospital

N

Major Hospital

N

HUTCHINSON CLINIC PA INC

Y

BUHLER SUNSHINE HOME, INC

N

Mankato Clinic Ltd

N

MANKATO CLINIC ENDOSCOPY CENTER LLC

N

PAIN CENTERS OF MINNESOTA-MANKATO LLC

Y

JEFFERSON CITY MEDICAL GROUP, PC

Y

JCMG ANCILLARY SERVICES LLC

N

JCMG Surgery Center, INC.

N

JCMG MENTAL HEALTH LLC

N

WENATCHEE VALLEY HOSPITAL

N

CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION

Y

CONFLUENCE HEALTH HOSPITAL INPATIENT REHAB FACILITY

N

 

ACO governing body:

 

Member
First Name

Member
Last Name

Member Title/Position

Member’s Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Randy

Farrow

Board Member

9.09%

ACO Participant Representative

Mankato Clinic, Ltd.

Andrew 

Perry

Board Member

9.09%

ACO Participant Representative

McFarland Clinic

Amber

Lenhardt

Board Member

9.09%

ACO Participant Representative

The Iowa Clinic

Kenny

Bilger

Board Member

9.09%

ACO Participant Representative

Christie Clinic

Trent 

Kramer

Board Member

0%

ACO Participant Representative

Stratum Med

Edwin

Carmack, MD

Board Member

0%

ACO Participant Representative

Confluence Health

Ben

Koger

Board Member

0%

ACO Participant Representative

Stratum Med

Jerry 

Bradford

Board Member

9.09%

ACO Participant Representative

Carle Hospital and Physician Group

Jim

Schrader

Board Member

9.09%

ACO Participant Representative

Union Health

Keri

Wright

Board Member

9.09%

ACO Participant Representative

Confluence Health

Jeff

Patrick

Board Member

9.09%

ACO Participant Representative

Jefferson City Medical Group

Thomas

Legel

Board Member

0%

ACO Participant Representative

Confluence Health

Kolbe

Sheridan

Board Member

9.09%

ACO Participant Representative

Hutchinson Clinic

Don

Skinner

Board Member

9.09%

Medicare Beneficiary

N/A

Shawn

Rhodes

Board Member

9.09%

ACO Participant Representative

Signify Health

 

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

Key ACO clinical and administrative leadership:

Shawn Rhodes

ACO Executive
Edwin Carmack, MD  Medical Director
T. Gregory Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committee 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 2022, $ 27,144, 213.13
    • Performance Year 2021, $9,324,828.23
    • 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 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%
    • Performance Year 2022
      • Proportion invested in infrastructure: 6.66%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 93.34%


Quality Performance Results

2022 Quality Performance Results:

Measure # Measure Name Collection Type Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 CMS Web Interface 6.25 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 91.07 76.97
236 Controlling High Blood Pressure CMS Web Interface 82.00 76.16
318 Falls: Screening for Future Fall Risk  CMS Web Interface 94.10 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 83.49 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 84.00 79.27
113 Colorectal Cancer Screening CMS Web Interface 83.72 75.32
112 Breast Cancer Screening CMS Web Interface 85.41 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.42 86.37
370 Depression Remission at Twelve Months CMS Web Interface 14.67 16.03
321 CAHPS for MIPS3 CMS Web Interface N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 CMS Web Interface 0.1547 0.1510
484 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 CMS Web Interface 33.94 30.97

 

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.

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