CMS Reporting
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 | 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 (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 |
| Laura C Randolph MD SC | 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 |
| Pet CO LLC | Y |
| ORTHOPEDICS OF ILLINOIS - THE BONE JOINT AND SPORTS MEDICINE CENTERS | Y |
| PREMIER MEDICAL GROUP, 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 | |||
| Andrew | Perry | Board Member | 10% | ACO Participant Representative | McFarland Clinic, P.C. |
| Ben | Vallier | Board Member | 10% | ACO Participant Representative | The Iowa Clinic, P.C. |
| Jerry | Bradford | Board Member | 10% | ACO Participant Representative | Carle Health Care Incorporated |
| Kenny | Bilger | Board Member | 10% | ACO Participant Representative | Christie Clinic, LLC |
| Jerry | Bradford | Board Member | 10% | ACO Participant Representative | Carle Bromenn Medical Center |
| Jim | Schrader | Board Member | 10% | ACO Participant Representative | Union Hospital Inc |
| Kolbe | Sheridan | Board Member | 10% | ACO Participant Representative | Hutchinson Clinic PA Inc |
| Randy | Farrow | Board Member | 10% | ACO Participant Representative | Mankato Clinic, Ltd. |
| Stuart | Strangeland | Board Member | 10% | ACO Participant Representative | Jefferson City Medical Group, P.C. |
| Mitchell | Garrison | Board Member | 10% | ACO Participant Representative | Central Washington Health Services Association |
Key ACO clinical and administrative leadership:
| Jerome Gronniger | ACO Executive |
| Christina Taylor, 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 2019
-
- 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%
- Performance Year 2020
Quality Performance Results
2021 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.
