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 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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