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 |
|
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 |
Member |
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 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
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.