CMS Reporting
Caravan Health ACO 43 LLC
ACO Name and Location
Caravan Health ACO 43 LLC
dba
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 |
|
EAST PHILLIPS COUNTY HOSPITAL DISTRICT |
Y |
|
WEISER VALLEY HOSPITAL DISTRICT |
Y |
|
RIVERVIEW HOSPITAL |
Y |
|
MADISON HEALTHCARE SERVICES |
Y |
|
LAC QUI PARLE CLINIC OF MADISON, INC |
Y |
|
CUYUNA REGIONAL MEDICAL CENTER |
Y |
|
GLENDIVE MEDICAL CENTER, INC |
Y |
|
J. ARTHUR DOSHER MEMORIAL HOSPITAL |
Y |
|
P R HEALTH CORPORATION |
Y |
|
CALLAWAY HOSPITAL DISTRICT |
Y |
|
COQUILLE VALLEY HOSPITAL DISTRICT |
Y |
|
CAHRMC LLC |
Y |
|
DEWITT MEDICAL DISTRICT |
Y |
|
MITCHELL COUNTY HOSPITAL DISTRICT |
Y |
|
BAYLOR COUNTY HOSPITAL DISTRICT |
Y |
|
MEDINA COUNTY HOSPITAL DISTRICT |
Y |
|
ELECTRA HOSPITAL DISTRICT |
Y |
|
GRAHAM HOSPITAL DISTRICT |
Y |
|
GRAHAM HOSPITAL DISTRICT |
Y |
|
GPCH LLC |
Y |
|
GRAHAM HOSPITAL DISTRICT |
Y |
|
WILBARGER COUNTY HOSPITAL DISTRICT |
Y |
|
SHC MEDICAL CENTER - TOPPENISH |
Y |
|
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 |
Y |
|
ADAMS COUNTY HOSPITAL 2 |
Y |
|
MEMORIAL HOSPITAL OF LARAMIE COUNTY |
Y |
|
MONUMENT HEALTH RAPID CITY HOSPITAL INC |
Y |
|
MONUMENT HEALTH NETWORK INC |
Y |
|
SUNNYSIDE COMMUNITY HOSPITAL ASSOCIATION |
Y |
|
KNOXVILLE COMMUNITY HOSPITAL INC |
Y |
|
MERCY MEDICAL CENTER-CENTERVILLE |
Y |
|
DECATUR COUNTY HOSPITAL |
Y |
|
MEMORIAL HOSPITAL ASSOCIATION |
Y |
|
HAWARDEN REGIONAL HEALTHCARE CLINICS LLC |
Y |
|
PALO ALTO COUNTY HOSPITAL |
Y |
|
DALLAS COUNTY HOSPITAL |
Y |
|
HAMILTON COUNTY PUBLIC HOSPITAL |
Y |
|
MANNING REGIONAL HEALTHCARE CENTER |
Y |
|
HANCOCK COUNTY HEALTH SYSTEM |
Y |
|
RINGGOLD COUNTY HOSPITAL |
Y |
|
FRANKLIN GENERAL HOSPITAL |
Y |
|
KOSSUTH REGIONAL HEALTH CENTER |
Y |
|
ELLSWORTH MUNICIPAL HOSPITAL |
Y |
|
GUTTENBERG MUNICIPAL HOSPITAL |
Y |
|
DAVIS COUNTY HOSPITAL |
Y |
|
MITCHELL COUNTY MEMORIAL HOSPITAL |
Y |
|
ADAIR COUNTY MEMORIAL HOSPITAL |
Y |
|
MONROE COUNTY HOSPITAL |
Y |
|
BAUM HARMON MERCY HOSPITAL |
Y |
|
HAWARDEN REGIONAL HEALTHCARE |
Y |
|
MADISON COUNTY MEMORIAL HOSPITAL |
Y |
|
MERCY MEDICAL CENTER NEW HAMPTON |
Y |
|
EASTLAND MEMORIAL HOSPITAL DISTRICT |
Y |
|
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6 |
Y |
|
CENTRAL COMMUNITY HOSPITAL |
Y |
|
MERCY MEDICAL CENTER-NEWTON |
Y |
|
PHYSICIAN PRACTICES OF MSMC LLC |
Y |
|
COUNTY OF MURRAY |
Y |
|
KARNES COUNTY HOSPITAL DISTRICT |
Y |
|
DIMMIT REGIONAL HOSPITAL |
Y |
|
BOSQUE COUNTY HOSPITAL DISTRICT |
Y |
|
SOUTHERN COOS HEALTH DISTRICT |
Y |
|
FRIO HOSPITAL ASSOCIATION |
Y |
|
COMMONWEALTH HEALTHCARE CORPORATION |
Y |
|
MADELIA HEALTH |
Y |
|
TYLER COUNTY HOSPITAL DISTRICT |
Y |
|
HASKELL COUNTY HOSPITAL |
Y |
|
PECOS COUNTY MEMORIAL HOSPITAL |
Y |
|
ROLLING PLAINS MEMORIAL HOSPITAL |
Y |
|
ERICK MADRIGAL MD MBA INC |
Y |
|
OLNEY-HAMILTON HOSPITAL DISTRICT |
Y |
|
HANSFORD COUNTY HOSPITAL DISTRICT |
Y |
|
SCURRY COUNTY HOSPITAL DISTRICT |
Y |
|
ST ALOISIUS HOSPITAL INC |
Y |
|
LUTHERAN CHARITY ASSOCIATION |
Y |
|
NORTH WHEELER COUNTY HOSPITAL DISTRICT |
Y |
|
REGIONAL WEST MEDICAL CENTER |
Y |
|
ERLANGER HEALTH |
Y |
|
ST LUKES HOSPITAL |
Y |
|
NORTHWOOD DEACONESS HEALTH CENTER |
Y |
|
TOWNER COUNTY MEDICAL CENTER INC |
Y |
|
ASHLEY MEDICAL CENTER |
Y |
|
COOPERSTOWN MEDICAL CENTER |
Y |
|
NELSON COUNTY HEALTH SYSTEM |
Y |
|
TIOGA MEDICAL CENTER |
Y |
|
WISHEK HOSPITAL-CLINIC ASSOCIATION |
Y |
|
ST ANDREWS HOSPITAL |
Y |
|
REGIONAL WEST GARDEN COUNTY |
Y |
|
STONEWALL MEMORIAL HOSPITAL |
Y |
|
LYNN COUNTY HOSPITAL DISTRICT |
Y |
|
LINTON HOSPITAL |
Y |
|
MERCY MEDICAL CENTER-DYERSVILLE |
Y |
|
MERCY HOSPITAL OF FRANCISCAN SISTERS INC |
Y |
|
SYRINGA GENERAL HOSPITAL DISTRICT CIF |
Y |
|
JACKSON COUNTY PUBLIC HOSPITAL |
Y |
|
DANIELS MEMORIAL HOSPITAL |
Y |
|
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
Y |
|
PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
Y |
|
OCHILTREE HOSPITAL DISTRICT |
Y |
|
DISCOVERY MEDICAL NETWORK SWEETWATER LLC |
Y |
|
WAYNE COUNTY HOSPITAL |
Y |
|
VAN BUREN COUNTY HOSPITAL |
Y |
|
CAMERON MEMORIAL COMMUNITY HOSPITAL INC |
Y |
|
CHRISTIAN UNITY HOSPITAL CORPORATION |
Y |
|
GENESIS MEDICAL CENTER, ALEDO |
Y |
|
MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
Y |
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 |
|
Jerry |
Neria |
Board Member |
2.857% |
ACO Participant Representative |
ERICK MADRIGAL MD MBA INC |
|
Kurt |
Stauder |
Board Member |
2.857% |
ACO Participant Representative |
MARTIN LUTHER KING JR COMMUNITY MEDICAL GROUP |
|
Michael |
Hassell |
Board Member |
2.857% |
ACO Participant Representative |
East Phillips County Hospital |
|
Lynda |
Barcelo |
Board Member |
2.857% |
ACO Participant Representative |
Physician Practices of MSMC, LLC |
|
Lillian |
Dittrick |
Board Member |
2.857% |
ACO Participant Representative |
Mercy Rural ACO, LLC |
|
Abner |
King |
Board Member |
2.857% |
ACO Participant Representative |
SYRINGA GENERAL HOSPITAL DISTRICT CIF |
|
Steven |
Hale |
Board Member |
2.857% |
ACO Participant Representative |
Weiser Memorial Hospital |
|
Eric |
Marcotte |
Board Member |
2.857% |
ACO Participant Representative |
Riverview Hospital |
|
Sarah |
Hagan |
Board Member |
2.857% |
ACO Participant Representative |
Cameron Memorial Community Hospital Inc |
|
Erik |
Bjerke |
Board Member |
2.857% |
ACO Participant Representative |
Madison Healthcare Services |
|
David |
Walz |
Board Member |
2.857% |
ACO Participant Representative |
MADELIA HEALTH |
|
Luke |
Schryvers |
Board Member |
2.857% |
ACO Participant Representative |
County Of Murray |
|
Amy |
Hart |
Board Member |
2.857% |
ACO Participant Representative |
Cuyuna Regional Medical Center |
|
Esther |
Muna |
Board Member |
2.857% |
ACO Participant Representative |
Commonwealth Healthcare Corporation |
|
Kody |
Brinton |
Board Member |
2.857% |
ACO Participant Representative |
DANIELS MEMORIAL HOSPITAL |
|
Jenn |
Keck |
Board Member |
2.857% |
ACO Participant Representative |
Memorial Hospital Association |
|
MJ |
Marx |
Board Member |
2.857% |
ACO Participant Representative |
Glendive Medical Center |
|
Lynda |
Stanley |
Board Member |
2.857% |
ACO Participant Representative |
J. Arthur Dosher Memorial Hospital |
|
Peter |
Edis |
Board Member |
2.857% |
ACO Participant Representative |
McKenzie County Healthcare Systems Inc |
|
Marcus |
Lewis |
Board Member |
2.857% |
ACO Participant Representative |
P R Health Corporation |
|
Alfred |
Sams |
Board Member |
2.857% |
ACO Participant Representative |
Rough Rider High Value Network |
|
Brett |
Eggleston |
Board Member |
2.857% |
ACO Participant Representative |
Callaway Hospital District |
|
Andrea |
Eaton |
Board Member |
2.857% |
ACO Participant Representative |
Regional West Medical Center |
|
Bradley |
Howell |
Board Member |
2.857% |
ACO Participant Representative |
REGIONAL WEST GARDEN COUNTY |
|
Jeff |
Lang |
Board Member |
2.857% |
ACO Participant Representative |
Coquille Valley Hospital District |
|
Raymond |
Hino |
Board Member |
2.857% |
ACO Participant Representative |
Southern Coos Health District |
|
Christine |
Papineau |
Board Member |
2.857% |
ACO Participant Representative |
Monument Health Rapid City Hospital Inc. |
|
Lynn |
DeJaco |
Board Member |
2.857% |
ACO Participant Representative |
Erlanger Health |
|
Paul |
Aslin |
Board Member |
2.857% |
ACO Participant Representative |
TORCH CIN LLC |
|
Ramona |
Hicks |
Board Member |
2.857% |
ACO Participant Representative |
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
|
Brian |
Gibbons |
Board Member |
2.857% |
ACO Participant Representative |
Sunnyside Community Hospital Association |
|
Jennifer |
Lewis |
Board Member |
2.857% |
ACO Participant Representative |
Lincoln County Public Hospital District 1 |
|
Corey |
Fedie |
Board Member |
2.857% |
ACO Participant Representative |
Adams County Hospital 2 |
|
Kerry |
Slater |
Board Member |
2.857% |
ACO Participant Representative |
Memorial Hospital of Laramie County |
|
Marla |
Christensen-Opitz |
Board Member |
2.857% |
Medicare Beneficiary |
N/A |
Key ACO clinical and administrative leadership:
| Khue Nguyen | ACO Executive |
| Jerry Neria, MD | Medical Director |
| T. Gregory | Compliance Officer |
| Rayna Caplan | Quality Assurance/Improvement Officer |
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 2019, $0
- Performance Year 2020, $0
- Performance Year 2021, $0
- Performance Year 2022, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
Quality Performance Results
2022 Quality Performance Results:
*Quality performance results are based on CMS Web Interface.
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 19.70 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 66.00 | 76.97 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 68.56 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 67.91 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 54.10 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 54.55 | 79.27 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 57.03 | 75.32 |
| 112 | Breast Cancer Screening | CMS Web Interface | 67.89 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 85.83 | 86.37 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 0.00 | 16.03 |
| 321 | CAHPS for MIPS [3] | CMS Web Interface | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | CMS Web Interface | 0.1663 | 0.1510 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 29.96 | 30.97 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
