CMS Reporting

Caravan Health ACO 50 LLC

ACO Name and Location

Caravan Health ACO 50 LLC
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

 

ACO Primary Contact

Primary Contact Name Kristine Miller
Primary Contact Name  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)
BAXTER COUNTY REGIONAL HOSPITAL INC Y
BAXTER EMERGENCY GROUP PLLC Y
BAXTER REGIONAL ENTERPRISES, LLC Y
BAXTER REGIONAL HEALTH SYSTEM Y
CORNERSTONE MEDICAL CLINIC PLLC Y
EAR NOSE & THROAT ASSOCIATES OF MOUNTAIN HOME PA Y
FIRST IN SERVICE HOSPITALISTS PA Y
HOSPICE OF THE OZARKS Y
J HARLEY BARROW JR MD PLLC Y
KILGORE VISION CENTER Y
LINCOLN PADEN MEDICAL GROUP PLLC Y
MARK S KING, MD, PA Y
MOUNTAIN HOME UROLOGY PA Y
NEWMAN, M.D. PLASTIC SURGERY, P.A. Y
NORTH ARKANSAS REGIONAL MEDICAL CENTER Y
OZARK EYE CENTER PA Y
OZARK SURGICAL GROUP Y
SOUTHERN MONO HEALTH CARE DISTRICT N
LOWER VALLEY HOSPITAL ASSOCIATION N
EMANUEL COUNTY HOSPITAL AUTHORITY Y
EMC PHYSICIAN GROUP Y
HOSPITAL AUTHORITY OF WASHINGTON COUNTY Y
WC PHYSICIAN GROUP LLC Y
BELMOND COMMUNITY HOSPITAL Y
IOWA SPECIALTY HOSPITAL-CLARION Y
GUTHRIE COUNTY HOSPITAL N
SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL N
SHENANDOAH MEDICAL CENTER N
EMANUEL COUNTY COMMISSIONER OF ROADS & REVENUES Y
BENJAMIN BLAIR, MD PA Y
BRIZZEE FAMILY MEDICINE INC Y
BRANDON A WEST DO PLLC Y
CARIBOU MEDICAL CENTER, INC. Y
CARIBOU MEMORIAL HOSPITAL Y
DAVID PARRY Y
FIRTH MEDICAL CENTER PLLC Y
FRANKLIN COUNTY MEDICAL CENTER Y
IDAHO REGIONAL HAND & UPPER EXTREMITY CENTER PLLC Y
JOHN FORNAROTTO PLLC Y
LIFE CHANGE ASSOCIATES PC Y
MOUNTAIN VIEW FAMILY MEDICINE, INC Y
NEED-A-NURSE MEDICAL STAFFING, LLC Y
POCATELLO HEALTH SERVICES LLC Y
POCATELLO HOSPITAL LLC Y
POWER COUNTY HOSPITAL DISTRICT Y
ROBERT JONES Y
SPECIALIZED FAMILY MEDICINE Y
WILLOW SAGE SERVICES LLC Y
MINIDOKA MEMORIAL HOSPITAL N
LOST RIVERS MEDICAL CENTER N
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION N
MEMORIAL HOSPITAL N
JOHNSON MEMORIAL HOSPITAL Y
OWENSBORO HEALTH TWIN LAKES REGIONAL MEDICAL CENTER INC Y
WEST LOUISIANA HEALTH SERVICES INC Y
SCHOOLCRAFT MEMORIAL HOSPITAL Y
BARAGA COUNTY MEMORIAL HOSPITAL  N
CHRISTOPHER G WEBB MD PA Y
SAUK PRAIRIE HEALTHCARE INC N
OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3 N
NORTH LINCOLN COUNTY HOSPITAL DISTRICT N
WISE CLINICAL CARE ASSOCIATES N
JACOBSON MEMORIAL HOSPITAL CARE CENTER N
BOX BUTTE GENERAL HOSPITAL N
CHEYENNE COUNTY HOSPITAL ASSOCIATION INC. N
MEMORIAL COMMUNITY HEALTH INC N
PRESENTATION MEDICAL CENTER N
CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION N
SOUTHWEST HEALTHCARE SERVICES N
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC. N
MARIAS HEALTHCARE SERVICES INC. N
FRANCES MAHON DEACONESS HOSPITAL N
BARRETT HOSPITAL DEVELOPMENT CORPORATION N
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL N
MISSOURI DELTA MEDICAL CENTER N
GLACIAL RIDGE HOSPITAL DISTRICT N
CCM HEALTH N
EATON RAPIDS MEDICAL CENTER N
MCKENZIE MEMORIAL HOSPITAL N
HOSPITAL SERVICE DISTRICT NO. 2 OF PARISH OF BEAUREGARD STATE OF LA Y
ERICKSON CHIROPRACTIC PC Y
ACADIANA MEDICINE CLINIC, APMC Y
JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK LLC Y
SPRINGHILL MEDICAL SERVICES, INC. N
TOWNSEND HEALTH SYSTEMS INC. N
SOUTHLAND EMERGENCY MEDICAL SERVICES LLC Y
SOUTHLAND HOSPITALIST GROUP, LLC Y
HENRY COUNTY MEMORIAL HOSPITAL N
HELEN NEWBERRY JOY HOSPITAL N
HAZEN MEMORIAL HOSPITAL ASSOCIATION N
PFLIGER CHIROPRACTIC CLINIC PC Y
MICHAEL BURNELL Y
FELTON FAMILY CARE, INC Y
METOYER MEDICAL CORPORATION INC Y
TATE PRIMARY CARE LLC Y
FAMILY HEALTHCARE OF BEAUREGARD, LLC Y
COAL COUNTRY COMMUNITY HEALTH CENTER N
DAKIN OTOLARYNGOLOGY LLC Y
CUMBERLAND COUNTY HOSPITAL SYSTEM INC Y
SOUTH GEORGIA EMERGENCY MEDICINE ASSOCIATES PC Y
OPELOUSAS GENERAL HOSPITAL AUTHORITY Y
OPELOUSAS GENERAL HEALTH SYSTEM PHYSICIAN PRACTICES Y
CHRIS L GRANGER M.D. LLC Y
BMH INC N
NEW CASTLE CLINIC INC Y
REID PHYSICIAN ASSOCIATES, INC. Y
AMGIR, INC. Y
BROOKS COUNTY HOSPITAL  Y
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. Y
CCSG, INC. Y
HOSPITAL AUTHORITY OF MITCHELL COUNTY Y
ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA Y
ARKANSAS ORTHOPEDICS & SPORTS MEDICINE, P.A. Y
CARDIOVASCULAR ASSOCIATES OF NORTHCENTRAL ARKANSAS PA Y
MOUNTAIN HOME RADIOLOGY CONSULTANTS Y
GRADY GENERAL HOSPITAL Y
REGIONAL ORTHOPAEDIC HEALTH CARE Y
RADIOLOGY ASSOCIATES OF THE OZARKS, PLLC Y
CFVHS ED PHYSICIANS Y
REGIONAL DIABETES AND ENDOCRINE CENTER Y
BLADEN HEALTHCARE LLC Y
CFV EXPRESS CARE BILLING SERVICES LLC Y
CFV SPECIALTY CARE BILLING SERVICES, LLC Y
CAPE FEAR NEUROSURGERY Y
VALLEY INFECTIOUS DISEASE CARE Y
CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP LLC Y
COATS MEDICAL SERVICES Y
HARNETT HEALTH SYSTEM INC Y
HERITAGE FAMILY PHYSICIANS Y
ANGIER MEDICAL SERVICES, LLC Y
HOKE HEALTHCARE LLC Y
LILLINGTON MEDICAL SERVICES, LLC Y
DUNN MEDICAL SERVICES LLC Y
HARNETT OBGYN LLC Y
MID-COLUMBIA MEDICAL CENTER Y
ANTHONY JOSEPH MD INC Y
MICHAEL T. CALLAGHAN M.D. & ASSOCIATES, P.A. Y
SEI ANESTHESIA, P.A. Y
FAMILY PRACTICE GROUP, P.A. Y
ONEIDA COUNTY HOSPITAL Y
PRIMARY CARE SPECIALISTS PA Y
RICHARD A WATHNE, MD PA Y
GENERAL CONFERENCE CORP OF SDA N
REID HOSPITAL & HEALTH CARE SERVICES INC Y
OWENSBORO HEALTH MEDICAL GROUP INC. Y
OH MUHLENBERG LLC Y
ST LUKES COMMUNITY HOSPITAL N
KNOX COMMUNITY HOSPITAL N
IDAHO MODERN MEDICINE - PLLC Y
ARCHBOLD MEDICAL GROUP, INC. Y
ARCHBOLD HEALTH SERVICES, INC. Y
ADVANCED BERKSHIRE MEDICAL IMAGING PC Y
BERKSHIRE EAR, NOSE, THROAT AND AUDIOLOGICAL ASSOCIATES, P.C. Y
THE BRIEN CENTER FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES INC. Y
WESTERN MASSACHUSETTS PATHOLOGY SERVICES, PC Y
FAIRVIEW HOSPITAL N
GREEN MOUNTAIN NEUROLOGY, INC. Y
BERKSHIRE FACULTY SERVICES INC. Y
BERKSHIRE RADIATION ONCOLOGY PC Y
CONTEMPORARY RHEUMATOLOGY SPECIALISTS, PC Y
BERKSHIRE ORTHOPAEDIC ASSOCIATES INC Y
BERKSHIRE FAMILY PRACTICE ASSOCIATES PC Y
SUBURBAN INTERNAL MEDICINE, INC. Y
FAMILY PRACTICE ASSOCIATES R TAYLOR E HEYMAN & R LEE PTRS Y
DALTON MEDICAL ASSOCIATES, LLP Y
BERKSHIRE MEDICAL CENTER INC Y
LOGAN HEALTH - WHITEFISH Y
DAVIS MEMORIAL HOSPITAL Y
BROADDUS HOSPITAL ASSOCIATION INC Y
BURGESS HEALTH CENTER N
CRAWFORD COUNTY MEMORIAL HOSPITAL  N
BURGESS HEALTH CENTER N
CRAWFORD COUNTY MEMORIAL HOSPITAL N
FAMILY MEDICINE OF WHTIE HALL, P.A. Y
MEDICAL ASSOCIATES PLC Y
DEWITT HOSPITAL & NURSING HOME INC Y
DREW MEMORIAL HOSPITAL, INC Y
JEFFERSON REGIONAL ANESTHESIA LLC Y
LAKE VILLAGE CLINIC PA Y
PAUL W DAVIS MD PA Y
STANLEY BURLESON Y
MONTICELLO MEDICAL CLINIC PLC Y
JEFFERSON HOSPITAL ASSOCIATION INC Y
WEBSTER COUNTY MEMORIAL HOSPITAL Y
ST CHARLES HEALTH SYSTEM INC Y
FISHER-TITUS MEDICAL CENTER Y
KALISPELL REGIONAL MEDICAL CENTER INC Y
DELTA MEMORIAL HOSPITAL N

 

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
First Name Last Name Title/Position
Shawn Bogle Board Member 1 ACO Participant Representative Baxter County Regional Hospital
Mary Daggett Board Member 1 ACO Participant Representative Arkansas Rural Health Partnership Clinically Integrated Network, LLC
Melanie Van Winkle Board Member 1 ACO Participant Representative Southern Mono Healthcare District
Korrey Klein Board Member 1 ACO Participant Representative The Lower Valley Hospital Association
Damien Scott Board Member 1 ACO Participant Representative Emanuel County Hospital Authority
Lynne Byrd Board Member 1 ACO Participant Representative Archbold Medical Group, Inc.
Andrew Porter Board Member 1 ACO Participant Representative General Conference Corp Of Sda
Amy McDaniel Board Member 1 ACO Participant Representative Belmond Community Hospital
Lisa Wolfe Board Member 1 ACO Participant Representative Guthrie County Hospital
Carl Behne Board Member 1 ACO Participant Representative Burgess Health Center
Erin Muck Board Member 1 ACO Participant Representative Crawford County Memorial Hospital
Barry Jacobson Board Member 1 ACO Participant Representative Shelby County Chris A. Myrtue Memorial Hospital
Eric Holste Board Member 1 ACO Participant Representative Shenandoah Medical Center
Brock Merrill Board Member 1 ACO Participant Representative Patient Quality Alliance
Jake Erickson Board Member 1 ACO Participant Representative BMH, Inc
Tom Murphy Board Member 1 ACO Participant Representative Minidoka Memorial Hospital
Kristy Unruh Board Member 1 ACO Participant Representative Lost Rivers Medical Center
Dr. Katherine Bunting Board Member 1 ACO Participant Representative Fairfield Memorial Hospital Association
Corrine Morris Board Member 1 ACO Participant Representative Henry County Memorial Hospital
Perry Gay Board Member 1 ACO Participant Representative Memorial Hospital
Dr. David Dunkle Board Member 1 ACO Participant Representative Johnson Memorial Hospital
Billie Kester Board Member 1 ACO Participant Representative Reid Hospital & Health Care Services, Inc
Russ Ranallo Board Member 1 ACO Participant Representative Owensboro Health Medical Group INC
Pete Johnson Board Member 1 ACO Participant Representative Springhill Medical Services, Inc.
Kenneth Cochran Board Member 1 ACO Participant Representative Opelousas General Health System
Traci Thibodeaux Board Member 1 ACO Participant Representative Hospital Service District No. 2 of the Parish of Beauregard State of LA
Scott St. George Board Member 1 ACO Participant Representative Berkshire Medical Center Inc.
Steve Barnett Chair 1 ACO Participant Representative McKenzie Memorial Hospital
Hunter Nostrant Board Member 1 ACO Participant Representative Helen Newberry Joy Hospital
Marc Marcotte Board Member 1 ACO Participant Representative Schoolcraft Memorial Hospital
Tim Johnson Board Member 1 ACO Participant Representative Eaton Rapids Medical Center
Rob Stowe Board Member 1 ACO Participant Representative Baraga County Memorial Hospital
Lori Andreas Board Member 1 ACO Participant Representative CCM Health
Kirk Stensrud Board Member 1 ACO Participant Representative Glacial Ridge Hospital District
Jason Schrumpf Board Member 1 ACO Participant Representative Missouri Delta Medical Center
Steve Paulter Board Member 1 ACO Participant Representative Ste. Genevieve County Memorial Hospital
Steve Todd Board Member 1 ACO Participant Representative St. Luke Community Hospital
Taylor Rose Board Member 1 ACO Participant Representative Barrett Hospital Development Corporation
Jenny Clowes Board Member 1 ACO Participant Representative Townsend Health Systems Inc
Kathleen Nenninger Board Member 1 ACO Participant Representative Frances Mahon Deaconess Hospital
Jamie Brownell Board Member 1 ACO Participant Representative Marias Healthcare Services Inc
Bart Fiser Board Member 1 ACO Participant Representative Cumberland County Hospital
Chastity Dolbec Board Member 1 ACO Participant Representative Hazen Memorial Hospital Association
Darroid Bertsch Board Member 1 Medicare Beneficiary N/A
Peter Edis Board Member 1 ACO Participant Representative McKenzie County Healthcare Systems Inc
Dennis Goebel Board Member 1 ACO Participant Representative Southwest Healthcare Services
Darla Roder Board Member 1 ACO Participant Representative Cavalier County Memorial
Chris Albertson Board Member 1 ACO Participant Representative Presentation Medical Center
TyAwna Acerkman Board Member 1 ACO Participant Representative Jacobson Memorial Hospital Care Center
Justin Wolf Board Member 1 ACO Participant Representative Memorial Community Health
Jason Petik Board Member 1 ACO Participant Representative Cheyenne Hospital Association, Inc.
Lori Mazanec Board Member 1 ACO Participant Representative Box Butte General Hospital
Bruce White Board Member 1 ACO Participant Representative Knox Community Hospital
Matthew Mattner Board Member 1 ACO Participant Representative Fisher-Titus Medical Care LLC
Emily Salmon Board Member 1 ACO Participant Representative St. Charles Health System Inc.
Wendy Apland Board Member 1 ACO Participant Representative Mid-Columbia Medical Center
Jason Wren Board Member 1 ACO Participant Representative Wise Clinical Care Associates
John White Board Member 1 ACO Participant Representative Okanogan County Public Hospital District No. 3
Shawn Lerch Board Member 1 ACO Participant Representative Sauk Prairie Memorial Hospital
Dr. Catherine Chua Board Member 1 ACO Participant Representative Davis Health System
Daniel Ordyna Board Member 1 ACO Participant Representative North Lincoln County Hospital District
Adam Smith Vice Chair 1 ACO Participant Representative Kalispell Regional Medical Center Inc

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Tim Gronniger 
Medical Director: Dr. Timothy Smith
Compliance Officer: 
Quality Assurance/Improvement Officer: Rayna Caplan


Associated Committees and Committee Leadership:
Committee Name Committee Leader Name and Position
   

 

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:

  • Second Agreement Period
    • Performance Year N/A
  • First Agreement Period N/A
    • Performance Year
Shared Savings Distribution:
  • Second Agreement Period
    • Performance Year N/A
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year N/A
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2022 Quality Performance Results:
Our ACO did not participate in the Shared Savings Program in the 2022 performance year, therefore this section is not applicable at this time.

Measure # Measure Name Rate ACO Mean
       

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.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
  • Parties to the arrangements: Caravan Health ACO 50 LLC and ACO Participants
  • Date of arrangements: Effective January 1, 2023
  • Items, services, goods, or facility provided: See description below.
  • Date and nature of any amendments to the arrangements, if applicable: N/A
Caravan Health ACO 50 LLC (“Company”) maintains and operates an accountable care organization (“ACO”) that participates in the Medicare Shared Savings Program (“MSSP”). Pursuant to Section 1899(f) of the Social Security Act (42 U.S.C. § 1395jjj), the Secretary of the Department of Health and Human Services (“HHS”) made available certain waivers of federal fraud and abuse laws in connection with the operation of ACOs that have entered into a participation agreement, as defined under 42 C.F.R. § 425.20, under the MSSP with the Centers for Medicare & Medicaid Services (“CMS”).

The Company Board of Managers (the “Board”) has approved two arrangements for protection under ACO Participation Waivers. Use of the ACO Participation Waiver requires public disclosure of certain elements of the arrangement. This document establishes the public disclosure requirements set forth in the MSSP waivers. This document will be supplemented as additional arrangements arise consistent with the timing requirements set forth in the waivers.

Annual Wellness Visit Patients Initiative

The Board made a bona fide determination effective January 1, 2023, that the Annual Wellness Visit Patients Initiative (“AWV Patients Initiative”) is reasonably related to the purposes of the MSSP to manage and coordinate care for Medicare fee-for-service beneficiaries through the ACO. The AWV Patients Initiative is intended to increase the likelihood that patients whom CMS has identified as assigned or assignable to the ACO under the MSSP and whom CMS has recognized would benefit from an AWV will receive an AWV. The AWV Patients Initiative includes the provision of a single, in- kind, non-cash equivalent gift card of nominal value to patients whom CMS has identified as assigned or assignable to the ACO under the MSSP, and who complete an AWV during the current MSSP year with an ACO Participant participating in the AWV Patients Initiative while budgeted funds remain. The AWV Patients Initiative will be offered to all ACO Participants and ACO Participants must choose to participate on or before March 31, 2023.

Annual Wellness Visit Participants Initiative

The Board made a bona fide determination effective January 1, 2023, that the Annual Wellness Visit Participants Initiative (“AWV Participants Initiative”) is reasonably related to the purposes of the MSSP to manage and coordinate care for Medicare fee-for-service beneficiaries through the ACO. The AWV Participants Initiative is intended to expand the number of medically necessary and appropriate AWVs that ACO Participants will complete on patients assigned to the ACO under the MSSP whom CMS has recognized would benefit from an AWV. The AWV Participants Initiative will be offered to all ACO Participants eligible to perform AWVs, so long as all such ACO Participants in the community choose to participate by March 31, 2023. The ACO Participants’ communities that demonstrates the largest improvements in AWV performance rates by size as calculated between January 1, 2023 and June 30, 2023 will receive an award to support their ACO program administration.

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