CMS Reporting

ACO Name and Location

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

 

ACO Primary Contact

 

 

 

 

 

Organizational Information

ACO participants:

 

ACO governing body:

 

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:

 

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.

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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