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

BAXTER COUNTY REGIONAL HOSPITAL INC

Y

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

OZARK EYE CENTER PA

Y

OZARK SURGICAL GROUP

Y

SOUTHERN MONO HEALTH CARE DISTRICT

Y

LOWER VALLEY HOSPITAL ASSOCIATION

Y

HOSPITAL AUTHORITY OF WASHINGTON COUNTY

Y

WC PHYSICIAN GROUP LLC

Y

BELMOND COMMUNITY HOSPITAL

Y

IOWA SPECIALTY HOSPITAL-CLARION

Y

GUTHRIE COUNTY HOSPITAL

Y

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL

Y

MINIDOKA MEMORIAL HOSPITAL

Y

LOST RIVERS MEDICAL CENTER

Y

FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION

Y

SCHOOLCRAFT MEMORIAL HOSPITAL

Y

BARAGA COUNTY MEMORIAL HOSPITAL

Y

CHRISTOPHER G WEBB MD PA

Y

SAUK PRAIRIE HEALTHCARE INC

Y

OKANOGAN COUNTY PUBLIC HOSPITAL DISTRICT NO. 3

Y

NORTH LINCOLN COUNTY HOSPITAL DISTRICT

Y

WISE CLINICAL CARE ASSOCIATES

Y

JACOBSON MEMORIAL HOSPITAL CARE CENTER

Y

BOX BUTTE GENERAL HOSPITAL

Y

CHEYENNE COUNTY HOSPITAL ASSOCIATION INC

Y

PRESENTATION MEDICAL CENTER

Y

CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION

Y

SOUTHWEST HEALTHCARE SERVICES

Y

STE GENEVIEVE COUNTY MEMORIAL HOSPITAL

Y

GLACIAL RIDGE HOSPITAL DISTRICT

Y

EATON RAPIDS MEDICAL CENTER

Y

HOSPITAL SERVICE DISTRICT NO 2 OF PARISH OF BEAUREGARD STATE OF LA

Y

ACADIANA MEDICINE CLINIC, APMC

Y

SPRINGHILL MEDICAL SERVICES, INC.

Y

TOWNSEND HEALTH SYSTEMS INC

Y

SOUTHLAND EMERGENCY MEDICAL SERVICES LLC

Y

SOUTHLAND HOSPITALIST GROUP, LLC

Y

HENRY COUNTY MEMORIAL HOSPITAL

Y

HELEN NEWBERRY JOY HOSPITAL

Y

MICHAEL BURNELL

N

METOYER MEDICAL CORPORATION INC

Y

TATE PRIMARY CARE LLC

Y

FAMILY HEALTHCARE OF BEAUREGARD, LLC

Y

DAKIN OTOLARYNGOLOGY LLC

Y

CUMBERLAND COUNTY HOSPITAL SYSTEM INC

Y

SOUTH GEORGIA EMERGENCY MEDICINE ASSOCIATES PC

Y

OPELOUSAS GENERAL HOSPITAL AUTHORITY

Y

CHRIS L GRANGER M D LLC

Y

NEW CASTLE CLINIC 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

ARKANSAS ORTHOPEDICS & SPORTS MEDICINE, P.A.

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 LLC

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

ST LUKES COMMUNITY HOSPITAL

Y

ARCHBOLD MEDICAL GROUP, 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

Y

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

BURGESS HEALTH CENTER

Y

CRAWFORD COUNTY MEMORIAL HOSPITAL

Y

KALISPELL REGIONAL MEDICAL CENTER INC

Y

ASANTE PHYSICIAN PARTNERS

Y

ASANTE ASHLAND COMMUNITY HOSPITAL LLC

Y

SOUTHERN OREGON CHIROPRACTIC LLC

Y

SOUTHERN OREGON HOSPITALISTS PC

Y

OREGON INTERNAL MEDICINE LLC

Y

SOUTHERN OREGON CARDIOLOGY LLC

Y

SOUTHERN OREGON NEUROSURGICAL & SPINE ASSOCIATES, PC

Y

VISTA PATHOLOGY LABORATORY LLC

Y

ASANTE COMMUNITY SERVICES LLC

Y

CLINIC FOR DERMATOLOGY & WELLNESS LLC

Y

SOUTHERN OREGON CHIROPRACTIC-ASHLAND LLC

Y

YASMIN MALDONADO-STITT MD A LIMITED LIABILITY COMPANY

Y

ANESTHESIA ASSOCIATES OF MEDFORD PC

Y

OREGON SURGICAL SPECIALISTS PC

Y

GASTROENTEROLOGY CONSULTANTS PC

Y

MEDFORD EAR NOSE AND THROAT CLINIC PC

Y

MEDFORD RADIOLOGICAL GROUP PC

Y

REHABILITATION MEDICINE PHYSICIANS OF SOUTHERN OREGON PC

Y

HEMATOLOGY ONCOLOGY ASSOCIATES, P.C.

Y

MEDFORD WOMENS CLINIC LLP

Y

WOMEN'S HEALTH CENTER OF SOUTHERN OREGON PC

Y

ASHLAND ANESTHESIA ASSOCIATES LLC

Y

THREE RIVERS RADIOLOGY ASSOCIATES, PC

Y

PAIN CARE OF OREGON LLC

Y

MEDWELLNESS CONSULTING LLC

Y

WINNESHIEK MEDICAL CENTER

Y

MONADNOCK COMMUNITY HOSPITAL

Y

RUSH MEMORIAL HOSPITAL

Y

MEMORIAL COMMUNITY HOSPITAL CORPORATION

Y

NORTHFIELD HOSPITAL

Y

JOHNSON MEMORIAL HEALTH SERVICES

Y

CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

Y

UNIVERSITY OF CONNECTICUT HEALTH CENTER

Y

PROVIDENCE HEALTH ALLIANCE

Y

SETON FAMILY OF DOCTORS

Y

MARGOLIN AND KEINARTH, PA

Y

TONY SHALLIN MD PA

Y

HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH

Y

KUMAR SATHIANATHAN MD PA

Y

AUSTIN HEALTH PARTNERS PLLC

Y

CAROMONT MEDICAL GROUP INC

Y

RADIATION ONCOLOGY GROUP CONSULTANTS P C

Y

GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1

Y

HOLDERMANN INC

Y

Howard W Morningstar MD

N

COMMUNITY MEMORIAL HOSPITAL

Y

 

ACO governing body:

Member
First Name

Member
Last Name

Member Title/Position

Member’s Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Melanie

Van Winkle

Board Member

2.083%

ACO Participant Representative 

Southern Mono Healthcare District

Korrey

Klein

Board Member

2.083%

ACO Participant Representative

The Lower Valley Hospital Association

Lynne

Byrd

Board Member

2.083%

ACO Participant Representative

Archbold Medical Group, Inc.

Amy

McDaniel

Board Member

2.083%

ACO Participant Representative

Belmond Community Hospital

Amy

McDaniel

Board Member

2.083%

ACO Participant Representative

Iowa Specialty Hospital Clarion

Christopher

Stipe

Board Member

2.083%

ACO Participant Representative

Guthrie County Hospital

Lynn

Wold

Board Member

2.083%

ACO Participant Representative

Burgess Health Center

Erin

Muck

Board Member

2.083%

ACO Participant Representative

Crawford County Memorial Hospital

Steven

Slessor

Board Member

2.083%

ACO Participant Representative

Winneshiek Medical Center

Barry

Jacobsen

Board Member

2.083%

ACO Participant Representative

Shelby County Chris A. Myrtue Memorial Hospital

Tom

Murphy

Board Member

2.083%

ACO Participant Representative

Minidoka Memorial Hospital

Kristy

Unruh

Board Member

2.083%

ACO Participant Representative

Lost Rivers Medical Center

Kristin

Boldt

Board Member

2.083%

ACO Participant Representative

Fairfield Memorial Hospital Association

Corrine

Morris

Board Member

2.083%

ACO Participant Representative

Henry County Memorial Hospital

Deborah

Hummel

Board Member

2.083%

ACO Participant Representative

Rush Memorial Hospital

Pete

Johnson

Board Member

2.083%

ACO Participant Representative

Springhill Medical Services, Inc.

Larry

Meese

Board Member

2.083%

ACO Participant Representative

Hospital Service District 1 of East Baton Rouge Parish

Amanda

Fontenot

Board Member

2.083%

ACO Participant Representative

Opelousas General Health System

Traci

Thibodeaux

Board Member

2.083%

ACO Participant Representative

Hospital Service District No. 2 of the Parish of Beauregard State of LA

Scott

St. George

Board Member

2.083%

ACO Participant Representative

Berkshire Medical Center Inc.

Hunter

Nostrant

Board Member

2.083%

ACO Participant Representative

Helen Newberry Joy Hospital

Marc

Marcotte

Board Member

2.083%

ACO Participant Representative

Schoolcraft Memorial Hospital

Tim

Johnson

Board Member

2.083%

ACO Participant Representative

Eaton Rapids Medical Center

Rob

Stowe

Board Member

2.083%

ACO Participant Representative

Baraga County Memorial Hospital

Kristin

Jacobson

Board Member

2.083%

ACO Participant Representative

Johnson Memorial Health Services

Kirk

Stensrud

Board Member

2.083%

ACO Participant Representative

Glacial Ridge Hospital District

Steve

Underdahl

Board Member

2.083%

ACO Participant Representative

Northfield Hospital

Steve

Pautler

Board Member

2.083%

ACO Participant Representative

Ste. Genevieve County Memorial Hospital

Steve

Todd

Board Member

2.083%

ACO Participant Representative

St. Luke Community Hospital

Justin

Tiffany

Board Member

2.083%

ACO Participant Representative

Townsend Health Systems Inc

Adam

Smith

Board Member

2.083%

ACO Participant Representative

Kalispell Regional Medical Center Inc

Bart

Fiser

Board Member

2.083%

ACO Participant Representative

Cumberland County Hospital

Tod

Erickson

Board Member

2.083%

ACO Participant Representative

CaroMont Medical Group, Inc.

Dennis

Goebel

Board Member

2.083%

ACO Participant Representative

Southwest Healthcare Services

Darla

Roder

Board Member

2.083%

ACO Participant Representative

Cavalier County Memorial

Chris

Albertson

Board Member

2.083%

ACO Participant Representative

Presentation Medical Center

TyAwna

Ackerman

Board Member

2.083%

ACO Participant Representative

Jacobson Memorial Hospital Care Center

Manuela

Banner

Board Member

2.083%

ACO Participant Representative

Memorial Community Hospital Corporation

Jason

Petik

Board Member

2.083%

ACO Participant Representative

Cheyenne Hospital Association, Inc.

Lori

Mazanec

Board Member

2.083%

ACO Participant Representative

Box Butte General Hospital

Lauren

Peck-Wood

Board Member

2.083%

ACO Participant Representative

Community Memorial Hospital

Wendy

Apland

Board Member

2.083%

ACO Participant Representative

Mid-Columbia Medical Center

Doug

Ward

Board Member

2.083%

ACO Participant Representative

Asante Health Network

David

Byrom

Board Member

2.083%

ACO Participant Representative

Coryell County Memorial Hospital

Philip

Eaves

Board Member

2.083%

ACO Participant Representative

Ascension Seton ACO

John

White

Board Member

2.083%

ACO Participant Representative

Okanogan County Public Hospital District No. 3

Shawn

Lerch

Board Member

2.083%

ACO Participant Representative

Sauk Prairie Memorial Hospital

Daniel

Ordyna

Board Member

2.083%

ACO Participant Representative

NORTH LINCOLN COUNTY HOSPITAL DISTRICT

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Khue Nguyen
Medical Director: Adam Smith, DO
Compliance Officer: T. Gregory
Quality Assurance/Improvement Officer: Rayna Caplan

 

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.

Ready to succeed in value-based programs?