MSSP
ACO Name and Location
Banner Network Colorado, LLC
7251 W. 4th Street
Greeley, CO 80634
ACO Primary Contact
Nicole Dorsey, ACO Senior Manager
Phone: (602) 418-7175
Email: Nicole.Dorsey@bannerhealth.com
Organizational Information
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| Banner Health Physicians Colorado LLC | Y |
| Rocky Mountain Family Physicians | Y |
ACO Governing Body
| Last Name | First Name | Title/Position | Member's Voting Power- Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
|---|---|---|---|---|---|
| Norman | Edward | President & Physician | 1 | ACO Participant Representative | N/A |
| Grady | Shauna | Physician | 1 | ACO Participant Representative |
Banner Health Physicians Colorado LLC |
| Gregory | Joseph | BMG WR Physician Executive |
1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Loecke | Steven | BMG WR Physician Executive | 1 |
ACO Participant Representative |
Banner Health Physicians Colorado LLC |
| Pfahnl | Arnold | BMG Division Medical Director | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Sunderman | Steven | Practice Physician Lead | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Saltz | Samuel | Physician | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Yang | Ning | Physician | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Lewis | Mike | BMG WD Finance Sr. Director | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Valenti | Gina | BMG Division Operations Sr. Director | 1 | ACO Participant Representative | Banner Health Physicians Colorado LLC |
| Mannon | Pam | Medicare Beneficiary | 1 | Medicare Beneficiary Representative | N/A |
Key Clinical and Administrative Leadership
ACO Executive: Jim Branom, Director - Payor and Provider Relations
Medical Director: Anuja Riles, M.D.
Compliance Official: Adam Barker, Compliance Officer
Quality Assurance/Improvement Officer: Anuja Riles, M.D.
Associated Committees and Committee Leadership
Compliance Committee - Adam Barker, Compliance Officer
Finance & Business Development Committee - Edward Norman, MD, Chair
Credentialing Committee - Edward Norman, MD, Chair
Utilization Review & Quality Management Committee - Anuja Riles, MD, Chair
Types of ACO Participants, or Combinations of Participants, that formed the ACO
- ACO professionals in a group practice arrangements
- Networks of individual practices of ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Hospital employing ACO professionals
Shared Savings and Losses:
Amount of Shared Savings/Losses
-
First Agreement Period
-
Performance Year 2020, $3,131,284
-
Shared Savings Distribution:
-
First Agreement Period
-
Performance Year 2020
-
Proportion invested in infrastructure: 2.5%
-
Proportion invested in redesigned care processes/resources: 2.5%
-
Proportion of distribution to ACO participants: 95%
-
-
Quality Performance Results
2020 Quality Performance Results
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI#91)) | 0.58 | 0.95 |
| ACO-13 | Falls: Screening for Future Fall Risk | 95.00 | 84.97 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 91.43 | 76.03 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 88.89 | 81.67 |
| ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 84.90 | 71.46 |
| ACO-19 | Colorectal Cancer Screening | 84.57 | 72.59 |
| ACO-20 | Breast Cancer Screening | 78.34 | 74.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 78.51 | 83.37 |
| ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 8.49 | 14.70 |
| ACO-28 | Controlling High Blood Pressure | 71.38 | 72.87 |
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.