MSSP

ACO Name and Location

Banner Network Colorado, LLC
244 Dundee Avenue
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 Participants ACO Participant in Joint Venture
(Enter Y or N)
Banner Health Physicians Colorado, LLC N
Rocky Mountain Family Physicians N
Healing Arts Family Medicine, LLC N

 

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
Grady Shauna   Physician/BNC Medical Director 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 Chairperson & 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 ACO Clinical and Administrative Leadership:

ACO Executive: Jim Branom

Medical Director: Shauna Grady, DO

Compliance Official: Adam Barker

Quality Assurance/Improvement Officer: Sandra Robles Caraveo

 

Associated Committees and Committee Leadership:

Compliance Committee:  Adam Barker, Compliance Officer

Utilization Review & Quality Management Committee: Kynda Wolfrum, RN, MSN

 

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.