MSSP
ACO Name and Location
Banner Network Colorado, LLC
7251 W. 4th Street
Greeley, CO 80634
ACO Primary Contact
Toni Hooten, Payor Account Program Sr. Manager
Phone: (970) 810-8722
Email: toni.hooten@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 |
| Moran | Robert | Physician | 1 | ACO Participant Representative | Banner Health Physicians Colorado, LLC |
| Pazik | Thomas | Physician | 1 | ACO Participant Representative | Banner Health Physicians Colorado, LLC |
| Pfahnl | Arnold | Physician | 1 | ACO Participant Representative | Banner Health Physicians Colorado, LLC |
| Sunderman | Steven | Physician | 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: Brian Lund, BNC Compliance Officer
Quality Assurance/Improvement Officer: Anuja Riles, M.D.
Associated Committees and Committee Leadership
Compliance Committee - Brian Lund, Chair
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
N/A
Shared Savings Distribution
N/A
Quality Performance Results
2018 Quality Performance Results
Our ACO did not participate in Shared Savings Program in the 2018 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:
No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
Waiver for Payment for Telehealth Services:
No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613