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
  1. ACO professionals in a group practice arrangements
  2. Networks of individual practices of ACO professionals
  3. Partnerships or joint venture arrangements between hospitals and ACO professionals
  4. 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.