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.