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 1 ACO Participant Representative

Banner Health Physicians Colorado, LLC

Gregory Joseph BMG 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: Brian Davidson, MD

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 2021, $2,280,643

    • Performance Year 2020, $3,131,284

 
Shared Savings Distribution:
  • First Agreement Period

    • Performance Year 2021

      • Proportion invested in infrastructure: 2.5%

      • Proportion invested in redesigned care processes/resources: 2.5%

      • Proportion of distribution to ACO participants: 95%

    • 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
2021 Quality Performance Results

Quality Performance results are based on CMS Web Interface

 Measure #  Measure Name  Rate   ACO Mean
 Measure #001  Diabetes: Hemoglobin A1c (HBA1c) Poor Control  7.57  12.46
 Measure #134  Preventive Care and Screening: Screening for Depression and Follow-up Plan  91.12  74.38
 Measure #236  Controlling High Blood Pressure  73.42  74.87
 Measure #318  Falls: Screening for Future Fall Risk  97.64  87.03
 Measure #110  Preventive Care and Screening: Influenza Immunization  91.29  80.52
 Measure #226  Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention  95.45  80.97
 Measure #113  Colorectal Cancer Screening  80.12  73.63
 Measure #112  Breast Cancer Screening  76.52  75.11
 Measure #438  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  80.33  84.24

 

Please note the Quality ID#: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.