Medicare Shared Savings Program (MSSP) Public Reporting

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ACO Name and Location

Arizona Care Network, LLC
3030 N. Central Avenue #1000
Phoenix, AZ  85012

 

ACO Primary Contact

Todd Ricotta, Executive Director
todd.ricotta@azcarenetwork.org
602-406-6613

 

Organizational Information

ACO Participants

Luis Lopez
Good Health Medical PC
Jinga Patel, MD, PLLC
Matthew Khumalo, MD, PC
Rama Devineni
Medical Clinic of Arizona, LLC
OMG ARIZONA, LLC
Harmony Healthcare, PLLC
Southwest Primary Care, LTD
American Medical Associates, PLLC
Family Medical and Wellness Care, PLC
Cigna Helathcare of Arizona, Inc.
William T. Holland, MD, PC
Maricopa County Special Health Care District
Forever Family Healthcare, PLC
West Valley Internal Medicine

 

ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

 

ACO Governing Body

Board Member Voting Status Member's Voting Power Role Participant Status Participant Name
Dr. Natasha Bhuyan Voting Member

          1

Physician Manager, Chair ACO Participant Representative OMG ARIZONA LLC
Dr. Ravinder Dawke Voting Member           1 Physician Manager ACO Participant Representative Cigna HealthCare of Arizona, Inc.
Dr. Kevin Ellis Voting Member           1 Physician Manager, Vice Chair ACO Participant Representative Cigna HealthCare of Arizona, Inc.
Dr. Bhargavi Joshi Voting Member           1 Physician Manager ACO Participant Representative Maricopa County Special Health Care District
Dr. Kevin Lopez Voting Member           1 Physician Manager ACO Participant Representative Maricopa County Special Health Care District
Dr. Christina Smarik Voting Member           1 Physician Manager ACO Participant Representative Maricopa County Special Health Care District
Gary Addis Voting Member           1 Medicare Beneficiary Representative Medicare Beneficiary Representative N/A
Dr. David Hanekom Voting Member           1 Hospital Manager Other N/A

 

Key Clinical and Administrative Leadership

Chief Executive Officer - David Hanekom, MD
Chief Medical Officer - Ed Clarke, MD
Chief Information Officer - Robert Davis
Chief Financial Officer - Alex Nuñez
Compliance Officer - Tracey Craig, JD
Quality Assurance/Improvement Officer - Jennifer Brooks
Executive Director, Operations - Jami Berger, RN
Executive Director, Marketing & Communication - Debra Stevens
Executive Director, Provider Network & Government Relations - Todd Ricotta

 

ACO Committees and Committee Leadership

Quality Committee: Dr. M. Randy Keller, Chair
Compliance Committee: Dr. Linda Brown, Chair
Care Coordination & Performance Committee: Dr. Dana Seltzer, Chair
Finance and Payer Contracting Committee: Dr. Edward Tokatlian, Chair
Network Committee: Dr. Jonathan Hackenyos, Chair

 

Types of ACO participants, or combinations of participants that formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Federally Qualified Health Center (FQHC)

 

Shared Savings and Losses

Amount of Shared Savings & Losses

  • Second Agreement Period
    • Performance Year 2016: $0
  • First Agreement Period
    • Performance Year 2015: $0
    • Performance Year 2014: $0
    • Performance Year 2013: $0

How Shared Savings are Distributed

  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2013
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Payment Rule Waivers

Our ACO does not utilize the SNF 3-Day Rule Waiver.

2016 Quality Performance Results

 Measure Number  Measure Name ACO Performance Rate Mean Performance Rate (SSP-ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 75.51 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 90.77 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 90.3 91.93
ACO-4 CAHPS: Access to Specialists 80.42 83.52
ACO-5 CAHPS: Health Promotion and Education 56.15 60
ACO-6 CAHPS: Shared Decision Making 74 75.28
ACO-7 CAHPS: Health Status/Functional Status 71.68 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 27.9 27.52
ACO-8 Risk Standardized, All Condition Readmission 13.78 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)  18.22 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes  36.87 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure  55.61 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 44.89 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 6.42 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 13.46 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 72.44 82.72
ACO-39 Documentation of Current Medications in the Medical Record  72.05 87.54
ACO-13 Falls: Screening for Future Fall Risk 71.24 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 66.05 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 63.98 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 70.84 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.76 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 56.32 53.63
ACO-19 Colorectal Cancer Screening 63.02 61.52
ACO-20 Breast Cancer Screening 64.54 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 57.23 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.39 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.36 18.24
ACO-41 Diabetes: Eye Exam 42.36 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.53 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 88.99 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 78.24 88.67
ACO-33 ACE or ARB Therapy for patients with CAD and Diabetes or LVSD (LVEF < 40%) 76.14 79.67

CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin receptor blocker, CAD = coronary artery disease.

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

 

Note: In the Quality Performance Results file(s) above, search for “Arizona Care Network LLC” or "Arizona Care Network" to view the quality performance results. This ACO can also be found by using the ACO ID A60499 in the public use files on data.cms.gov.

A Physician and Health System Collaboration