MSSP


ACO Name and Location

Banner Health Network
2901 N Central
Suite 160
Phoenix, AZ 85012

 

ACO Primary Contact

Nicole Dorsey, ACO Senior Manager
Phone: (602)-418-7175
Email: Nicole.Dorsey@bannerhealth.com

 

Organizational Information

ACO ParticipantsACO Participant in Joint Venture
(Enter Y or N)
Accredited Family Healthcare PC N
Adam Nally DO PC N
Advent Internal Medicine PLLC N
Affiliated Internal Medicine Associates LLC N
Alfonso A Tan MD PC N
Antoio T Uvas PLLC N
Antonio V Yu Jr MD PC N
Apex Internal Medicine PC N
Arizona Internal Medicine Associates LLC N
Arizona Preferred PrimaryCare PLC N
Arvind Mahadevan N
Banner - - University Primary Care Physicians LLC N
Banner Health N
Banner Primary Care Physicians Arizona LLC N
Bestcare Internal Medicine PLLC N
Blair T Butterfield PC N
Brown Road Family Medicine PLLC N
Central Arizona Medical Associates N
Christopher Stalberg MD PLLC N
Clinic for Chest Diseases PLLC N
Community Hospital Association Inc N
Consultants In Internal Medicine PC N
D & V Soni MD PC N
Dan Hoag DO PLC N
Desert Rose Medical Consultants PC N
Desert View Family Medicine PLLC N
Dipti Patel PLLC N
Drew Durbin DO PLLC N
Estrella Internal Medicine & Geriatrics Clinic PLC N
Estrella Speciality Medical Care PC N
F7 Medical LLC N
Family First Physicians PLLC N
Gold Canyon Internal Medicine N
Good Years Family Medicine LLC N
Greenfield Family Medicine LLC N
Healthy Life Corporation N
Healthy Life Family Medicine PLC N
Indigo Health Clinic PC N
Innovative Family Health Care Practice LLC N
Internal Medicine Physicians Associates PC N
Jared Dayton DO PC N
Joe Hayashi PC N
John Prieve DO A Professional Corporation N
Jones Family Medicine & Pain Centers PLLC N
Kachina Family Practice N
Karen Leber N
Kyrene Internal Medicine PLLC N
M Zuhdi Jasser MD PC N
Madhuri Dhupathi MD & Associates PC N
Maxwell Group N
Medcubed PLLC N
Mesa Family Physicians PLC N
Monaliza Setudehnia MD PLLC N
Nestor Mazareno MD PC N
Norterra Family Medicine PLLC N
Ofelia Popluca N
Patricia R Reiff MD PC N
Paul S. Charnetsky MD PC N
Pete S Coury MD PLLC N
Phoenix West Internal Medicine LLC N
Pinakin G Bhakta MD PC N
Pinnacle Family Medicine PLC N
Pradip Patel MD PC N
Raffy Safarian N
Richard F Fowler MD PC N
S P Gill MD PC N
San Tan Primary Care PC N
Sarita S Sharma MD Internal Medicine PLLC N
Scottsdale Primary Care PC N
Southwest Internal Medicine LLC N
Sunrise Internal Medicine PC N
Sunrise Medical Associates LLC N
Sunset Family Physicians PC N
Thompson Medical Group N
Trident Clinical PLLC N
Valley Internal Medicine and Pediatrics PC N
Wabash Medical Associates PC N
Westside Internal Medicine PC N
Westview Family Medicine PC N

 

ACO Governing Body

 

Last NameFirst NameTitle/PositionMember's Voting Power -Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if Applicable
Agnone Frank Physician 1 ACO Participant Representative Internal Medicine Physicians Associates PC
Bader Karen Physician 1 ACO Participant Representative Desert View Family Medicine LLC
Bessel Marjorie Chief Clinical Officer & Physician 1 ACO Participant Representative Banner Health
Blair Butterfield Physician 1 ACO Participant Representative Blair T Butterfield PC
Caplan Joseph Physician 1 Other: Specialty Network Joseph A Caplan MD PC DBA Cardiac Solutions
Crispin Nancy Medicare Beneficiary 1 Other: Medicare Beneficiary  
Fowler Richard Physician 1 ACO Participant Representative Richard F Fowler Md Pc
Gregory Joe BMG Western Region Admin Region & Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Kuhn Becky Banner Chief Operating Officer 1 ACO Participant Representative Banner Health
Laraway Dennis Banner Chief Financial Officer 1 ACO Participant Representative Banner Health
Piette Randy Physician 1 ACO Participant Representative Maxwell Group
Rankin Patrick BMG CEO & Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Ritchie Thomas Physician 1 Other: Specialty Network Tri-City Cardiology
Sodhi Amandeep Physician 1 ACO Participant Representative Westside Internal Medicine
Valenzuela David BMG AZ East Admin Region & Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Werner Todd Banner President, AZ Community Delivery 1 ACO Participant Representative Banner Health
Zismann Nancy BMG Chief Clinical Services Officer 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Key ACO Clinical and Administrative Leadership 

Chuck Lehn, ACO Executive

Ed Clarke, M.D., Medical Officier

Brian Lund, Compliance Officer

Sandra Robles-Caraveo, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Finance & Business Committee - Rick Warren, BHN Chief Financial Officer

Compliance Committee - Brian Lund, ACO Compliance Officer

Care Management Advisory Committee - Dr. Ed Clarke, Insurance Division Chief Medical Officer

Types of ACO Participants, or Combinations of Participants,that formed the ACO

• ACO professionals in group practice arrangements

• Networks of individual practices of ACO professionals

• RHC

• Partnerships or joint venture arrangements between hospitals and ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

Performance Year 2019, $3,908,104

Performance Year 2020, NA

Performance Year 2021, NA

Performance Year 2022, NA

Performance Year 2023, NA

Performance Year 2024, NA

Shared Savings Distribution

Second Agreement Period

Performance Year 2019

Proportion invested in infrastructure: 25%

Proportion invested in redesigned care processes/resources: 25%

Proportion of distribution to ACO participants: 50%

 

Quality Performance Results

2019 Quality Performance Results
ACO#Measure NameRateACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.77 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 91.81 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 90.8 92.69
ACO-4 CAHPS: Access to Specialists 78.94 81.54
ACO-5 CAHPS: Health Promotion and Education 61.68 60.44
ACO-6 CAHPS: Shared Decision Making 57.03 62.78
ACO-7 CAHPS: Health Status/Functional Status 75.23 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 23.48 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.02 92.84
ACO-46 CAHPS: Care Coordination 85.68 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.37 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 45.41 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.29 1.87
ACO-13 Falls: Screening for Future Fall Risk 90.67 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 80.75 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 79.31 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 74.02 70.4
ACO-19 Colorectal Cancer Screening 78.47 70.76
ACO-20 Breast Cancer Screening 84.66 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.71 82.17
ACO-40 Depression Remission at Twelve Months 12.86 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 9.68 13.88
ACO-28 Controlling High Blood Pressure 74.75 75.04

Please note, the ACO-40 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.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

Yes, our ACO uses 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