MSSP


ACO Name and Location

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

 

ACO Primary Contact

Kathleen Harris, Sr. Director of Government Operations
Phone: (602)-747-3460
Email: Kathleen.Harris@bannerhealth.com

 

Organizational Information

ACO ParticipantsACO Participant in Joint Venture
(Enter Y or N)
Accredited Family Healthcare PC N
Advent Internal Medicine PLLC N
Anne-Marie Reed Do Pllc N
Apex Internal Medicine, P.C. N
Arizona Internal Medicine Associates LLC N
Aveon Health (Medcubed PLLC) 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 N
Charina Tecson MD PC N
Chikwendu C Nwosu Md Llc N
Christopher Stalberg MD PLLC N
Community Hospital Association Inc N
Consultants In Internal Medicine PC N
D&V Soni MD PC N
Dan Hoag DO PLC dba Desert Wells Family Medicine N
Desert Rose Medical Consultants PC N
Desert View Family Medicine (Karen Bader) N
Dipti Patel PLLC N
Drew Durbin DO PLLC N
G & K Medical Associates N
Good Years Family Medicine LLC N
Greenfield Family Medicine LLC N
Healthy Life Corporation N
Healthy Life Family Medicine Plc N
Heavens Medical PLC N
Hope Diabetes Center Llc N
Indigo Health Clinic PC N
Internal Medicine Physicians Associates PC N
Jared Dayton Do Pc N
Jerry Ellen Owensby MD PC N
Joe Hayashi Pc N
Joel S Sellers DO PLLC N
Jones Family Medicine & Pain Centers Pllc N
Kachina Family Practice N
Karen Leber N
Kyrene Internal Medicine Pllc N
Mercy Grace Private Practice (Lahodas, PLLC) N
M Zuhdi Jasser MD PC N
M & M Medical PC N
Monaliza Setudehnia MD PLLC N
Ofelia Popluca N
One Life Medical Center (F7 Medical Llc) N
Paragon Medical Associates N
Partners in Primary Care of AZ (Hatfield Medical Group) N
Patricia R Reiff Md Pc N
Paul S. Charnetsky, M.D. P.C. 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
Punya Raman Pllc N
Raffy Safarian, MD N
Richard F Fowler Md Pc N
San Tan Cardiovascular Center LLC N
Scottsdale Primary Care PC N
Southwest Internal Medicine Llc N
Sunrise Internal Medicine PC N
Sunset Family Physicians P.C. N
Surprise Medical Consultants LLC N
Thompson Medical Group N
Trident Clinical Pllc (Arvind Mahadevan, MD) N
Valley Internal Medicine and Pediatrics PC N
Wabash Medical Associates P C N
Westview Family Medicine N

 

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

 

ACO Governing Body
Last NameFirst NameTitle/PositionMember's Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Bader Karen MD Voting Mbr ACO Participant Desert View Family Medicine
Bavishi Viren MD Voting Mbr ACO Participant Banner Primary Care Physicians Arizona Llc
Bessel Marjorie MD Voting Mbr ACO Participant Banner Health
Laraway Dennis Chief Financial Officer Voting Mbr Board Treasurer  
Caplan Joseph MD Voting Mbr   Cardiac Solutions
Fowler Richard MD Voting Mbr ACO Participant Richard F Fowler MD Pc
Rankin Patrick MD Voting Mbr ACO Participant Banner Medical Group
Shirvani Shervin MD Voting Mbr ACO Participant Banner Medical Group
Kuhn Becky EVP Community Delivery Voting Mbr ACO Participant Banner Health
Lehn Chuck President Voting Mbr ACO Participant Banner Health Network
Owensby Jerry MD Voting Mbr ACO Participant Jerry Ellen Owensby, MD PC
Stalberg Christopher MD; Board Vice President Voting Mbr ACO Participant Christopher Stalberg MD PLLC
Udall Collin MD Voting Mbr ACO Participant Paragon Medical Associates, Plc
Valenzuela David MD Voting Mbr ACO Participant Banner Primary Care Physicians Arizona Llc
Ritchie Tom MD Voting Mbr ACO Network Representative Tri-City Cardiology
Holt Barbara   Voting Mbr Medicare Beneficiary Representative  
Glinski Ivy   Non-Voting Mbr Community Stakeholder Representative  
Key Clinical and Administrative Leadership 

Chuck Lehn, ACO Executive

Dr. Jeffrey Tolson, Medical Director

Teresa McMeans, Compliance Officer

Lisa Frank, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Finance & Business Committee, Chuck Sowers, Chair

Compliance Committee, Teresa McMeans, Chair

MSSP Operations Committee, Kathleen Harris, Chair

Care Management Advisory Committee, Dr. Ann Marie Sun, Chair

Types of ACO Participants or Combinations of Participants in the ACO Composition

ACO professionals in a group practice arrangement

 

Shared Savings and Losses

Amount of Shared Savings/Losses

N/A

Shared Savings Distribution

N/A

 

Quality Performance Results

2016 Quality Performance Results
ACO#Measure NameRateACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 80.51
ACO-2 CAHPS: How Well Your Providers Communicate N/A 93.01
ACO-3 CAHPS: Patients' Rating of Provider N/A 92.25
ACO-4 CAHPS: Access to Specialists N/A 83.49
ACO-5 CAHPS: Health Promotion and Education N/A 60.32
ACO-6 CAHPS: Shared Decision Making N/A 75.40
ACO-7 CAHPS: Health Status/Functional Status N/A 72.30
ACO-34 CAHPS: Stewardship of Patient Resources N/A 26.97
ACO-8 Risk-Standardized, All Condition Readmission N/A 14.70
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) N/A 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) N/A 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72
ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54
ACO-13 Falls: Screening for Future Fall Risk N/A 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up N/A 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan N/A 53.63
ACO-19 Colorectal Cancer Screening N/A 61.52
ACO-20 Breast Cancer Screening N/A 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented N/A 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24
ACO-41 Diabetes: Eye Exam N/A 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) N/A 79.67

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

Payment Rule Waivers

Yes, our ACO does use the SNF 3-Day Rule Waiver