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 Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| Accredited Family Healthcare PC | N |
| Adam S. Nally, DO, PC | N |
| Advent Internal Medicine PLLC | N |
| Affiliated Internal Medicine Associates, LLC | N |
| Alfonso A. Tan, MD PC | N |
| Ann-Marie Reed DO PLLC | N |
| Antonio V. Yu JR., M.D., P.C. | N |
| Apex Internal Medicine | N |
| Arizona Internal Medicine Associates LLC | N |
| Arizona Preferred Primary Care Plc (Karen M Acevedo-Mogharbel) | 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 |
| Central Arizona Medical Associates | N |
| Charina Tecson MD PC | 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 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 |
| Estrella Internal Medicine & Geriatrics Clinic PLC (Dr. Lucia D Magat Gregorio) | N |
| Estrella Specialty Medical Care (Dr. Herminia Herrera-Tan) | 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 |
| 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 |
| Mesa Family Physicians | N |
| M Zuhdi Jasser MD PC | N |
| M & M Medical PC | N |
| Monaliza Setudehnia MD PLLC | N |
| Nestor Nazareno MD PC | N |
| Norterra Family Medicine PLLC | N |
| Ofelia Popluca | N |
| One Life Medical Center (F7 Medical Llc) | N |
| Paragon Medical Associates | 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 |
| Ramon C Pascua MD PLLC (Northwest Family Clinic) | N |
| Richard F Fowler Md Pc | N |
| Sarita S. Sharma, M.D., Internal Medicine P.L.L.C. | N |
| Scottsdale Primary Care PC | N |
| Southwest Internal Medicine Llc | N |
| Satpreet Gill MD | N |
| Sunrise Internal Medicine PC | N |
| Sunrise Medical Associates | N |
| Sunset Family Physicians P.C. | N |
| Surprise Medical Consultants LLC | N |
| The Maxwell Physician Group LLP | N |
| Thompson Medical Group | N |
| Trident Clinical Pllc (Arvind Mahadevan, MD) | N |
| Uvas Family Medicine | N |
| Valley Internal Medicine and Pediatrics PC | N |
| Wabash Medical Associates P C | N |
| Westside Internal Medicine | N |
| Westview Family Medicine | N |
**No participants are involved in a joint venture between ACO professionals and hospitals
ACO Governing Body
| Last Name | First Name | Title/Position | Member's Voting Power | Membership Type | ACO 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 |
| Caplan | Joseph | MD | Voting Mbr | Cardiac Solutions | |
| Fowler | Richard | MD | Voting Mbr | ACO Participant | Richard F Fowler MD Pc |
| Kuhn | Becky | Chief Operating Officer | Voting Mbr | ACO Participant | Banner Health |
| Laraway | Dennis | Treasurer | Voting Mbr | ACO Participant | Banner Health |
| Lehn | Chuck | President | Non-Voting Mbr | ACO Participant | Banner Health Network |
| Owensby | Jerry | MD | Voting Mbr | ACO Participant | Jerry Ellen Owensby, MD PC |
| Rankin | Patrick | MD | Voting Mbr | ACO Participant | Banner Medical Group |
| Ritchie | Thomas | MD | Voting Mbr | ACO Network Representative | Tri-City Cardiology |
| Stalberg | Christoper | MD; Vice President | Voting Mbr | ACO Participant | Christopher Stalberg MD PLLC |
| Udall | Collin | MD; Chair | Voting Mbr | ACO Participant | Paragon Medical Associates PLC |
| Valenzuela | David | MD | Voting Mbr | ACO Participant | Banner Primary Care Physicians Arizona Llc |
| 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. Ed Clarke, Chief Medical Officer
Teresa McMeans, Compliance Officer
Lisa Frank, Quality Assurance/Improvement Officer
Associated Committees and Committee Leadership
Finance & Business Committee, Rick Warren, Chair
Compliance Committee, Teresa McMeans, Chair
MSSP Operations Committee, Kathleen Harris, Chair
Care Management Advisory Committee, Dr. Ed Clarke, 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
First Agreement Period
Performance Year 2017, $0
Shared Savings Distribution
First Agreement Period
Performance Year 2017
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
Quality Performance Results
2017 Quality Performance Results
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 76.75 | 80.6 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 91.62 | 93.13 |
| ACO-3 | CAHPS: Patients' Rating of Provider | 89.75 | 92.31 |
| ACO-4 | CAHPS: Access to Specialists | 78.22 | 83.32 |
| ACO-5 | CAHPS: Health Promotion and Education | 62.28 | 62.3 |
| ACO-6 | CAHPS: Shared Decision Making | 75.74 | 75.85 |
| ACO-7 | CAHPS: Health Status/Functional Status | 72.7 | 73.05 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 25.28 | 25.68 |
| ACO-8 | Risk-Standardized, All Condition Readmission | 14.2 | 15.01 |
| ACO-35 | Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) | 18.29 | 18.46 |
| ACO-36 | All-Cause Unplanned Admissions for Patients with Diabetes | 44.18 | 53.95 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 61.78 | 79.16 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 47.38 | 61.74 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.24 | 1.93 |
| ACO-11 | Use of Certified EHR Technology | 100 | 98.48 |
| ACO-12 | Medication Reconciliation | 88.22 | 75.32 |
| ACO-13 | Falls: Screening for Future Fall Risk | 79.93 | 74.38 |
| ACO-44 | Imaging Studies for Low Back Pain | 80.56 | 67.32 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 80.34 | 72.52 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 71.93 | 72.92 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up | 75.67 | 70.69 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96.25 | 90.48 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 70.52 | 61.98 |
| ACO-19 | Colorectal Cancer Screening | 64.03 | 64.58 |
| ACO-20 | Breast Cancer Screening | 72.53 | 70.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 76.05 | 79.89 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 13.88 | 16.74 |
| ACO-41 | Diabetes: Eye Exam | 53.02 | 50.37 |
| ACO-28 | Hypertension(HTN): Controlling High Blood Pressure | 72.2 | 71.47 |
| ACO-30 | Ischemic Vascular Disease(IVD): Use of Aspirin or Another Antithrombotic | 89.41 | 86.86 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
Note: In the Quality Performance Results file(s) above, search for “Banner Health Network” or “Banner Health Network” to view the quality performance results. This ACO can also be found by using the ACO ID A28661 in the public use files on data.cms.gov.