MSSP


ACO Name and Location

Banner Health Network
Previous Names: N/A
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
Adam S Nally DO PC N
Advent Internal Medicine PLLC N
Affiliated Internal Medicine Associates LLC N
Alfonso A Tan MD PC N
Anne-Marie Reed Do PLLC N
Antonio T Uvas PLLC N
Antonio V Yu Jr MD PC N
Apex Internal Medicine PC N
Arizona Internal Medicine Associates LLC N
Arizona Preferred Primary Care 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
Cental 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 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 Specialty Medical Care PC N
F7 Medical LLC N
Family First Physicians PLLC N
G & K Medical Associates PC 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
Jones Family Medicine & Pain Centers PLLC N
Kachina Family Practice N
Karen Leber N
Kyrene Internal Medicine PLLC N
M & M Medical PC N
Maxwell Group N
Medcubed PLLC N
Mesa Family Physicians PLC N
Monaliza Setudehnia MD PLLC N
Nestor N Nazareno MD PC N
Norterra Family Medicine PLLC N
Ofelia Popluca N
Paragon Medical Associates PLC 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
Ramon C Pascua MD PLLC 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

 

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

 

ACO Governing Body

 

Last NameFirst NameTitle/PositionMember's Voting Power -Expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if Applicable
Bessel Marjorie Chief Clinical Officer & Physician 1 ACO Participant Representative Banner Health
Kuhn Becky Banner Chief Operating Officer 1 ACO Participant Representative Banner Health
Laraway Dennis Banner Chief Financial Officer 1 ACO Participant Representative Banner Health
Werner Todd Banner President AZ Community Delivery 1 ACO Participant Representative Banner Health
Anderson Matt BMG Division Medical Director & Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Zismann Nancy BMG Chief Clinical Services Officer 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Rankin Patrick BMG CEO & Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Valenzuela David BMG AZ East Admin Region Clinici and Physician 1 ACO Participant Representative Banner Primary Care Physicians Arizona LLC
Stalberg Christopher Physician (NPA) 1 ACO Participant Representative Christopher Stalberg MD PLLC
Owensby Jerry Physician (NPA) 1 ACO Participant Representative Jerry Ellen Owensby MD PC
Caplan Joseph Physician (NPA) 1 Other Joseph A Caplan MD PC DBA Cardiac Solutions
Piette Randy Physician (NPA) 1 ACO Participant Representative Maxwell Group
Udall Collin Physician (NPA) 1 ACO Participant Representative Paragon Medical Associates PLC
Fowler Richard Physician (NPA) 1 ACO Participant Representative Richard F Fowler MD PC
Ritchie Thomas Physician (NPA) 1 Other Tri-City Cardiology
Key Clinical and Administrative Leadership 

Chuck Lehn, ACO Executive

Ed Clarke, M.D., Chief Medical Officier

Kristina Corlette, Compliance Officer

Sandra Robles-Caraveo, Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Finance & Business Committee, Rick Warren, Chair

Compliance Committee, Kristina Corlette, Interim Compliance Officer

MSSP Operations Committee, Kathleen Harris, Chair

Care Management Advisory Committee, Dr. Ed Clarke, Chair

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

• Partnerships or joint venture arrangements between hospitals and ACO professionals

 

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 NameRateACO 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.

Payment Rule Waivers

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