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 Participants | ACO 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 Name | First Name | Title/Position | Member's Voting Power -Expressed as a percentage or number | Membership Type | ACO 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 Name | Rate | ACO 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