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 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 |
| 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 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 |
|---|---|---|---|---|---|
| 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 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.