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
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 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
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 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