CHA ACO, LLC

ACO Name and Location

CHA ACO, LLC

3245 Health Dr, Suite 100

Granger, IN 46530

ACO Primary Contact

Barbara Garrett

574-647-1845

bgarrett@beaconhealthsystem.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Beacon Health Ventures, Inc	No
Beacon Health, LLC	No
Beacon Medical Group, Inc.	No
Community Hospital of Bremen, Inc	No
Elkhart General Hospital, Inc	No
Memorial Hospital of South Bend	No
South Bend Emergency Physicians, Inc	No
South Bend Medical Foundation, Inc.	No

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member’s Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Carl	Risk	Chairman	14.3%	ACO Participant Representative	Elkhart General Hospital, Inc.
Cheryl	Wibbens	Voting	14.2%	Medicare Beneficiary Representative	N/A
Keyna	Martinez	Medical Director	0%	ACO Participant Representative	Beacon Medical Group, Inc.
Dale	Patterson, MD	Voting Member	14.3%	ACO Participant Representative	Beacon Medical Group, Inc.
Mark	Schmeltz, DO	Secretary	14.3%	ACO Participant Representative	Beacon Medical Group, Inc.
Sam	El-Dalati, MD	Voting	14.3%	ACO Participant Representative	Beacon Medical Group, Inc.
Sandra	Brown, MD	Treasurer	14.3%	ACO Participant Representative	Beacon Medical Group, Inc.
Scott	Eshowsky	Vice Chairman	14.3%	ACO Participant Representative	Beacon Medical Group, Inc.

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Barbara Garrett

Medical Director: Keyna Martinez

Compliance Officer: Christine Atkins

Quality Assurance/Improvement Officer: Barbara Garrett

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Finance and Contracting Committee	Harley McCoige, Chairman
Utilization/Quality Committee	Keyna Martinez, MD, Medical Director

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

ACO professionals in a group practice arrangement
Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Fourth Agreement Period

Performance Year 2026, N/A
Performance Year 2025, N/A

Third Agreement Period

Performance Year 2024, $3,718,440.27
Performance Year 2023, $3,508,762.61
Performance Year 2022, $3,198,018.00
Performance Year 2021, $2,628,311.92
Performance Year 2020, $4,679,204.50

Second Agreement Period

Performance Year 2019, $3,397,662.59
Performance Year 2018, $0
Performance Year 2017, N/A

First Agreement Period

Performance Year 2016, N/A
Performance Year 2015, N/A
Performance Year 2014, N/A

Shared Savings Distribution:

Fourth Agreement Period

Performance Year 2026
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance Year 2025
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Third Agreement Period

Performance Year 2024
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:

Performance Year 2023
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2022
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2021
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2020
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:

Second Agreement Period

Performance Year 2019
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
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

First Agreement Period

Performance Year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Performance Year 2015

Proportion invested in infrastructure: N/A

Proportion invested in redesigned care processes/res

Quality Performance Results

2024 Quality Performance Results are based on CMS Web Interface:

ACO#	Measure Name	Rate	ACO Mean
CAHPS-1	CAHPS: Getting Timely Care, Appointments, and Information	86.15	83.70
CAHPS-2	CAHPS: How Well Your Providers Communicate	93.71	93.96
CAHPS-3	CAHPS: Patients’ Rating of Provider	93.08	92.43
CAHPS-4	CAHPS: Access to Specialists	78.87	75.76
CAHPS-5	CAHPS: Health Promotion and Education	59.51	65.48
CAHPS-6	CAHPS: Shared Decision Making	67.53	62.31
CAHPS-7	CAHPS: Health Status/Functional Status	76.60	74.14
CAHPS-8	CAHPS: Care Coordination	85.58	85.89
CAHPS-9	CAHPS: Courteous and Helpful Office Staff	94.76	92.89
CAHPS-11	CAHPS: Stewardship of Patient Resources	29.97	26.98
321	CAHPS for MIPS	7.59	6.67
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	0.1537	0.1517
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	-	37.00
318	Falls: Screening for Future Fall Risk	83.25	88.89
110	Preventative Care and Screening: Influenza Immunization	51.67	68.60
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	75.00	79.98

113	Colorectal Cancer Screening	74.03	77.81
112	Breast Cancer Screening	81.02	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.70	86.50
370	Depression Remission at Twelve Months	13.27	17.35
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	9.91	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	78.14	81.46
236	Controlling High Pressure	70.40	79.49

For previous years’ financial and quality performance results, please visit data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day,

All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple

Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure

performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple

Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying

Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and

ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs

may not be representative of the care provided by these ACOs' providers overall. Additionally, many of

these ACOs do not have a performance rate calculated due to not meeting the minimum of 18

beneficiaries attributed to non-QP providers.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.