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, LLC |
N |
Beacon Health Ventures, Inc |
N |
Beacon Medical Group, Inc. |
N |
Community Hospital of Bremen, Inc |
N |
Elkhart General Hospital, Inc |
N |
Memorial Hospital of South Bend |
N |
South Bend Emergency Physicians, Inc |
N |
South Bend Medical Foundation, Inc. |
N |
ACO Governing Body:
Member |
Member |
Member Title/Position |
Member’s Voting Power (Expressed as a percentage) |
Membership Type |
ACO Participant Legal Business Name, if applicable |
Ronald |
Nelson, MD |
Chairman |
14%
|
ACO Participant Representative |
Beacon Medical Group |
Carl |
Risk |
Vice Chairman |
14%
|
ACO Participant Representative |
Elkhart General Hospital |
Scott |
Eshowsky, MD |
Secretary |
14% |
ACO Participant Representative |
Beacon Medical Group |
Dale |
Patterson, MD |
Voting Member |
14% |
ACO Participant Representative |
Beacon Medical Group |
Mark |
Schmeltz, DO |
Voting Member |
14% |
ACO Participant Representative |
Beacon Medical Group |
Sam |
El-Dalati, MD |
Voting Member |
14% |
ACO Participant Representative |
Beacon Medical Group |
Sandra |
Brown, MD |
Treasurer |
14% |
ACO Participant Representative |
Beacon Medical Group |
Cheryl |
Wibbens, MD |
Member |
NA |
Community Stakeholder representative |
Memorial Hospital South Bend |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Barbara Garrett
Medical Director: Christopher Hall, MD
Compliance Officer: Warren Mattson
Quality Assurance/Improvement Officer: Barbara Garrett
Associated Committees and Committee Leadership:
Committee Name |
Committee Leader Name and Position |
Finance and Contracting Committee |
Jeff Costello, Chair |
Utilization/Quality Committee |
Christopher Hall, MD, Chair |
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:
Third Agreement Period
- Performance Year 2023, $3,508,762.00
- Performance Year 2022, $3,198,018.27
- 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, $0
First Agreement Period
- Performance Year 2016, $0
- Performance Year 2015, $0
- Performance Year 2014, $0
Shared Savings Distribution:
Third Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2022
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2021
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2020
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- 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/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2014
- 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
2023 Quality Performance Results are based on CMS Web Interface:
ACO# |
Measure Name |
Rate |
ACO Mean |
CAHPS-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
83.39 |
83.41 |
CAHPS-2 |
CAHPS: How Well Your Providers Communicate |
91.25 |
94.08 |
CAHPS-3 |
CAHPS: Patients’ Rating of Provider |
90.17 |
92.49 |
CAHPS-4 |
CAHPS: Access to Specialists |
76.54 |
75.33 |
CAHPS-5 |
CAHPS: Health Promotion and Education |
56.78 |
64.11 |
CAHPS-6 |
CAHPS: Shared Decision Making |
57.85 |
61.77 |
CAHPS-7 |
CAHPS: Health Status/Functional Status |
77.72 |
74.49 |
CAHPS-8 |
CAHPS: Care Coordination |
83.84 |
86.19 |
CAHPS-9 |
CAHPS: Courteous and Helpful Office Staff |
91.94 |
92.62 |
CAHPS-11 |
CAHPS: Stewardship of Patient Resources |
26.49 |
26.24 |
479 |
Risk Standardized, All Condition Readmission |
.1480 |
.1553 |
484 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
45.98 |
35.39 |
318 |
Falls: Screening for Future Fall Risk |
85.66 |
89.42 |
370 |
Depression Remission at Twelve Months |
3.00 |
16.58 |
110 |
Preventative Care and Screening: Influenza Immunization |
56.02 |
70.76 |
226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
66.67 |
79.29 |
134 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
79.41 |
80.97 |
113 |
Colorectal Cancer Screening |
72.76 |
77.14 |
112 |
Breast Cancer Screening |
83.90 |
80.36 |
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
86.85 |
87.05 |
001 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
9.35 |
9.84 |
236 |
Hypertension (HTN): Controlling High Blood Pressure |
71.76 |
77.80 |
Please note, the Quality ID #: 370 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:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.