CHA ACO, LLC

ACO Name and Location

CHA ACO, LLC

3245 Health Dr, Suite 100

Granger, IN 46530

Barbara Garrett

574-647-1845

bgarrett@beaconhealthsystem.org

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

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
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

ACO Executive: Barbara Garrett

Medical Director: Christopher Hall, MD

Compliance Officer: Warren Mattson

Quality Assurance/Improvement Officer: Barbara Garrett

Committee Name	Committee Leader Name and Position
Finance and Contracting Committee	Jeff Costello, Chair
Utilization/Quality Committee	Christopher Hall, MD, Chair

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

Third Agreement Period

Performance year 2023
Performance Year 2022 $3,198,018.27
- Performance Year 2021, $2,628,311.92
- Performance Year 2020, $4,679,204.50

Second Agreement Period

First Agreement Period

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

2022 Quality Performance Results are based on CMS Web Interface:

ACO#	Measure Name	Rate	ACO Mean
CAHPS-1	CAHPS: Getting Timely Care, Appointments, and Information	86.37	84.14
CAHPS-2	CAHPS: How Well Your Providers Communicate	94.52	93.50
CAHPS-3	CAHPS: Patients’ Rating of Provider	93.43	92.10
CAHPS-4	CAHPS: Access to Specialists	77.91	76.84
CAHPS-5	CAHPS: Health Promotion and Education	59.28	62.70
CAHPS-6	CAHPS: Shared Decision Making	66.90	61.06
CAHPS-7	CAHPS: Health Status/Functional Status	73.55	73.12
CAHPS-8	CAHPS: Care Coordination	87.37	85.52
CAHPS-9	CAHPS: Courteous and Helpful Office Staff	92.21	92.00
CAHPS-11	CAHPS: Stewardship of Patient Resources	32.61	25.65
479	Risk Standardized, All Condition Readmission	.1369	.1510
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	36.08	33.99
318	Falls: Screening for Future Fall Risk	84.88	87.83
370	Depression Remission at Twelve Months	10.89	16.03
110	Preventative Care and Screening: Influenza Immunization	65.39	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	80.00	80.97

134	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	82.40	76.97
113	Colorectal Cancer Screening	72.25	75.32
112	Breast Cancer Screening	77.45	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.02	86.37
001	Diabetes Mellitus: Hemoglobin A1c Poor Control	11.15	10.71
236	Hypertension (HTN): Controlling High Blood Pressure	70.09	76.16

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.