CHA ACO, LLC

 

ACO Name and Location

CHA ACO, LLC

Previous Names: N/A

3245 Health Dr. Suite 100
Granger, IN 46530

ACO Primary Contact

Primary Contact Name	Barb Garrett
Primary Contact Phone Number	574-647-1845
Primary Contact Email Address	bgarrett@beaconhealthsystem.org

Organizational Information

ACO Participants:

 

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Beacon Health Ventures Michigan, Inc.	N
COMMUNITY HOSPITAL OF BREMEN INC	N
Memorial Hospital of South Bend,Inc	N
South Bend Medical Foundation, Inc	N
Elkhart General Hospital, Inc	N
Beacon Medical Group, Inc.	N
Beacon Health Ventures Inc	N
Beacon Health LLC	N
Franciscan Beacon Hospital	Y

 

ACO Governing Body:

Member			Member's Voting Power - Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position
Nelson, M.D.	Ronald	Chairman	1	ACO participant representative	Beacon Medical Group
Risk	Carl	Vice Chairman	1	ACO participant representative	Elkhart General Hospital
Eshowsky, M.D.	Scott	Secretary	1	ACO participant representative	Beacon Medical Group
Patterson, MD	Dale	Voting Member	1	ACO participant representative	Beacon Medical Group
Schmeltz, D.O.	Mark	Voting Member	1	ACO participant representative	Beacon Medical Group
El-Dalati, M.D.	Sam	Voting Member	1	ACO participant representative	Beacon Medical Group
Brown, M.D.	Sandra	Treasurer	1	ACO Participant representative	Beacon medical Group
Wibbens, MD	Cheryl		1	Community Stakeholder representativ

Key ACO Clinical and Administrative Leadership:

Barb Garrett	ACO Executive
Christopher Hall	Medical Director
Warren Mattson	Compliance Officer
Barb Garrett	Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Finance and Contracting Committee	Jeff Costello, Chair
Utilization / Quality Committee	Ngan Van, M.D., 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

• Second Agreement Period
• • Performance Year 2022 $ 3,198,018.27
  • Performance Year 2021, $2,628,311.92
  • Performance Year 2020, $4,679,204.50
  • 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

• Second Agreement Period
  • 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%
  • 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

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.