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	N
Beacon Health, LLC	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 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
Christopher	Hall	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.

 

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	Harley McCoige
Utilization/Quality Committee	Christopher Hall, MD

 

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 2025, N/A

Third Agreement Period

• Performance Year 2024, N/A
• 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, $0

First Agreement Period

• Performance Year 2016, $0
• Performance Year 2015, $0
• Performance Year 2014, $0

 

 

Shared Savings Distribution:

Fourth Agreement Period

 

• 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: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A

• 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 2023
• 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 part

    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.