Medicare ACO

Idaho's congressional districts

ACO NAME & LOCATION

Community Health Center Network of Idaho, LLC
1087 W. River Street, Suite 160
Boise, ID 83702

ACO PRIMARY CONTACT

Moriah Nelson
Phone: 208-898-3824
Email: mnelson@idahopca.org


 

ORGANIZATIONAL INFORMATION

 

ACO PARTICIPANTS

ACO ParticipantsACO Participant in Joint Venture
Adams County Health Center, Inc. Y/N
Challis Area Health Center Y/N
Community Council of Idaho, Inc. (Community Family Clinic) Y/N
Community Health Association of Spokane (CHAS Health) Y/N
Family Health Services Corporation Y/N
The Family Medicine Residency of Idaho, Inc. Y/N
Glenns Ferry Health Center, Inc. (Desert Sage Health Centers) Y/N
Upper Valley Community Health Services, Inc. (Grand Peaks Medical and Dental) Y/N
Health West, Inc. Y/N
Dirne Health Centers, Inc. (Heritage Health) Y/N
Boundary Regional Community Health Center, Inc. (Kaniksu Community Health) Y/N
Benewah Medical Center (Marimn Health) Y/N
Community Health Clinics, Inc. (Terry Reilly Health Services) Y/N
Valley Family Health Care, Inc. Y/N

 

 

ACO GOVERNING BODY

Member
Last Name
Member
First Name
Member
Title/Position
Member's
Voting Power
Membership
Type
ACO Participant Legal
Business Name & D/B/A
Kim Smith Chief Executive Officer 1 ACO Participant Representative Adams County Health Center, Inc.
Steve Rembelski Chief Executive Officer 1 ACO Participant Representative Challis Area Health Center
Arnold Cantu Clinic Administrator 1 ACO Participant Representative Community Council of Idaho, LLC
(Community Family Clinic)
Aaron Wilson Chief Executive Officer 1 ACO Participant Representative Community Health Association of Spokane
(CHAS Health)
Aaron Houston Chief Executive Officer 1 ACO Participant Representative Family Health Services Corporation
Ted Epperly Chief Executive Officer 1 ACO Participant Representative Family Medicine Residency of Idaho, Inc.
Mary Ferguson Chief Executive Officer 1 ACO Participant Representative Glenns Ferry Health Center, Inc.
(Desert Sage Health Centers)
Lori Sessions Chief Executive Officer 1 ACO Participant Representative Upper Valley Community Health Services, Inc.
(Grand Peaks Medical & Dental)
Michael Baker Chief Executive Officer 1 ACO Participant Representative Dirne Health Centers, Inc.
(Heritage Health)
Kevin Knepper Chief Executive Officer 1 ACO Participant Representative Boundary Regional Community Health Center, Inc.
(Kaniksu Community Health)
Janice Jordan Chief Executive Officer 1 ACO Participant Representative Benewah Medical Center
(Marimn Health)
Heidi Hart Chief Executive Officer 1 ACO Participant Representative Community Health Clinics, Inc.
(Terry Reilly Health Services)
Tim Heinze Chief Executive Officer 1 ACO Participant Representative Valley Family Health Care, Inc.
Denise Chuckovich Beneficiary 1 Medicare Beneficiary Representative N/A
David Garrett Board Member 1 Community Stakeholder Representitive N/A

 


 

KEY CLINICAL & ADMINISTRATIVE LEADERSHIP

  • ACO Executive: David Garrett
  • Medical Director: Andrew Baron
  • Compliance Officer: Luke Malek
  • Quality Assurance/Improvement Officer: Susan Ault

 

ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP

Committee NameCommittee Leader Name & Position
Quality & Clinical Informatics Susan Ault, Quality Assurance/Improvement Officer
Utilization Review Andrew Baron, MD, Medical Director
Finance Mary Ferguson, Board Member

 


 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2020, $2,517,896
  • Second Agreement Period
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2018, $0

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 75%
  • Second Agreement Period
    • Performance Year 2019
      • 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 2018
      • 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

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

N/A

N/A

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

7.4

0.95

ACO-13

Falls: Screening for Future Fall Risk

64.13

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

58.8

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

87.72

81.67

ACO-18

Preventive Care and Screening: Screening for Depression and Follow-up Plan

80.07

71.76

ACO-19

Colorectal Cancer Screening

64.74

72.59

ACO-20

Breast Cancer Screening

60.51

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.65

83.37

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

15.91

14.7

ACO-28

Controlling High Blood Pressure

75

72.87

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare and Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures. 

For previous year's financial and quality performance results, please visit data.cms.gov.


 

Payment Rule Waivers

  • 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.