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Central Minnesota ACO, LLC

Central Minnesota ACO, LLC Public Reporting

ACO Name and Location:

Central Minnesota ACO, LLC.
1406 Sixth Avenue N.
St. Cloud, MN 56303

ACO Primary Contact

Kathy Parsons
(320) 656-7060
Parsons@centracare.com

Organizational Information

ACO Participants:

  • ACO Participants
  • ACO Participant in Joint Venture
  • St. Cloud Hospital
  • N
  • Tri-County Hospital Inc.
  • N
  • Unity Family Healthcare
  • N
  • St. Cloud Ear, Nose & Throat Clinic, PA
  • N
  • St Cloud Hospital (St. Benedict's Senior Community)
  • N
  • Douglas County Hospital (Alomere Health)
  • N
  • CentraCare Health System - Melrose
  • N
  • CentraCare Health System - Long Prairie
  • N
  • CentraCare Health System - Sauk Centre
  • N
  • CentraCare Health System - NR, LLC
  • N
  • CentraCare Health - Paynesville, LLC
  • N
  • CentraCare Clinic
  • N
  • Carris Health, LLC
  • N
  • CentraCare Clinic Southwest, LLC
  • N

ACO Governing Body:

  • Member Last Name
  • Member First Name
  • Member's Title/Position
  • Member's Voting Power (Expressed as a Percentage or Number)
  • Membership Type
  • ACO Participant Legal Business Name/DBA, if Applicable
  • Amon
  • Mary
  • MD
  • 1
  • ACO Participant Representative
  • CentraCare Clinic Southwest, LLC
  • Beiswenger
  • Joel
  • CEO
  • 1
  • ACO Participant Representative
  • Tri-County Hospital, Inc.
  • Avery
  • Karilyn
  • MD
  • 1
  • ACO Participant Representative
  • Unity Family Healthcare
  • Blonski
  • Joe
  • MD
  • 1
  • ACO Participant Representative
  • CentraCare Health System
  • Cragle
  • Stephen
  • MD
  • 1
  • ACO Participant Representative
  • St. Cloud Ear, Nose and Throat Clinic, PA
  • Juba
  • Allison
  • DO
  • 1
  • ACO Participant Representative
  • Douglas County Hospital/
    Alomere Health
  • Lesch
  • Rachael
  • Executive Dir., QI & Population Health
  • 1
  • ACO Participant Representative
  • CentraCare Health System
  • Flowe
  • Ken
  • MD
  • 1
  • ACO Participant Representative
  • Carris Health, LLC
  • Roth
  • Greg
  • 1
  • Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership:

ACO Executive: Kathy Parsons
Medical Director: Scott Rahm, MD
Compliance Officer: Lois Schmitt
Quality Assurance/Improvement Officer: Rachael Lesch, RN

Associated Committees and Committee Leadership:

  • Committee Name
  • Committee Leader Name and Position
  • Clinical Practice and Quality Committee
  • Rachael Lesch, RN, Chair
  • Contracting and Finance Committee
  • Stephen Cragle, MD, Chair
  • Membership and Credentialing Committee
  • Joe Blonski, MD, Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO

  • Critical Access Hospital (CAH) billing under Method II
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year, 2020, $6,589,778.79
    • Performance Year, 2019, $1,919,815.65
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%
    • Performance Year 2019
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019

  • 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
    • 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
    • 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

Quality Performance Results

2020 Quality Performance Results:

  • ACO Quality Measure Number
  • Measure Name
  • Rate
  • ACO Mean
  • ACO-43
  • Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
  • 0.76
  • 0.95
  • ACO-13
  • Falls: Screening for Future Fall Risk
  • 92.75
  • 84.97
  • ACO-14
  • Preventive Care and Screening: Influenza Immunization
  • 80.84
  • 76.03
  • ACO-17
  • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
  • 66.10
  • 81.67
  • ACO-18
  • Preventive Care and Screening: Screening for Depression and Follow-up Plan
  • 74.12
  • 71.46
  • ACO-19
  • Colorectal Cancer Screening
  • 89.30
  • 72.59
  • ACO-20
  • Breast Cancer Screening
  • 86.00
  • 74.05
  • ACO-42
  • Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
  • 76.41
  • 83.37
  • ACO-27
  • Diabetes Mellitus: Hemoglobin A1c Poor Control
  • 11.68
  • 14.70
  • ACO-28
  • Hypertension (HTN): Controlling High Blood Pressure
  • 76.62
  • 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 & 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 Years' Financial and Quality Performance Results, please visit data.cms.gov.