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ACO Medicare

Accountable Care Organization: Medicare

Carina Health Network has been a participant of the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) since 2017, with savings first achieved in 2019. Accountable care organizations (ACOs) participating in MSSP are required to publicly report the following information annually. Learn more about the past four years of savings on the News Page.

ACO Name and Location

Colorado Community Managed Care Network
Trade Name/DBA: Carina Health Network
1212 S Broadway, Suite 200, Denver, CO, 80210, U.S.A.

ACO Primary Contact

Primary Contact NameBrandi Apodaca
Primary Contact Phone Number214-868-6878
Primary Contact Email Addressbrandi.apodaca@carinahealth.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Clinica Campesina Family Health Services

N

COLORADO COALITION FOR THE HOMELESS 

N

DENVER INDIAN HEALTH AND FAMILY SERVICES INC.

N

HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED

N

INNER CITY HEALTH CENTER

N

LA CLINICA TEPEYAC, INC

N

MARILLAC CLINIC, INC.

 N

MOUNTAIN FAMILY HEALTH CENTERS

 N

NORTHWEST COLORADO VISITING NURSE ASSOCIATION

 N

OLATHE COMMUNITY CLINIC INC

 N

PEAK VISTA COMMUNITY HEALTH CENTERS

 N

PUEBLO COMMUNITY HEALTH CENTER INC.

 N

REGENTS OF THE UNIVERSITY OF COLORADO


 N

SALUD FAMILY HEALTH


 N

Southwest Colorado Mental Health Center Inc

 N

Summit Community Care Clinic Inc

 N

SUNRISE COMMUNITY HEALTH

 N

UNCOMPAHGRE COMBINED CLINICS

 N

UPTOWN COMMUNITY HEALTH CENTER INC

N

Valley-Wide Health Systems, Inc

 N

ACO Governing Body:

Member First Name

Member Last Name

Title/PositionMember’s Voting Power – Expressed as a percentage or numberMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable

Andrew

Grimm

Board Member

1

ACO Participant Representative

COLORADO COALITION FOR THE HOMELESS 

Charles

Gilford

Board Member

1

ACO Participant Representative

INNER CITY HEALTH CENTER

Cherise

Callighan

Board member

1

ACO Participant Representative

UPTOWN COMMUNITY HEALTH CENTER INC

Chuck

Porth

Board Member

1

ACO Participant Representative

UNCOMPAHGRE COMBINED CLINICS

Donald

Moore

Past Board President

1

ACO Participant Representative

PUEBLO COMMUNITY HEALTH CENTER INC.

Dustin

Moyer

Board Member

1

ACO Participant Representative

MOUNTAIN FAMILY HEALTH CENTERS

Jaeson

Fournier

Board Member

1

ACO Participant Representative

PEAK VISTA COMMUNITY HEALTH CENTERS 

Jania

Arnoldi

Treasurer

1

ACO Participant Representative

Valley-Wide Health Systems, Inc

Jeremy

Carroll

Board Member

1

ACO Participant Representative

HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED 

Jessica

Anderson

Board Member

1

ACO Participant Representative

REGENTS OF THE UNIVERSITY OF COLORADO

Jim

Garcia

Board Member

1

ACO Participant Representative

LA CLINICA TEPEYAC, INC 

John

Santistevan

Board Member

1

ACO Participant Representative

SALUD FAMILY HEALTH 

Josh

Cogdill

Board Member

1

ACO Participant Representative

Summit Community Care Clinic Inc

Kay

Ramachandran

Board Member

1

ACO Participant Representative

MARILLAC CLINIC, INC.

Kaye

Hotsenpiller

Vice President

1

ACO Participant Representative

OLATHE COMMUNITY CLINIC INC 

Mitzi

Moran

President

1

ACO Participant Representative

SUNRISE COMMUNITY HEALTH

Rachel

Everhart

Board Member

1

Community Stakeholder Representative

N/A

Ross

Brooks

Ex officio Board Member

0

Other

N/A

Santos

Vera

Board Member

1

Community Stakeholder Representative

N/A

Shelly

Burke

Secretary

1

ACO Participant Representative

Southwest Colorado Mental Health Center Inc

Simon

Smith

Board Member

1

ACO Participant Representative

Clinica Campesina Family Health Services

Stephanie

Einfeld

Board Member

1

ACO Participant Representative

NORTHWEST COLORADO VISITING NURSE ASSOCIATION

Dudley

Timothy

Medicare Beneficiary

1

Medicare Beneficiary Representative

N/A

Key ACO Clinical and Administrative Leadership:

Jason GreerACO Executive
Autumn Orser, MDMedical Director
Michele GraingerCompliance Officer
Autumn Orser, MDQuality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Value-Based Care Committee

Brandi Apodaca (Chair)

Value-Based Care Performance Workgroup

Brandi Apodaca (Chair)

Value-Based Care Clinical Workgroup

Autumn Orser, MD (Chair)

Finance Committee

Mark Sandvik (Chair)

Data Privacy and Security Committee and Health Technology Network

Terry Seidel (Chair)

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

  • Networks of individual practices of ACO professionals
  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance year 2026, TBD
    • Performance year 2025, TBD
  • Second Agreement Period
    • Performance year 2024, $8,652,551.74
    • Performance year 2023, $8,471,459.45
    • Performance year 2022, $7,482,313.64
    • Performance year 2021, $5,725,756.88
    • Performance Year 2020, $5,904,939.87
  • First Agreement Period
    • Performance Year 2019, $3,611,668.69
    • Performance Year 2018, $0
    • Performance Year 2017, N/A

Shared Savings Distribution

  • Second Agreement Period
    • Performance year 2024
      • Proportion invested in infrastructure: 5%
      • Proportion invested in redesigned care processes/resources: 31%
      • Proportion of distribution to ACO participants: 64%
    • Performance year 2023
      • Proportion invested in infrastructure: 5%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 60%
    • Performance year 2022
      • Proportion invested in infrastructure: 6%
      • Proportion invested in redesigned care processes/resources: 26%
      • Proportion of distribution to ACO participants: 68%
    • Performance year 2021
      • Proportion invested in infrastructure: 6%
      • Proportion invested in redesigned care processes/resources: 34%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2020
      • Proportion invested in infrastructure: 6%
      • Proportion invested in redesigned care processes/resources: 34%
      • Proportion of distribution to ACO participants: 60%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 6%
      • Proportion invested in redesigned care processes/resources: 34%
      • Proportion of distribution to ACO participants: 60%
    • 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

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #Measure TitleCollection TypePerformance RateCurrent Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey4.986.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims-0.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims-37
318Falls: Screening for Future Fall RiskCMS Web Interface64.3888.99
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface60.868.6
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface85.4279.98
113Colorectal Cancer ScreeningCMS Web Interface63.2177.81
112Breast Cancer ScreeningCMS Web Interface63.5280.93
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface93.2386.5
370Depression Remission at Twelve MonthsCMS Web Interface15.3217.35
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface16.69.44
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface98.1881.46
236Controlling High Blood PressureCMS Web Interface72.579.49
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey73.6683.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey90.3893.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey90.0492.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey69.5775.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey68.765.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey62.362.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey67.8174.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey84.5185.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey92.3392.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey38.1626.98

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

For Previous Years’ Financial and Quality Performance Results, please visit https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results.

1212 S Broadway, Suite 200
Denver, CO 80210
720.925.5280

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