Caravan Health ACO 43, LLC

Caravan Health ACO 43, LLC

An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

An Accountable Care Organization (ACO) committed to improving patient outcomes through elevated value-based care.

ACO Name and Location
ACO Name and Location

Caravan Health ACO 43, LLC
20 Burton Hills Blvd, Nashville, TN 37215

ACO Primary Contact
ACO Primary Contact

Kristine Miller
Phone: (916) 542-4568
Email: krmiller@wellvana.com

Organizational Information:

Organizational Information:

ACO Participants:

ACO Governing Body:

ACO Governing Body:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

Key ACO Clinical and Administrative Leadership:

ACO Executive: Aria Sameni

ACO Executive: Aria Sameni

Medical Director: Dr. Randy Tartacoff

Medical Director: Dr. Randy Tartacoff

Compliance Officer: Kristen McKenna

Compliance Officer: Kristen McKenna

Quality Assurance/Improvement Officer: Kristin Kohl

Quality Assurance/Improvement Officer: Kristin Kohl

Associated Committees and Committee Leadership:

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

N/A

N/A

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

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

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

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

  • ACO professionals in a group practice arrangement

  • Networks of individual practices of ACO professionals

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

  • Critical Access Hospital (CAH) billing under Method II

  • Rural Health Clinic (RHC)

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Shared Savings and Losses:

Amount of Shared Savings/Losses:

Amount of Shared Savings/Losses:

  • First Agreement Period

    • Performance Year 2026, N/A

    • Performance Year 2025, N/A

    • Performance Year 2024, $12,385,048.67

    • Performance Year 2023, $0.00

    • Performance Year 2022, $0.00

Shared Savings Distribution:

Shared Savings Distribution:

Shared Savings Distribution:

Shared Savings Distribution:

Shared Savings Distribution:

Shared Savings Distribution:

  • First Agreement Period

    • Performance Year 2026

      • 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 2025

      • 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 2024

      • Proportion invested in infrastructure:

      • Proportion invested in redesigned care processes/resources:

      • Proportion of distribution to ACO participants:

    • Performance Year 2023

      • 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 2022

      • 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

Quality Performance Results

2024 Quality Performance Results: *Quality performance results are based on CMS Web Interface. For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Measure #

Measure Name

Collection Type

Rate

ACO Mean

321

CAHPS for MIPS

CAHPS for MIPS Survey

8.31

6.67

479^

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1419

0.1517

484^

Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)

Administrative Claims

35.52

37

318

Falls: Screening for Future Fall Risk

CMS Web Interface

78.89

88.99

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

59.84

68.6

226

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

CMS Web Interface

55.56

79.98

113

Colorectal Cancer Screening

CMS Web Interface

70.14

77.81

112

Breast Cancer Screening

CMS Web Interface

77.62

80.93

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

81.38

86.5

370

Depression Remission at Twelve Months

CMS Web Interface

17.54

17.35

001^

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

6.61

9.44

134

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

CMS Web Interface

67.55

81.46

236

Controlling High Blood Pressure

CMS Web Interface

74.32

79.49

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

86.71

83.7

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.11

93.96

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

93

92.43

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

79.81

75.76

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

64.08

65.48

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

66.14

62.31

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

74.18

74.14

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

85.63

85.89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

95.67

92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

33.71

26.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

^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.

Payment Rule Waivers:

Payment Rule Waivers:

Payment Rule Waivers:

Payment Rule Waivers:

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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