MSSP ACO Public Report

MSSP ACO Public Report

ACO Name and Location
Iowa Health Centers for Accountability – West, LLC; d/b/a IowaHealth+
500 SW 7th Street, Suite 300
Des Moines, IA 50309

Primary Contact
Tory Schrock
515-349-1926


ACO Participants

ACO Participants

ACO Participant in Joint Venture

Community Health Centers of Southern Iowa

N

Eastern Iowa Health Center

N

All Care Health Center

N

Crescent Community Health Center

N

Community Health Centers of Southeastern Iowa, Inc.

N

Community Health Center of Fort Dodge, Inc.

N

Primary Health Care, Inc.

N

Peoples Community Health Clinic, Inc.

N

Greater Sioux Community Health Center, Inc.

N

River Hills Community Health Center, Inc.

N

Siouxland Community Health Center

N

 

ACO Governing Body

Governing body members

Board Position

Member's Voting Power

Membership Type

ACO participant Legal Business Name

Joe Lock

Chair

7.692% 

ACO Participant Representative

Eastern Iowa Health Center

Emily Tuschen

Vice Chair

7.692% 

ACO Participant Representative

  Crescent Community Health Center

Kyle Ahlenstorf

Secretary

7.692% 

ACO Participant Representative

Promise Community Health Center

Mark Donaldson

Member

7.692% 

ACO Participant Representative

Siouxland Community Health Center

Antonio Flores

Member

7.692% 

ACO Participant Representative

Community Health Centers of Southeastern Iowa, Inc.

Renae Kruckenberg

Member

7.692% 

ACO Participant Representative

Community Health Center of Fort Dodge, Inc.

Nathan Simpson

Member

7.692% 

ACO Participant Representative

Primary Health Care, Inc.

Chris Kemp

Member

7.692% 

ACO Participant Representative

Peoples Community Health Clinic, Inc.

Joel Dougherty

Member

7.692% 

ACO Participant Representative

All Care Health Center

Joy Alexander

Member

7.692% 

ACO Participant Representative

River Hills Community Health Center, Inc.

Kyle Ahlenstorf

Member

7.692% 

ACO Participant Representative

Community Health Centers of Southern Iowa 

Aaron Todd

Member

7.692% 

Voting Partner

N/A

William Schoenenberger

Member

7.692% 

Medicare Beneficiary Representative

N/A

Michael Piplani, MD

Chief Medical Officer

0%

Non-Voting Employee of the Board

Siouxland Community Health Center

 

Key ACO Clinical and Administrative Leadership
ACO Executive: Aaron Todd

Medical Director: Dr. Michael Piplani

Compliance Officer: Erica Shannon Stueve

Quality Assurance/Improvement Officer: Rachel Ashman

 

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Clinical Quality Committee

Dr. Michael Piplani, Chief Medical Officer

Consumer Advisory Committee

 Emily Tuschen, Vice Chair

 

Finance Committee

  Joe Lock, Chair

 

Types of ACO Participants or Combinations of ACO Participants (as listed in § 425.102(a)) that Formed the ACO

  • Federally Qualified Health Center (FQHC)

 

Shared Savings and Losses

Amount of Shared Savings and Losses

  • Fourth Agreement Period
    • Performance Year 2025, N/A
  • Third Agreement Period
    • Performance Year 2024, N/A
  • Second Agreement Period
    • Performance Year 2023, $1,349,439.00 in Shared Savings
  • First Agreement Period
    • Performance Year 2022, $1,147,821.07 in Shared Savings

 

Shared Savings Distribution:

  • Fourth Agreement Period
    • Performance Year 2025
      • Proportion invested in infrastructure: TBD%
      • Proportion invested in redesigned care processes/resources: TBD%
      • Proportion of distribution to ACO participants: TBD%
  • Third Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: TBD%
      • Proportion invested in redesigned care processes/resources: TBD%
      • Proportion of distribution to ACO participants: TBD%
  • Second Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 23%
      • Proportion of distribution to ACO participants: 47%
  • First Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 27%
      • Proportion of distribution to ACO participants: 38%

 

Quality Performance Results

2023 Quality Performance Results: 

Quality performance results will be based on CMS Web Interface

Measure # Measure Name Collection Type Rate ACO Mean

Quality ID# 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

CMS Web Interface

16.40

9.84

Quality ID# 134

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

CMS Web Interface

 80.78 80.97

Quality ID# 236

Controlling High Blood Pressure

CMS Web Interface

 70.11 77.80

Quality ID# 318

Falls: Screening for Future Fall Risk

CMS Web Interface

 30.09 89.42

Quality ID# 110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

 53.94 70.76

Quality ID# 226

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

CMS Web Interface

 67.92 79.29

Quality ID# 113

Colorectal Cancer Screening

CMS Web Interface

 62.31 77.14

Quality ID# 112

Breast Cancer Screening

CMS Web Interface

 60.47 80.36

Quality ID# 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

 84.75 87.05

Quality ID# 370

Depression Remission at Twelve Months

CMS Web Interface

 7.14 16.58

Quality ID# 321

CAHPS for MIPS [3]

CAHPS for MIPS

 6.07 6.25

Measure# 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

Administrative Claims

 0.1412 0.1553

Measure# 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

Administrative Claims

 N/A 35.39

[1] A lower performance rate corresponds to higher quality.

[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.

[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256). Refer to Table 5 for details on CAHPS for MIPS performance.

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov

Use of Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: NO
    • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612
  • Waiver for Payment for Telehealth Services: NO
    • Our ACO is not an applicable ACO under 42 CFR § 425.613

Information About a Beneficiary Incentive Program

Our ACO has not established a beneficiary incentive program.