Rocky Mountain Accountable Health Network

(406) 238-6066

ACO Name and Location

Rocky Mountain Accountable Health Network, Inc.
2475 Village Lane
Suite 302
Billings, Montana 59102

Primary Contact Name	Carol Beam
Primary Contact Phone Number	(406) 238-6066
Primary Contact Email Address	cbeam@rmhn.org

Organizational Information

ACO Participants	ACO Participant in Joint Venture
Delta County Memorial Hospital	N
Dr Lu Family Medicine Prof LLC	N
Ear Nose and Throat Associates	N
Eastern Radiological Associates PC	N
Eye Physicians & Surgeons	N
Fuller Family Medicine, PC	N
Good Samaritan Medical Center, LLC	N
Holy Rosary Healthcare	N
Juniper Family Medicine PLLC	N
Kerry Sanchez	N
Mcbride & Mcbride Optometrists, PC	N
Mile High Corneal Specialists PC	N
Montana Allergy, P.L.L.C.	N
Ortho Montana, PSC	N
Ottun Chiropractic, P.C.	N
Platte Valley Internal Medicine & Pulmonary LLC	N
Platte Valley Medical Group LLC	N
Rocky Mountain Eye Surgeons PLLC	N
Saint Joseph Hospital	N
Scl Health Front Range Inc	N
Scl Health Medical Group - Butte LLC	N
Scl Health Medical Group - Denver LLC	N
Scl Health Medical Group - Grand Junction LLC	N
Scl Health Medical Group-Billings, LLC	Y
Scl Health Montana	N
Rocky Mountain Primary Care	N
St James Healthcare	N
St Marys Hospital And Medical Center Inc	N
Surgical Associates, PC	N
Surgone PC	N
Thomas Campbell	N
Uptown Community Health Center Inc	N
Yellowstone Pathologists, P.C.	N
Yellowstone Pathology Institute, Inc.	N
Yellowstone Sports Medicine And Bone & Joint Clinic, LLC	N

ACO Governing Body:

Member			Member's Voting Power- Expressed as a percentage or number	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position		Membership Type
Awtrey, MD	Chris	Board Member	1	ACO Participant Representative	SCL Front Range
Buisker, DO	Elizabeth	Board Member/ACO CMO	1	ACO Participant Representative	SCL Medical Group - Billings, LLC
Chin	Terri	Board Member	1	Medicare Beneficiary Representative	n/a
Fadden	Sean	Board Member	1	ACO Participant Representative	SCL Front Range
Fordham, MD	Janice	Board Member	1	ACO Participant Representative	SCL Medical Group - Billings, LLC
Ives, MD	Martha	Board Member	1	ACO Participant Representative	SCL Physicians-RMPC LLC
Klaus, MD	Michelle	Board Member	1	Non-ACO Participant Representative	N/A
Thurow	Ashley	Board Member	1	ACO Participant Representative	SCL Health Medical Group - Grand Junction
Leonard, DO	Brian	Board Member	1	ACO Participant Representative	SCL Medical Group - Denver
Syphus	Lee	Board Member	1	ACO Participant Representative	SCL Front Range

Key ACO clinical and administrative leadership:

Carol Beam	ACO Executive
Elizabeth Buisker, DO	Medical Director
Melinda Mendoza	Compliance Officer
Elizabeth Buisker, DO	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Governance Committee	Chris Awtrey, MD, Committee Chair
Quality Improvement Committee	Elizabeth Buisker, DO
Participation and Payment Model Committee	Sean Fadden, Committee Chair
Executive Committee	TBD

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

Partnership or joint venture arrangements between hospitals and ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period

Performance Year 2022, $0
Performance Year 2021, $0
Performance Year 2020, $1,091,564.73

Second Agreement Period

Performance Year 2019, $0
Performance Year 2018, $0
Performance Year 2017, $0

First Agreement Period

Performance Year 2016, $0
Performance Year 2015, $0
Performance Year 2014, $0

Shared Savings Distribution

Third Agreement Period

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

Performance Year 2021

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 2020

Proportion invested in infrastructure: 25%
Proportion invested in redesigned care processes/resources: 0%
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

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

First Agreement Period

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

Performance Year 2015

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 2014

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

2022 Quality Performance Results:

CMS Web Interface

ACO#	Measure Name	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control²	6.85	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	83.87	76.97
236	Controlling High Blood Pressure	73.79	76.16
318	Falls: Screening for Future Fall Risk	94.35	87.83
110	Preventative Care and Screening: Influenza Immunization	72.13	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	70.59	79.27
113	Colorectal Cancer Screening	83.06	75.32
112	Breast Cancer Screening	82.66	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.96	86.37
370	Depression Remission at Twelve Months	40.14	16.03
321	CAHPS for MIPS³	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups²	0.1400	0.1510
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)²	30.18	30.97

Please note, the Quality ID#: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years Financial and Quality Performance Results, please visit data.cms.gov.
A lower performance rate corresponds to higher quality.

ACO Participation Waiver

Rocky Mountain Accountable Health Network, Inc. (RMAHN) has entered into the following arrangements related to its participation as an accountable care organization (ACO) in the Medicare Shared Savings Program and that it intends to qualify for the applicable Program Waivers:

A services agreement effective 2/09/2023 between RMAHN and Castell, LLC to provide a range of support services to the ACO and its providers for the benefit of its Medicare patients. The services provided by Castell include patient engagement for scheduling, arranging for preventive care, care coordination with providers, and support with clear and accurate medical record documentation.