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
Montana Allergy, PLLC	N
Ottun Chiropractic, PC	N
SCL Health Medical Group-Billings, LLC	Y
Billings Family Chiropractic, Inc	N
Eye Physicians & Surgeons	N
Ear Nose and Throat Associates	N
McBride & McBride Optometrists, PC	N
Yellowstone Pathologists, PC	N
BILLINGS OB/GYN ASSOCIATES, PC	N
Kerry Sanchez	N
Yellowstone Pathology Institute, Inc.	N
Yellowstone Sports Medicine and Bone & Joint Clinic, LLC	N
Holy Rosary Healthcare	N
SCH Health Medical Group- Butte LLC	N
SCL Health Montana	N
St James Healthcare	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
Alderfer	Jen	Board Chair	1	Other - SCL Montana Region President	N/A
Sears, MD	Scott	Treasurer	1	AOC Participant Representative	SCL Health Medical Group-Billings, LLC
Hagan, MD	Michael	Secretary	1	ACO Participant Representative	SCL Health Medical Group-Billings, LLC
Zavala, MD	Jeff	Medical Director	1	ACO Participant Representative	SCL Health Medical Group-Billings, LLC
Demars	Sean	Board Member	1	ACO Participant Representative	Ear Nose and Throat Associates
Phillips, MD	William	Board Member	1	ACO Participant Representative	SCL Health Medical Group-Billings, LLC
Peet	Walter	Medicare Beneficiary	1	Medicare Beneficiary Representative	N/A
Lebsock, OD	Shawn	Board Member	1	ACO Participant Representative	Drs. McBride & McBride Optometrists, PC
Nynas, DC	Marcus	Board Member	1	ACO Participant Representative	Billings Family Chiropractic

Key ACO clinical and administrative leadership:

Carol Beam	ACO Executive
Jeffery Zavala, MD	Medical Director
Joanne Davidson	Compliance Officer
Jeffery Zavala, MD	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Quality Committee	Jeffrey Zavala, MD, Committee Chair
Compliance Committee	Joanne Davidson, Committee Chair
Finance Committee	Dale Squires, Committee Chair

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 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 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

2020 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	0.75	0.95
ACO-13	Falls: Screening for Future Fall Risk	99.19	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	77.43	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	82.61	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	86.94	71.46
ACO-19	Colorectal Cancer Screening	83.47	72.59
ACO-20	Breast Cancer Screening	79.03	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	74.35	83.37
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	11.29	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	65.32	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.