Primary Contact Name | Carol Beam |
Primary Contact Phone Number | (406) 238-6066 |
Primary Contact Email Address | cbeam@rmhn.org |
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 |
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 |
Carol Beam | ACO Executive |
Jeffery Zavala, MD | Medical Director |
Joanne Davidson | Compliance Officer |
Jeffery Zavala, MD | Quality Assurance/Improvement Officer |
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 |
Amount of Shared Savings/Losses
Shared Savings Distribution
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 |
Rocky Mountain Accountable Health Network, Inc. (RMAHN) has entered into the following contractual arrangements related to its participation as an accountable care organization (ACO) in the Medicare Shared Savings Program (MSSP) and for which it intends to qualify for the ACO Participation Waiver:
Management Services Agreements.
1. Management Services Agreement, which is between RMAHN and St. Vincent Healthcare, provides for various administrative and professional services to the ACO. These services include operations support, services of a Compliance Officer, services of a Medical Director, and data analytics tools and population health software to support RMAHN's participation in the MSSP. (Effective date 1/1/2016).
2. Management Services Agreement, which is between RMAHN and Rocky Mountain Health Network, LLC, provides for various administrative and professional services to the ACO. These services include services of an Executive Director; finance services; and analytics, administrative and special projects services to support RMAHN's participation in the MSSP. (Effective date 1/1/2016).
View the ACO Participation Waiver:
Click here to view document.