(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

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:

Shared Savings and Losses

Amount of Shared Savings/Losses

Shared Savings Distribution

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

ACO Participation Waiver

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.

Copyright © 2022 Rocky Mountain Accountable Health Network. (406) 238-6066.
Please visit: www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for general questions or additional information about Accountable Care Organizations.