Project name

(406) 238-6066

Rocky Mountain Accountable Health Network

Welcome to Rocky Mountain Accountable Health Network, a qualified Accountable Care Organization (ACO). An ACO is set up by a group of health care providers who believe that by working together, they will be able to provide better care to you.The goal of an ACO is for your doctors or primary care physicians to communicate closely with your other healthcare providers, so they can deliver a high-quality care that meets your individual needs and preferences.

Rocky Mountain Accountable Health Network, located in Billings, Montana, is a network of physicians and healthcare professionals who have a long history of serving this community and providing high quality and affordable care. Rocky Mountain Accountable Health Network's goal is to be distinguished as the premier person-centered health system and trusted partner.

Our patients should know that:

  • The ACO doctors and other providers will communicate with each other to provide coordinated care.
  • Doctors participating in this program will have more information about Medicare Fee For Service patient's medical conditions, prescriptions and other use of healthcare services enabling them to provide the right care at the right time.
  • Patient's providers are responsible for providing high quality health care and coordination.
  • Patients will be in the center of care, and your doctors will be better able to keep you informed, and to keep listening and honoring your choices.

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
Rehder Hearing Clinic Inc N
Eye Physicians & Surgeons N
Ear Nose and Throat Associates, PC N
Drs. 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

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-8

Risk Standardized, All Condition Readmission

14.66

15.07

ACO-38

Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions

49.32

49.50

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-40

Depression Remission at Twelve Months

31.84

13.99

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

11.29

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

65.32

72.87

Note: In the Quality Performance Results file(s) above, search for “Rocky Mountain Accountable Health Network, Inc. to view the quality performance results. This ACO can also be found by using the ACO ID A29971 in the public use files on data.cms.gov.

Payment Rule Waiver

  • Waiver for Payment for Telehealth Services: N/A
    • Skilled Nursing Facility (SNF) 3-Day Rule Waiver: N/A

Fraud and Abuse Waiver:

  • ACO Pre-Participation Waiver: N/A
  • ACO Participation Waiver: N/A

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.

For more information about ACOs, you can refer to the following resources:

  • Visit www.cms.gov/ACO/
  • Visit www.Medicare.gov
  • Talk to your doctor
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048
Copyright © 2021 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.