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
Big Sky Imaging Consultants, LLC N
Montana Allergy, PLLC N
Ottun Chiropractic, PC N
SCL Health Medical Group-Billings, LLC Y
Andrea Fiscus N
Billings Family Chiropractic, Inc N
Rehder Hearing Clinic Inc N
ST VINCENT HEALTHCARE Y
Web Properties Inc N
Eye Physicians & Surgeons N
Eastern Radiological Associates PC N
SURGICAL ASSOCIATES, PC N
Ear Nose and Throat Associates, PC N
Drs. McBride & McBride Optometrists, PC N
Eye Physicians Optical N
Yellowstone Pathologists, PC N
Northern Chiropractic, PC N
BILLINGS OB/GYN ASSOCIATES, PC N
Kerry Sanchez N
Yellowstone Sports Medicine and Bone & Joint Clinic, LLC N

ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Loveless

Steve

Board Chair

1

ACO Participant Representative

St. Vincent Healthcare

Beam

Carol

CEO

1

Other-ACO Executive

Rocky Mountain Accountable Health Network Inc.

Sears, MD

Scott

Treasurer

1

ACO Participant Representative

St. Vincent Healthcare

Peet

Walter

Medicare Beneficiary

1

Medicare Beneficiary Representative

N/A

Hagan, MD

Michael

Secretary

1

ACO Participant Representative

SCL Health Medical Group-Billings, LLC

Zavala, MD

Jeffrey

Medical Director

1

ACO Participant Representative

SCL Health Medical Group-Billings, LLC

Guldburg, NP

Tish

Board Member

1

ACO Participant Representative

SCL Health Medical Group-Billings, LLC

Christianson, MD

David

Board Member

1

ACO Participant Representative

St. Vincent Frontier Cancer Center

McKenzie, MD

Barry

Board Member

1

ACO Participant Representative

Surgical Associates, P.C.

Phillips, MD

William

Board Member

 

ACO Participant Representative

SCL Health Medical Group-Billings, LLC

Dean, MD

Edward

Board Member

 

Community Stakeholder Representative

N/A

Nero, MD

Christopher

Board Member

 

ACO Participant Representative

Yellowstone Pathology, P.C.

Mousley

Robin

Compliance Officer

 

ACO Participant Representative

St. Vincent Healthcare

Sears

Cindy

Board Member

 

ACO Participant Representative

St. Vincent Healthcare

Nynas, DC

Marcus

Board Member

 

ACO Participant Representative

Billings Family Chiropractic

McDowell, MD

Greg

Board Member

 

Other-Parent Corporation Board Chair

N/A

Key ACO clinical and administrative leadership:

Carol Beam ACO Executive
Jeffery Zavala, MD Medical Director
Robin Mousley 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 Robin Mousley, 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

2017 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

82.10

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

94.62

93.13

ACO-3

CAHPS: Patients' Rating of Provider

93.16

92.31

ACO-4

CAHPS: Access to Specialists

84.00

83.32

ACO-5

CAHPS: Health Promotion and Education

62.49

62.30

ACO-6

CAHPS: Shared Decision Making

80.69

75.85

ACO-7

CAHPS: Health Status/Functional Status

76.62

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

21.66

25.68

ACO-8

Risk-Standardized, All Condition Readmission

14.55

15.01

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

17.92

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

54.42

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

77.39

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

63.23

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)

1.75

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

49.27

75.32

ACO-13

Falls: Screening for Future Fall Risk

99.60

74.38

ACO-44

Imaging Studies for Low Back Pain

46.43

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

76.47

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

82.66

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

56.45

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

98.39

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

93.90

61.98

ACO-19

Colorectal Cancer Screening

71.37

64.58

ACO-20

Breast Cancer Screening

81.05

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

70.28

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.10

16.74

ACO-41

Diabetes: Eye Exam  

52.82

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

65.73

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

93.55

86.86
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

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

No, Our ACO Does not utilize the SNF 3-day Rule Waiver

How shared savings are Distributed:

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

Annual Results

Quality Performance Results

2016 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

85.01

80.51

ACO-2

CAHPS: How Well Your Providers Communicate

93.91

93.01

ACO-3

CAHPS: Patients' Rating of Provider

94.19

92.25

ACO-4

CAHPS: Access to Specialists

84.00

83.49

ACO-5

CAHPS: Health Promotion and Education

57.02

60.32

ACO-6

CAHPS: Shared Decision Making

78.46

75.40

ACO-7

CAHPS: Health Status/Functional Status

72.46

72.30

ACO-34

CAHPS: Stewardship of Patient Resources

26.16

26.97

ACO-8

Risk-Standardized, All Condition Readmission

14.17

14.70

ACO-35

Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

17.03

18.17

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

54.27

53.20

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

76.92

75.23

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

67.82

59.81

ACO-9

Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

5.07

9.27

ACO-10

Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

13.08

14.53

ACO-11

Percent of PCPs who Successfully Meet Meaningful Use Requirements

100.00

82.72

ACO-39

Documentation of Current Medications in the Medical Record

97.78

87.54

ACO-13

Falls: Screening for Future Fall Risk

99.19

64.04

ACO-14

Preventive Care and Screening: Influenza Immunization

61.37

68.32

ACO-15

Pneumonia Vaccination Status for Older Adults

85.08

69.21

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

56.05

74.45

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

98.39

90.98

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

93.33

53.63

ACO-19

Colorectal Cancer Screening

58.06

61.52

ACO-20

Breast Cancer Screening

72.29

67.61

ACO-21

Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

80.41

76.79

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76.15

77.72

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

15.73

18.24

ACO-41

Diabetes: Eye Exam  

41.94

44.94

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

63.71

70.69

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

90.32

85.05

ACO-31

Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

84.06

88.67

ACO-33

Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

68.55

79.67
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

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.
Measure number Performance measure 2015 reporting period
ACO performance rate Mean performance rate (SSP- ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 76.92 80.61
ACO-2 CAHPS: How Well Your Providers Communicate 90.88 92.65
ACO-3 CAHPS: Patients' Rating of Provider 92.17 91.94
ACO-4 CAHPS: Access to Specialists 77.91 83.61
ACO-5 CAHPS: Health Promotion and Education 55.34 59.06
ACO-6 CAHPS: Shared Decision Making 75.00 75.17
ACO-7 CAHPS: Health Status/Functional Status 75.29 72.30
ACO-34 CAHPS: Stewardship of Patient Resources* 22.19 26.87
ACO-8 Risk Standardized, All Condition Readmission 14.84 14.86
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 17.85 18.07
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes* 55.49 54.60
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure* 77.58 76.96
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 62.81 62.92
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 0.42 1.11
ACO-10 Ambulatory Sensitive Condition Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 0.00 1.04
ACO-11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 54.17% 80.14%
ACO-39 Documentation of Current Medications in the Medical Record* 89.10% 84.07%
ACO-13 Falls: Screening for Future Fall Risk 90.73% 56.46%
ACO-14 Preventative Care and Screening: Influenza Immunization 44.63% 62.03%
ACO-15 Pneumonia Vaccination Status for Older Adults 68.95% 63.73%
ACO-16 Preventative Care and Screening: Body Mass Index (BMI) Screening and Follow-up 54.25% 71.15%
ACO-17 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.32% 90.16%
ACO-18 Preventative Care and Screening: Screening for Clinical Depression and Follow-up Plan 38.31% 45.25%
ACO-19 Colorectal Cancer Screening 54.49% 60.06%
ACO-20 Breast Cancer Screening 61.80% 65.67%
ACO-21 Preventative Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 43.40% 70.04%
ACO-40 Depression Remission at Twelve Months* N/A N/A
ACO-27 Diabetes Mellitus:Hemoglobin A1c Poor Control 28.00% 20.38%
ACO-41 Diabetes: Eye Exam* 28.00% 41.05%
ACO-28 Hypertension: Controlling High Blood Pressure 57.67% 69.62%
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 93.62% 83.82%
ACO-31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 100.00% 87.22%
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 57.14% 77.73%
"CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.
*= Measure required beginning Reporting Year 2015
N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A "
Measure number Performance measure 2012 reporting period 2013 reporting period 2014 reporting period
ACO performance rate Mean performance rate for all ACOs ACO performance rate Mean performance rate for all ACOs ACO performance rate Mean performance rate for all ACOs
ACO #1 Getting Timely Care, Appointments, and Information Not in operations Not in operations Not in operations Not in operations 80.16 80.13
ACO #2 How Well Your Doctors Communicate Not in operations Not in operations Not in operations Not in operations 91.68 92.39
ACO #3 Patients' Rating of Doctor Not in operations Not in operations Not in operations Not in operations 92.00 91.58
ACO #4 Access to Specialists Not in operations Not in operations Not in operations Not in operations 84.69 83.97
ACO #5 Health Promotion and Education Not in operations Not in operations Not in operations Not in operations 56.05 58.29
ACO #6 Shared Decision Making Not in operations Not in operations Not in operations Not in operations 76.06 74.60
ACO #7 Health Status/Functional Status Not in operations Not in operations Not in operations Not in operations 72.53 71.10
ACO #8 Risk Standardization, All Condtion Readmissions Not in operations Not in operations Not in operations Not in operations 14.65 15.15
ACO #9 ASC Admissions: COPD or Asthma in Older Adults Not in operations Not in operations Not in operations Not in operations 0.84 1.08
ACO #10 ASC Admission: Heart Failure Not in operations Not in operations Not in operations Not in operations 1.33 1.19
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment Not in operations Not in operations Not in operations Not in operations 86.67 76.71
ACO #12 Medication Reconciliation Not in operations Not in operations Not in operations Not in operations 94.99 82.61
ACO #13 Falls: Screening for Falls Not in operations Not in operations Not in operations Not in operations 93.43 45.60
ACO #14 Influenza Immunization Not in operations Not in operations Not in operations Not in operations 47.13 57.51
ACO #15 Pneumococcal Vaccination Not in operations Not in operations Not in operations Not in operations 56.07 55.03
ACO #16 "Adult Weight Screening and Follow-up" Not in operations Not in operations Not in operations Not in operations 51.53 66.75
ACO #17 Tobacco Use Assessment and Cessation Intervention Not in operations Not in operations Not in operations Not in operations 87.85 86.79
ACO #18 Depression Screening Not in operations Not in operations Not in operations Not in operations 33.81 39.27
ACO #19 Colorectal Cancer Screening Not in operations Not in operations Not in operations Not in operations 47.61 56.14
ACO #20 Mammography Screening Not in operations Not in operations Not in operations Not in operations 55.95 61.41
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years Not in operations Not in operations Not in operations Not in operations 39.87 60.24
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) Not in operations Not in operations Not in operations Not in operations 68.19 N/A
ACO #23 Low Density Lipoprotein (LDL) (<100 mg/dL) Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #24 Blood Pressure (BP) < 140/90 Not in operations Not in operations Not in operations Not in operations 66.11 N/A
ACO #25 Tobacco Non Use Not in operations Not in operations Not in operations Not in operations 86.28 N/A
ACO #26 Aspirin Use Not in operations Not in operations Not in operations Not in operations 75.33 N/A
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) Not in operations Not in operations Not in operations Not in operations 19.42 20.35
ACO #28 Percent of beneficiaries with hypertension whose BP <140/90 Not in operations Not in operations Not in operations Not in operations 58.28 68.02
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control <100 mg/dL Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombitic Not in operations Not in operations Not in operations Not in operations 81.40 80.79
ACO #31 Beta-Blocker Therapy for LVSD Not in operations Not in operations Not in operations Not in operations 85.96 82.71
ACO #32 Drug Therapy for Lowering LDL Cholesterol Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and /or LVSD Not in operations Not in operations Not in operations Not in operations 74.30 N/A
Copyright © 2018 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.