Medicare ACO

Cascadia Care Network LLC

Previous Names: N/A
1415 East Kincaid Street
Mount Vernon, WA 98274

Primary Contact Name	Sandeep Singh
Primary Contact Phone Number	360-814-7472
Primary Contact Email Address	ssingh@skagitregionalhealth.org

Organizational Information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
Public Hospital District No. 1, Skagit	N

ACO Governing Body

Member

Last Name	First Name	Title/Position	Voting Member's Power	Membership Type	ACO Participant Legal Business Name
Ivie	Brian	Board Chair and Chief Executive Officer	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Ishizuka	Paul	Treasurer	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Hink, MD	Mary Ann	Medical Director	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Ramsbottom, MD	Mary	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Griggs, MD	Joshua	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Escobar, DO	David	Practicing Physician	Voting Member	ACO Participant	Public Hospital District No. 1 Skagit County
Open	Open	Board Member	Voting Member	Medicare Beneficiary Representative	Public Hospital District No. 1 Skagit County

Key ACO Clinical and Administrative Leadership

Sandeep Singh	ACO Executive
Mary Ann Hink, MD	Medical Director
Lisa Norton	Compliance Officer
Joshua Griggs, MD	Quality Assurance/Improvement Officer

Associated Committees and Leaders

Committee Name	Committee Leader Name and Position
Finance and Contracting Committee	Paul Ishizuka, CFO and Tamara Cesena, VP Revenue Cycle - Co-Chairs
Quality and Utilization Review Committee	Dr. Joshua Griggs - Chair
IS Data Governance and Informatics Committee	Lisa Buller, CIO

Types of ACO Participants, or Combination of Participants, that formed the ACO:

Hospital employing ACO Professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
- Performance Year 2018, $0
- Performance Year 2019, $1,672,993
- Performance Year 2020, $3,294,326

Shared Savings Distribution

First Agreement Period
- 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 2019

Proportion invested in infrastructure: 40%
Proportion invested in redesigned care processes/resources: 60%
Proportion of distribution to ACO participants: 40%

- Performance Year 2020

Proportion invested in infrastructure: 40%
Proportion invested in redesigned care processes/resources: 60%
Proportion of distribution to ACO participants: 40%

Quality Performance Results

2020 Quality Performance Results

ACO#	Measure name	Rate	ACO Mean
ACO-43 [3]	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	0.90	1.40
ACO-13	Falls: Screening for Future Fall Risk	81.20	90.14
ACO-14	Preventive Care and Screening: Influenza Immunization	75.71	75.82
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	82.35	52.38
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	66.27	70.28
ACO-19	Colorectal Cancer Screening	68.77	57.00
ACO-20	Breast Cancer Screening	72.67	63.17
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	80.88	84.00
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	14.72	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	70.09	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.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
o Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

• Waiver for Payment for Telehealth Services:
o Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.