Medicare ACO

Cascadia Care Network LLC

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

Primary Contact NameSandeep Singh
Primary Contact Phone Number360-814-7472
Primary Contact Email Addressssingh@skagitregionalhealth.org

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture
Public Hospital District No. 1, SkagitN

ACO Governing Body

Member

Last Name
First Name
Title/Position
Voting Member's Power Membership Type
ACO Participant Legal Business Name
IvieBrianBoard Chair and Chief Executive OfficerVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
IshizukaPaulTreasurer Voting Member ACO ParticipantPublic Hospital District No. 1 Skagit County
Hink, MDMary AnnMedical DirectorVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
Ramsbottom, MDMaryPracticing PhysicianVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
Griggs, MDJoshuaPracticing PhysicianVoting MemberACO ParticipantPublic Hospital District No. 1 Skagit County
OpenOpenPracticing Physician Voting Member ACO ParticipantPublic Hospital District No. 1 Skagit County
OpenOpenN/AVoting MemberMedicare Beneficiary Representative 

Key ACO Clinical and Administrative Leadership

Sandeep SinghACO Executive
Mary Ann Hink, MDMedical Director
Lisa NortonCompliance Officer
Joshua Griggs, MDQuality Assurance/Improvement Officer

Associated Committees and Leaders

Committee NameCommittee Leader Name and Position
Finance and Contracting CommitteePaul Ishizuka, CFO and Tamara Cesena, VP Revenue Cycle - Co-Chairs
Quality and Utilization Review CommitteeDr. Joshua Griggs - Chair
IS Data Governance and Informatics CommitteeLisa 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
    - Performance Year 2021, $3,364,289

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: 0%

       - Performance Year 2020

      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 60%
      • Proportion of distribution to ACO participants: 0%

       - Performance Year 2021

      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 60%
      • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2021 Quality Performance Results

Measure #Measure name Rate ACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 12.8212.46
134Preventative Care and Screening: Screening for Depression and Follow-up Plan 72.4074.38
236Controlling High Blood Pressure 72.6474.87
318Falls: Screening for Future Fall Risk85.1787.03
110Preventative Care and Screening: Influenza Immunization82.2880.52
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention89.2980.97
113Colorectal Cancer Screening73.2373.63
112Breast Cancer Screening78.6675.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease80.2084.24
321CAHPS for MIPS3 N/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups20.15420.154
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)231.1533.99

For previous years’ Financial and Quality Performance results, please visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver: 
    - Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services: 
    - Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.