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
Escobar, DO  DavidPracticing Physician Voting Member ACO ParticipantPublic Hospital District No. 1 Skagit County
OpenOpenBoard MemberVoting MemberMedicare Beneficiary RepresentativePublic Hospital District No. 1 Skagit County

 

 

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

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-13Falls: Screening for Future Fall Risk 81.2090.14
ACO-14Preventive Care and Screening: Influenza Immunization 75.7175.82
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention82.3552.38
ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan66.2770.28
ACO-19Colorectal Cancer Screening68.7757.00
ACO-20Breast Cancer Screening72.6763.17
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease80.8884.00
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control14.7214.70
ACO-28Hypertension (HTN): Controlling High Blood Pressure 70.0972.87

“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.