Accountable Care Organization: MedicareCHPAadmin2021-02-22T11:54:37-07:00
ACO Name and Location
Community Health Provider Alliance
Previous Names: N/A
600 Grant Street
Suite 800
Denver, CO 80203
ACO Primary Contact
Primary Contact Name |
Joseph Berry |
Primary Contact Phone Number |
303-867-9522 |
Primary Contact Email Address |
joseph@chpanetwork.com |
Organizational Information
ACO Participants:
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
Summit Community Care Clinic Inc |
N |
Metro Community Provider Network Inc |
N |
Southwest Colorado Mental Health Center Inc |
N |
NORTHWEST COLORADO VISITING NURSE ASSOCIATION |
N |
SUNRISE COMMUNITY HEALTH |
N |
PLAN DE SALUD DEL VALLE, INC. |
N |
DOLORES COUNTY HEALTH ASSOCIATION |
N |
Valley-Wide Health Systems, Inc |
N |
Clinica Campesina Family Health Services |
N |
PUEBLO COMMUNITY HEALTH CENTER INC. |
N |
MARILLAC CLINIC, INC. |
N |
HIGH PLAINS COMMUNITY HEALTH CENTER, INCORPORATED |
N |
REGENTS OF THE UNIVERSITY OF COLORADO |
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 |
McManus |
Pam |
President |
1 |
ACO Participant Representative |
Peak Vista Community Health Centers |
Smith |
Simon |
Vice President |
1 |
ACO Participant Representative |
Clinica Campesina Family Health |
Sandvik |
Mark |
Treasurer |
1 |
ACO Participant Representative |
Northwest Colorado Visiting Nurse Association |
Arnoldi |
Jania |
Secretary |
1 |
ACO Participant Representative |
Valley-Wide Health Systems |
Moore |
Donald |
Voting Member |
1 |
ACO Participant Representative |
Pueblo Community Health Center Inc. |
Ramachandran |
Kay |
Voting Member |
1 |
ACO Participant Representative |
Marillac Clinic |
Scott |
Debra |
Voting Member |
1 |
ACO Participant Representative |
Sunrise Community Health |
Wiederholt |
Ben |
Voting Member |
1 |
ACO Participant Representative |
Metro Community Provider Network Inc |
Santistevan |
John |
Voting Member |
1 |
ACO Participant Representative |
Plan de Salud Del Valle, Inc |
Meyers |
Dave |
Medicare Beneficiary Board Member |
1 |
Medicare Beneficiary Representative |
N/A |
Key ACO Clinical and Administrative Leadership:
Kerry Cogan |
ACO Executive |
Crystal Owens |
Medical Director |
Kerry Cogan |
Compliance Officer |
Joseph Berry |
Compliance Officer |
Brandi Apodaca |
Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership:
Committee Name |
Committee Leader Name and Position |
MSSP Operations Committee |
Crystal Owens, MD (Chair) |
Clinical Committee |
Brandi Apodaca (Clinical Chair) |
Fiscal Committee |
Kristin Laux (Chair) |
Billing Workgroup |
Gary Secino (Chair) |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Federally Qualified Health Center (FQHC)
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2019, $3,611,668.69
- Performance Year 2018, $0
- Performance Year 2017, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 6%
- Proportion invested in redesigned care processes/resources: 34%
- Proportion of distribution to ACO participants: 60%
- 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 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Quality Performance Results
2019 Quality Performance Results:
ACO# |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
79.73 |
85.86 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
92.15 |
94.11 |
ACO-3 |
CAHPS: Patients’ Rating of Provider |
89.63 |
95.69 |
ACO-4 |
CAHPS: Access to Specialists |
79.85 |
81.54 |
ACO-5 |
CAHPS: Health Promotion and Education |
55.94 |
60.44 |
ACO-6 |
CAHPS: Shared Decision Making |
64.38 |
62.78 |
ACO-7 |
CAHPS: Health Status/Functional Status |
75.42 |
73.79 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
21.12 |
26.17 |
ACO-45 |
CAHPS: Courteous and Helpful Office Staff |
91.34 |
92.84 |
ACO-46 |
Care Coordination |
84.25 |
86.89 |
ACO-8 |
Risk Standardized, All Condition Readmission |
14.49 |
14.86 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
61.45 |
58.15 |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
1.63 |
1.87 |
ACO-13 |
Falls: Screening for Future Fall Risk |
30.58 |
84.04 |
ACO-14 |
Preventative Care and Screening: Influenza Immunization |
63.35 |
74.77 |
ACO-17 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
86.99 |
78.04 |
ACO-18 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
85.05 |
70.40 |
ACO-19 |
Colorectal Cancer Screening |
62.35 |
70.76 |
ACO-20 |
Breast Cancer Screening |
60.85 |
73.84 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
90.03 |
82.17 |
ACO-40 |
Depression Remission at Twelve Months |
7.79 |
13.58 |
ACO-27 |
Diabetes: Hemoglobin A1c Poor Control (>9%) |
14.96 |
13.88 |
ACO-28 |
Controlling High Blood Pressure |
74.02 |
75.04 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
• No, our ACO does not use the SNF 3-Day Rule Waiver.
• No, our ACO does not use the Waiver for Payment for Telehealth Services.
• No, our ACO does not use the Beneficiary Incentive Program.