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
Santistevan John President 1 ACO Participant Representative Plan de Salud Del Valle, Inc
Smith Simon Vice President 1 ACO Participant Representative Clinica Campesina Family Health
Sandvik Mark Treasurer 1 ACO Participant Representative Northwest Colorado Visiting Nurse Association
Moore Donald Secretary 1 ACO Participant Representative Pueblo Community Health Center Inc.
Arnoldi Jania Voting Member 1 ACO Participant Representative Valley-Wide Health Systems
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
McManus Pam Voting Member 1 ACO Participant Representative Peak Vista Community Health Centers
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.