Medicare Shared Savings Program Public Report A5305

Shared Savings Program Public Reporting Template – A5305

ACO Name and Location

Centrus Health of Kansas LLC
2330 Shawnee Mission Pkwy
Ste 300
Westwood, KS 66205

ACO Primary Contact

Jamie Stevens
913-708-1169
Jstevens@centrushealth.com

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
AMMAR KHALIFA, MD, LLC	NO
KANSAS CITY PHYSICIAN PARTNERS INC	NO
LIBERTY HOSPITAL URGENT CARE, LLC	NO
NEW LIBERTY HOSPITAL CORPORATION	NO
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY	NO

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage or number)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
Eyad	Al-hihi, MD	Member	25%	ACO Participant Representative	University of Kansas Hospital Authority
Yvette	Guislain, MD	Member	0%	Community Stakeholder Representative	Sunflower Medical Group
Loree	Cordova, MD	Member	0%	Community Stakeholder Representative	AdventHealth Shawnee Mission
Branden	Comfort, MD	Member	25%	ACO Participant Representative	University Kansas Hospital Association
Russell	Rein	Member	25%	ACO Participant Representative	New Liberty Hospital Corporation
Rick	Green	Member	0%	Community Stakeholder Representative	Meritas Health Corp.
Brooke	Varnum, MD	Member	0%	Community Stakeholder Representative	AdventHealth Shawnee Mission
Crystal	LaGalle, DO	Member	0%	Community Stakeholder Representative	Meritas Health Corp.
Kenna	Belshe, DO	Chair	0	Community Stakeholder Representative	Meritas Health Corp.
AJ	Delaney, MD	Vice Chair	0%	ACO Participant Representative	Clay Platte Family Medicine Clinic
James	Piotnek, MD	Member	25%	Medicare Beneficiary Representative	N/A
Shana	Tauai	Member	0%	Community Stakeholder Representative	AdventHealth Shawnee Mission

Key ACO Clinical and Administrative Leadership:

ACO Executive: Jamie Stevens
Medical Director: Branden Comfort, MD
Compliance Officer: Reyann Davis
Quality Assurance/Improvement Officer: Atonya Reshard

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Care Delivery & Quality Committee	Andrew Jurgensmeier, MD; Chair
Payment Transformation & Finance Committee	Nathan Granger, MD; Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

• First Agreement Period
  • Performance Year 2023, $0

• Second Agreement Period
  • Performance Year 2024, $3,035,657.90

Shared Savings Distribution:

• First Agreement Period
  • Performance Year 2023
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 5%
    • Proportion of distribution to ACO participants: 95%

• Second Agreement Period
  • Performance Year 2024
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 5%
    • Proportion of distribution to ACO participants: 95%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface & CAHPS for MIPS Survey collection type.

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
Measure #: 001	Diabetes Mellitus: Hemoglobin A1c Poor Control	CMS Web Interface	13.97	9.44
Measure #: 110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	74.81	68.60
Measure #: 112	Breast Cancer Screening	CMS Web Interface	80.13	80.93
Measure #: 113	Colorectal Cancer Screening	CMS Web Interface	72.41	77.81
Measure #: 134	Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan	CMS Web Interface	84.16	81.46
Measure #: 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	16.67	79.89
Measure #: 236	Hypertension (HTN): Controlling High Blood Pressure	CMS Web Interface	73.55	79.49
Measure #: 318	Falls: Screening for Future Fall Risk	CMS Web Interface	99.01	88.99
Measure #: 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	91.62	86.50
Measure #: 479	30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	CMS Web Interface	0.1455	0.1517
Measure #: 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	CMS Web Interface	39.99	37.00
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.72	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.29	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	91.66	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.03	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	74.13	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.50	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	68.17	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.78	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.91	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	36.38	26.98

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Fraud and Abuse Waivers

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

For each arrangement, provide the following information:

• Parties to the arrangement: All Participant TINs
• Date of arrangement: January 1, 2018
• Items, services, goods, or facility provided: Population Health Management Services
• Date and nature of any amendments to the arrangement, if applicable: N/A