Overview
This document provides Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (Shared Savings Program) with a public reporting template and instructions on how to complete the template. ACOs participating in the Shared Savings Program are required to publicly report ACO organizational information and performance results on a designated webpage, per
42 CFR § 425.308.
Shared Savings Program Public Reporting Template
ACO Name and Location
Centrus Health Overland Park LLC
Previous Names: N/A
2330 Shawnee Mission Pkwy Ste 300
Westwood, KS 66205
ACO Primary Contact
Jill Watson
816-456-7924
jwatson@centrushealth.com
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| AdventHealth Shawnee Mission | N |
| Midtown Family Medicine, PC | N |
ACO Governing Body:
| Member Last Name | Member First 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 |
|---|---|---|---|---|---|
| Al-hihi, MD | Eyad | Member | 0 | Community Stakeholder | Kansas University Physicians, Inc. |
| Anderson | Jeff | Member | 0 | Community Stakeholder | University of Kansas Health System |
| Belshe, DO | Kenna | Chair | 0 | Community Stakeholder | Meritas Health Corp. |
| Crabtree, MD | Yvette | Member | 0 | Community Stakeholder | Sunflower Medical Group |
| Delaney, MD | AJ | Vice-Chair | 0 | Community Stakeholder | Clay Platte Family Medicine Clinic |
| Green | Rick | Member | 0 | Community Stakeholder | Meritas Health Corp. |
| Jensen, MD | Dennis | Member | 25% | Participant | AdventHealth Shawnee Mission |
| LaGalle, DO | Crystal | Member | 0 | Community Stakeholder | Meritas Health Corp. |
| Moore, MD | Paul | Member | 25% | Participant | AdventHealth Shawnee Mission |
| Purkeypile | Austin | Member | 25% | Participant | AdventHealth Shawnee Mission |
| Sale, MD | Keith | Member | 0 | Community Stakeholder | Kansas University Physicians, Inc. |
| Stanley, MD | John | Member | 25% | Medicare Beneficiary Representative | N/A |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Jill Watson
Medical Director: Dennis Jensen, MD
Compliance Officer: Todd Turbes
Quality Assurance/Improvement Officer: Jane Maskus
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
Shared Savings and Losses
Amount of Shared Savings/Losses:
- First Agreement Period
Shared Savings Distribution:
- First Agreement Period
Quality Performance Results
2021 Quality Performance Results:
N/A
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Payment Rule Waivers
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- N/A
Waiver for Payment for Telehealth Services:
- N/A
Fraud and Abuse Waivers
ACO Pre-Participation Waiver:
- N/A
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