Medicare Shared Savings Program Public Report A5309

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
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 ParticipantsACO Participant in Joint Venture
AdventHealth Shawnee MissionN
Midtown Family Medicine, PCN
ACO Governing Body:
Member Last NameMember First NameMember Title/PositionMember's Voting Power (Expressed as a percentage or number)Membership TypeACO Participant Legal Business Name and D/B/A, if applicable
Al-hihi, MDEyadMember0Community StakeholderKansas University Physicians, Inc.
AndersonJeffMember0Community StakeholderUniversity of Kansas Health System
Belshe, DOKennaChair0Community StakeholderMeritas Health Corp.
Crabtree, MDYvetteMember0Community StakeholderSunflower Medical Group
Delaney, MDAJVice-Chair0Community StakeholderClay Platte Family Medicine Clinic
Gillen, DO KathrynMember25%ParticipantAdventHealth Shawnee Mission
GreenRickMember0Community StakeholderMeritas Health Corp.
Hays, MDLisaMember25%ParticipantAdventHealth Shawnee Mission
Jensen, MDDennisMember25%ParticipantAdventHealth Shawnee Mission
LaGalle, DOCrystalMember0Community StakeholderMeritas Health Corp.
Sale, MDKeithMember0Community StakeholderKansas University Physicians, Inc.
Stanley, MDJohnMember25%Medicare Beneficiary RepresentativeN/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Jill Watson
Medical Director: Dennis Jensen, MD
Compliance Officer: Noelle King-Whitlow
Quality Assurance/Improvement Officer: Jane Maskus

Associated Committees and Committee Leadership:

Committee NameCommittee Leader Name and Position
Care Delivery & Quality CommitteeAndrew Jurgensmeier, MD; Chair
Payment Transformation & Finance CommitteeNathan 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

2022 Quality Performance Results: N/A
Measure #Measure NameCollection TypeReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)

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

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Waiver for Payment for Telehealth Services:

  • N/A
Fraud and Abuse Waivers

ACO Pre-Participation Waiver:

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

For each arrangement, provide the following information:

  • 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