Medicare Shared Savings Program Public Report A5304
Shared Savings Program Public Reporting - A5304
ACO Name and Location
Centrus Health LLC
2330 Shawnee Mission Pkwy Ste 300, Westwood, KS, 66205
ACO Primary Contact
Reyann Davis
979-645-6433
support@centrushealth.com
Organizational Information
ACO Participants
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| CLAY PLATTE FAMILY MEDICINE CLINIC | No |
| JAYHAWK PRIMARY CARE INC/DBA: JAYHAWK PRIMARY CARE | No |
| KANSAS CITY UROLOGY CARE PA | No |
| KANSAS UNIVERSITY PHYSICIANS INC/DBA: UNIVERSITY OF KANSAS HEALTH SYSTEM | No |
| MERITAS HEALTH CORPORATION | No |
| MID-AMERICA CARDIOLOGY ASSOCIATES INC | No |
| MIDTOWN FAMILY MEDICINE PC | No |
| NORTHLAND FAMILY CARE PC | No |
| SHAWNEE MISSION MEDICAL CENTER INC/DBA: ADVENTHEALTH MEDICAL GROUP | No |
| UNITED MEDICAL GROUP LLC | No |
ACO Governing Body
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power | Membership Type | ACO Participant Legal Business Name, if applicable |
|---|---|---|---|---|---|
| AJ | Delaney MD | Vice Chair | 10% | ACO Participant Representative | CLAY PLATTE FAMILY MEDICINE CLINIC |
| Belshe | Kenna | Chair | 10% | ACO Participant Representative | MERITAS HEALTH CORPORATION |
| Branden | Comfort MD | Member | 10% | ACO Participant Representative | KANSAS UNIVERSITY PHYSICIANS INC/DBA: UNIVERSITY OF KANSAS HEALTH SYSTEM |
| Brooke | Varnum MD | Member | 10% | ACO Participant Representative | SHAWNEE MISSION MEDICAL CENTER INC/DBA: ADVENTHEALTH MEDICAL GROUP |
| Crystal | LaGalle MD | Member | 10% | ACO Participant Representative | MERITAS HEALTH CORPORATION |
| Eyad | Al hihi MD | Member | 10% | ACO Participant Representative | KANSAS UNIVERSITY PHYSICIANS INC/DBA: UNIVERSITY OF KANSAS HEALTH SYSTEM |
| John | Stanley MD | Member | 10% | Medicare Beneficiary Representative | N/A |
| Loree | Cordova MD | Member | 10% | ACO Participant Representative | SHAWNEE MISSION MEDICAL CENTER INC/DBA: ADVENTHEALTH MEDICAL GROUP |
| Rick | Green | Member | 10% | ACO Participant Representative | MERITAS HEALTH CORPORATION |
| Shana | Tauai | Member | 10% | ACO Participant Representative | SHAWNEE MISSION MEDICAL CENTER INC/DBA: ADVENTHEALTH MEDICAL GROUP |
| Yvette | Guislain MD | Member | 0% | Community Stakeholder Representative | N/A |
Member's voting power may have been rounded to reflect a total voting power of 100 percent.
Key ACO Clinical and Administrative Leadership
ACO Executive
Reyann Davis
Medical Director
Kenna Belshe
Compliance Officer
Reyann Davis
Quality Assurance/Improvement Officer
Reyann Davis
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| Care Delivery & Quality Committee | Andrew Jurgensmeier, MD; Chair |
Types of ACO Participants That Formed the ACO
- ACO professionals in a group practice arrangement
- Networks of individual practices of ACO professionals
- Hospital employing ACO professionals
- Rural Health Clinic (RHC)
Shared Savings and Losses
Amount of Shared Savings/Losses
| Agreement Period | Performance Year | Amount |
|---|---|---|
| Fourth Agreement Period | 2026 | N/A |
| Third Agreement Period | 2025 | N/A |
| Third Agreement Period | 2024 | $5,312,850.23 |
| Second Agreement Period | 2023 | $6,019,642.62 |
Shared Savings Distribution
| Agreement Period | Performance Year | Infrastructure | Redesigned Care Processes/Resources | Distribution to ACO Participants |
|---|---|---|---|---|
| Fourth Agreement Period | 2026 | N/A | N/A | N/A |
| Third Agreement Period | 2025 | N/A | N/A | N/A |
| Third Agreement Period | 2024 | 0% | 5% | 95% |
| Second Agreement Period | 2023 | 0% | 5% | 95% |
Our ACO re-entered the Shared Savings Program in Performance Year 2023 under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.
Quality Performance Results
2024 Quality Performance Results (CMS Web Interface collection type).
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 5.68 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1559 | 0.1517 |
| 484* | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | - | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 93.66 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 60.26 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 80 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 88.83 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 90.03 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 88.96 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 7.58 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 6.4 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 90.31 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 84.49 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 78.87 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 93.37 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.57 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 72.9 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 61.63 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 58.92 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 73.99 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.11 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 92.51 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 30.51 | 26.98 |
For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov
* For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
* For Measure #484, patients are excluded if attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Many Track E and ENHANCED track ACO providers are QPs; performance rates for these ACOs may not be representative. Some ACOs may not have a performance rate calculated due to minimum attribution thresholds.
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.