Centrus Health

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
Jamie Stevens

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, or Combinations of 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

  • Fourth Agreement Period
    • Performance Year 2026, N/A
  • Third Agreement Period
    • Performance Year 2025, N/A
    • Performance Year 2024, $5,312,850.23
  • Second Agreement Period
    • Performance Year 2023, $6,019,642.62

Shared Savings Distribution

  • Fourth Agreement Period
    • Performance Year 2026
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Third Agreement Period
    • Performance Year 2025
      • 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 2024
      • 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 2023
      • Proportion invested in infrastructure: 0%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 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

Quality performance results are based on the 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 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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.