Medicare Shared Savings Program Public Report A5305

Shared Savings Program Public Reporting - A5305

ACO Name and Location

Centrus Health of Kansas 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
AMMAR KHALIFA, M.D., L.L.C.	No
ASCENTIST PHYSICIANS GROUP LLC	No
KANSAS CITY PHYSICIAN PARTNERS INC	No
LIBERTY HOSPITAL URGENT CARE, LLC	No
NEW LIBERTY HOSPITAL CORPORATION	No
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY/DBA: THE UNIVERSITY OF KANSAS HOSPITAL	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	Board Member	0%	Community Stakeholder Representative	N/A
Branden	Comfort MD	Medical Director	25%	ACO Participant Representative	UNIVERSITY OF KANSAS HOSPITAL AUTHORITY/DBA: THE UNIVERSITY OF KANSAS HOSPITAL
Brooke	Varnum MD	Board Member	0%	Community Stakeholder Representative	N/A
Crystal	LaGalle	member	0%	Community Stakeholder Representative	N/A
Eyad	Al hihi MD	Member	25%	ACO Participant Representative	UNIVERSITY OF KANSAS HOSPITAL AUTHORITY/DBA: THE UNIVERSITY OF KANSAS HOSPITAL
James	Piotnek MD	Member	25%	Medicare Beneficiary Representative	N/A
Jeff	Andersen	Member	25%	ACO Participant Representative	NEW LIBERTY HOSPITAL CORPORATION
Kenna	Belshe	Chair	0%	Community Stakeholder Representative	N/A
Loree	Cordova MD	Board Member	0%	Community Stakeholder Representative	N/A
Rick	Green	Member	0%	Community Stakeholder Representative	N/A
Yvette	Guislain	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
Branden Comfort

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

Shared Savings and Losses

Amount of Shared Savings/Losses

Agreement Period	Performance Year	Amount
First Agreement Period	2026	N/A
First Agreement Period	2025	N/A
First Agreement Period	2024	$3,035,657.90
First Agreement Period	2023	$0.00

Shared Savings Distribution

Agreement Period	Performance Year	Infrastructure	Redesigned Care Processes/Resources	Distribution to ACO Participants
First Agreement Period	2026	N/A	N/A	N/A
First Agreement Period	2025	N/A	N/A	N/A
First Agreement Period	2024	0%	5%	95%
First Agreement Period	2023	N/A	N/A	N/A

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	7.12	6.67
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1455	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	39.99	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	99.01	88.99
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	74.81	68.6
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	16.67	79.98
113	Colorectal Cancer Screening	CMS Web Interface	72.41	77.81
112	Breast Cancer Screening	CMS Web Interface	80.13	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	91.62	86.5
370	Depression Remission at Twelve Months	CMS Web Interface	6.84	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	13.97	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	84.16	81.46
236	Controlling High Blood Pressure	CMS Web Interface	73.55	79.49
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.72	83.7
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	63.5	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

* 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.