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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, 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

Shared Savings and Losses

Amount of Shared Savings/Losses

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

Shared Savings Distribution

  • First 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
    • 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%
    • Performance Year 2023
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

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 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 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.