Medicare Shared Savings Program (MSSP)

ACO Name and Location

  • Banner Network Colorado, LLC
    1801 16th Street
    Greeley, CO 80631

ACO Primary Contact

  • Kynda Wolfrum, Sr. Director, Government Operations
    Phone: (970) 810-8706
    Email: [email protected]

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
(Enter Y or N)
Banner Health Physicians Colorado, LLC N
East Morgan County Hospital N
Sterling Regional Medical Center N

 

ACO Governing Body:

Last Name First Name Title/Position Member's Voting Power- Expressed as a percentage Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Loecke Steven Chair 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Sunderman Steven Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Howard Keiko Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Valenti Gina Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Zeigler Azure Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Hopkins John Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Redding Colton Manager 12.5% ACO Participant Representative Banner Health Physicians Colorado, LLC
Jim Branom Medicare Beneficiary 12.5% Medicare Beneficiary Representative N/A


Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Kynda Wolfrum, RN, MSN
  • Medical Director: Steven Loecke, MD
  • Compliance Official: Michael Baumann
  • Quality Assurance/Improvement Officer: Sandra Robles

Associated Committees and Committee Leadership:

  • Compliance Committee: Michael Baumann, Compliance Director
  • Utilization Review & Quality Management Committee: DeAnn Lubiani

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangements

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
  • First Agreement Period
    • Performance Year 2024, $3,466,294
    • Performance Year 2023, $2,440,223
    • Performance Year 2022, $3,597,614
    • Performance Year 2021, $2,280,643
    • Performance Year 2020, $3,131,284

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 2.5%
      • Proportion invested in redesigned care processes/resources: 2.5%
      • Proportion of distribution to ACO participants: 95%
    • Performance Year 2023
      • Proportion invested in infrastructure: 2.5%
      • Proportion invested in redesigned care processes/resources: 2.5%
      • Proportion of distribution to ACO participants: 95%
    • Performance Year 2022
      • Proportion invested in infrastructure: 2.5%
      • Proportion invested in redesigned care processes/resources: 2.5%
      • Proportion of distribution to ACO participants: 95%
    • Performance Year 2021
      • Proportion invested in infrastructure: 2.5%
      • Proportion invested in redesigned care processes/resources: 2.5%
      • Proportion of distribution to ACO participants: 95%
    • Performance Year 2020
      • Proportion invested in infrastructure: 2.5%
      • Proportion invested in redesigned care processes/resources: 2.5%
      • Proportion of distribution to ACO participants: 95%

 

Quality Performance Results

2024 Quality Performance Results

Quality Performance results are based on the Medicare CQMs collection type.

Measure # Measure Name Collection Type Performance Rate Current Year Mean Performance Rate (SSP ACOs)
001 Diabetes: Hemoglobin A1c (HBA1c) Poor Control Medicare COM 7.16 28.04
134 Preventive Care and Screening: Screening for Depression and Follow-up Plan Medicare COM 93.45 63.04
236 Controlling High Blood Pressure Medicare COM 83.03 66.78
 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims  0.1454  0.1517
 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MMC) Administrative Claims  --  37

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

MSSP ACO Participation Waiver Disclosure

The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that may otherwise limit innovation by accountable care organizations (“ACOs”) participating in the Medicare Shared Savings Program (“MSSP”) ACO Model (as set forth in the “Final Waivers in Connection with the Shared Savings Program” (80 Fed. Reg. 66726 (Oct. 29, 2015))). Pursuant to that notice, Banner Network Colorado, LLC (“BNC”) seeks waiver protection for the arrangement described below.

BNC has developed a pre-participation program (the “Pre-Participation MSSP Incentive Program”) for certain eligible providers who are entities or individuals that have signed ACO participant provider agreements with BNC to become MSSP ACO Participants, as such term is defined in the regulations promulgated by CMS to implement the MSSP, as amended from time to time, under 42 C.F.R. 425.20 (“Eligible Providers”), to improve the quality, cost, and coordination of care for Medicare beneficiaries assigned to the BNC MSSP ACO (“BNC MSSP ACO Beneficiaries”).

The Pre-Participation MSSP Incentive Program incentivizes certain Eligible Providers to earn payments for their performance of certain activities in preparation for participation in the MSSP through BNC to improve the quality, cost, and coordination of care for BNC MSSP ACO Beneficiaries.