Medicare Shared Savings Program (MSSP)

ACO Name and Location

Banner Network Southern Arizona

2901 N Central Ave Suite 160

Phoenix, AZ 85012

 

ACO Primary Contact

Kynda Wolfrum, Director, Health Management Services

Phone: 970-810-8706

Email: [email protected]

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Y or N)
Banner - University Medical Group	N
Bio Family Clinic Inc	N
Gonzales Medical Clinic PC	N
San Luis Walk-in Clinic	N
Up2Par PLLC	N
Wilbur Don Duque MD PC	N
Wissam Fayad MD PC	N

 

 

ACO Governing Body

Last Name	First Name	Title/ Position	Member's Voting Power- Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA if applicable
Bruzzi	Bethany	Physician	1	ACO Participant Representative	Banner - University Medical Group
Evani	Bob	Physician	1	ACO Participant Representative	Banner - University Medical Group
Kuntz	Clint	Other	1	Other	El Rio Santa Cruz Neighborhood Health Center, Inc
Lynn	Steve	Beneficiary	1	Medicare Beneficiary	Beneficiary
Mathias	Ann	Physician	1	ACO Participant Representative	Banner - University Medical Group
Riall	Taylor	Physician	1	ACO Participant Representative	Banner - University Medical Group
Rundell	Kristen	Physician	1	ACO Participant Representative	Banner - University Medical Group
Smythe	Robert	Physician	1	ACO Participant Representative	Up2Par

Key ACO Clinical and Administrative Leadership

ACO Executive: Brett Bingham, CNDO

Medical Director: Patricia Iris, MD

Compliance Officer: Sean Reneau

Quality Assurance/Improvement Officer: Sandra Robles

Associated Committees and Committee Leadership

Compliance Committee: Sean Reneau, Compliance Officer

Medical Executive Committee: Dr. Patricia Iris, Southern Arizona Regional Medical Director

Types of ACO Participants, or Combinations of Participants, that formed the ACO

Networks of individual practices of ACO professionals