Medicare Shared Savings Program (MSSP)

ACO Name and Location

  • Banner Network Southern Arizona, LLC
    2901 N Central Ave Suite 160
    Phoenix, AZ 85012

ACO Primary Contact

  • Kynda Wolfrum, Senior Director, Government Operations
    Phone: (602) 747-4000
    Email: [email protected]

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)
Banner - University Medical Group N
Banner Fort Collins PCP LLC N
San Luis Walk-in Clinic N
B-UMG Integrated Health Clinic LLC N
Caremore Medical Associates PC N
San Luis Walk-in Clinic N
Up2Par PLLC N
Wilbur Don Duque MD PC 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
Mathias Ann Board Chair 11.11% ACO Participant Representative Banner - University Medical Group
Fain Mindy Manager 11.11% ACO Participant Representative Banner - University Medical Group
Graham Jessica Manager 11.11% ACO Participant Representative Banner - University Medical Group
Kuntz Clint Manager 11.11%
 Other N/A
Lynn Steve Beneficiary 11.11% Beneficiary N/A
Rundell Kristen Manager 11.11% ACO Participant Representative Banner - University Medical Group
Smythe Robert Manager 11.11% ACO Participant Representative Up2Par
Tang Andy  Manager 11.11%
 ACO Participant Representative Banner - University Medical Group
Tretschok Tawyna Manager 11.11%
 ACO Participant Representative
 Banner - University Medical Group

 

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Kynda Wolfrum, RN, MSN
  • Medical Director: Ed Clarke, M.D.
  • Compliance Officer: Michael Baumann
  • Quality Assurance/Improvement Officer: Sandra Robles

Associated Committees and Committee Leadership

  • Compliance Committee: Michael Baumann, Compliance Officer
  • Medical Executive Committee: Dr. Ed Clarke, VP, CMO Insurance Division

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

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

  • Shared Savings and Losses
    • First Agreement Period
      • Performance Year 2024, $0
      • Performance Year 2023, $0
  • Shared Savings Distribution
    • First Agreement Period
      • Performance Year 2024
        • Proportion invested in infrastructure: 25%
        • Proportion invested in redesigned care processes/resources: 25%
        • Proportion of distribution to ACO participants: 50%
      • Performance Year 2023
        • Proportion invested in infrastructure: 25%
        • Proportion invested in redesigned care processes/resources: 25%
        • Proportion of distribution to ACO participants: 50%

Quality Performance

Quality performance results are based on Medicare COMs collection type.

Measure #   Measure Name  Collection Type  Reported Performance Rate  Current Year Mean Performance
Rate (SSP ACOs)
 001  Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)  Medicare COM  4.98  28.04
 134  Preventive Care and Screening: Screening for Depression and
Follow-up Plan 		  Medicare COM  99.78  63.04
 236  Controlling High Blood Pressure  Medicare COM  68.17  66.78
 321  CAHPS for MIPS  CAHPS for MIPS Survey  2.62  6.67 
 479  Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR)
Rate for MIPS Eligible Clinician Groups [1		  Administrative Claims  0.1412  0.1517
 484  Clinician and Clinician Group Risk-standardized Hospital
Admission Rates for Patients with Multiple Chronic Conditions [1]		  Administrative Claims  29.14  37

For previous years’ Financial and Quality Performance Results, please visit www.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.