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, Senior Director, Government Operations
    Phone: (970) 810-8706
    Email: [email protected]

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)
Banner - University Medical Group 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
Evani Bob Board Chair 12.5% ACO Participant Representative Banner - University Medical Group
Kuntz Clint Manager 12.5%
 Other N/A
Lynn Steve Beneficiary 12.5% Beneficiary N/A
Mathias Ann Manager 12.5% ACO Participant Representative Banner - University Medical Group
Orlandi Richard Manager 12.5% ACO Participant Representative Banner - University Medical Group
Riall Taylor Manager 12.5% ACO Participant Representative Banner - University Medical Group
Rundell Kristen Manager 12.5% ACO Participant Representative Banner - University Medical Group
Smythe Robert Manager 12.5% ACO Participant Representative Up2Par

 

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Kynda Wolfrum, RN, MSN
  • Medical Director: Patricia Iris, MD
  • Compliance Officer: Ryan Shirley
  • Quality Assurance/Improvement Officer: Sandra Robles

Associated Committees and Committee Leadership

  • Compliance Committee: Ryan Shirley, 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

Shared Savings and Losses

  • Shared Savings and Losses
    • First Agreement Period
      • Performance Year 2023, $0
  • Shared Savings Distribution
    • First Agreement Period
      • 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

Measure #   Measure Name  Collection Type  Reported Performance Rate  Current Year Mean Performance
Rate (SSP ACOs)
 001  Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)  CMS Web Interface  7.17  9.84
 134  Preventive Care and Screening: Screening for Depression and
Follow-up Plan 		  CMS Web Interface  71.90  80.97
 236  Controlling High Blood Pressure  CMS Web Interface  73.52  77.80
 318  Falls: Screening for Future Fall Risk  CMS Web Interface  94.47  89.42
 110  Preventive Care and Screening: Influenza Immunization  CMS Web Interface  82.17  70.76
 226  Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention		  CMS Web Interface  71.43 79.29
113  Colorectal Cancer Screening  CMS Web Interface  81.85 77.14
112  Breast Cancer Screening  CMS Web Interface  79.92  80.36
438

 Statin Therapy for the Prevention and Treatment of
Cardiovascular Disease

  CMS Web Interface  86.46  87.05
370  Depression Remission at Twelve Months  CMS Web Interface  6.02  16.58
 479  Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR)
Rate for MIPS Eligible Clinician Groups [1		  Administrative Claims  0.1503  0.1553
 484  Clinician and Clinician Group Risk-standardized Hospital
Admission Rates for Patients with Multiple Chronic Conditions [1]		  Administrative Claims  27.72  35.39

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