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