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<h1>Accountable Care Organization (ACO) - Public Report</h1>
<h2>ACO Name and Location</h2>
<p>Billings Clinic<br>2800 10<sup>th</sup> Ave N<br>Billings, MT 59101</p>
<h2>ACO Primary Contact</h2>
<p>Jan Bechtold<br>406-255-8468<br><a href="mailto:jbechtold@billingsclinic.org">jbechtold@billingsclinic.org</a></p>
<h2>Organizational Information</h2>
<h3>ACO participants</h3>
<table style="border-collapse: collapse; width: 100%;">
<tbody style="border: 1px solid black;">
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 50%; text-align: center;"><strong>ACO Participants</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 50%; text-align: center;"><strong>ACO Participant in Joint Venture</strong></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 50%; text-align: center;">Billings Clinic</td>
<td style="vertical-align: middle; border: 1px solid black; width: 50%; text-align: center;">N</td>
</tr>
</tbody>
</table>
<h3>ACO governing body</h3>
<table style="border-collapse: collapse; width: 100%;">
<tbody style="border: 1px solid black;">
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>Member Last Name</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>Member First Name</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>Member Title/Position</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>Member's Voting Power: expressed as a percentage or number</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>Membership Type</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"><strong>ACO Participant Legal Business Name/DBA, if applicable</strong></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Cook</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Keith</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Mr./Chair</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Medicare Beneficiary Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Seger</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Clint</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Dr./Interim CEO</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">0</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">ACO Participant Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Billings Clinic</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Ott</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Joy</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Ms./Secretary</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">
<p></p>
</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Hirsh</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Wayne</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Mr./Treasurer</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Bartholomew</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Craig</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Mr.</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Duncan</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Heidi</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Dr.</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">ACO Participant Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Billings Clinic</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Fulton</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Elizabeth</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Ms./Treasurer</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">McDonald</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Eileen</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Ms.</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Gordon</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Alice</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Ms.</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Community Stakeholder Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;"></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Trostel</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Kendrick "Kim"</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Dr.</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">ACO Participant Representative</td>
<td style="vertical-align: middle; border: 1px solid black; width: 16.6667%; text-align: center;">Billings Clinic</td>
</tr>
</tbody>
</table>
<h3>Key ACO clinical and administrative leadership</h3>
<ul>
<li><strong>ACO Executive</strong>: Ms. Amy Ready</li>
<li><strong>Medical Director</strong>: Dr. Michael Temporal</li>
<li><strong>Compliance Officer</strong>: Ms. Patti Reisinger</li>
<li><strong>Quality Assurance/Improvement Officer</strong>: Ms. Amy Ready</li>
</ul>
<h3>Associated committees and committee leadership</h3>
<ul>
<li><strong>Board Quality & Patient Safety Oversight Committee</strong>: Ms. Elizabeth Fulton, Chair</li>
<li><strong>Audit & Compliance Committee</strong>: Mr. Craig Bartholomew, Chair</li>
<li><strong>Executive Committee</strong>: Mr. Keith Cook, Chair</li>
<li><strong>Finance Committee</strong>: Mr. Wayne Hirsch, Chair</li>
<li><strong>Governance & Nominating Committee</strong>: Mr. Keith Cook, Chair</li>
<li><strong>Investment Committee</strong>: Mr. Keith Cook, Chair</li>
<li><strong>Physician Compensation Committee</strong>: Mr. Keith Cook, Chair</li>
</ul>
<h3>Types of ACO participants or combinations of participants that formed the ACO</h3>
<ul>
<li>ACO professionals in a group practice arrangement</li>
<li>Partnerships or joint venture arrangements between hospitals and ACO professionals</li>
</ul>
<h3>Shared Savings and Losses</h3>
<h3>Amount of Shared Savings/Losses</h3>
<ul>
<li><strong>Third Agreement Period</strong>
<ul>
<li>Performance Year 2021, $0</li>
<li>Performance Year 2020, $0</li>
<li>Performance Year 2019, $0</li>
</ul>
</li>
</ul>
<ul>
<li><strong>Second Agreement Period</strong>
<ul>
<li>Performance Year 2019, $0</li>
<li>Performance Year 2018, $0</li>
<li>Performance Year 2017, $0</li>
<li>Performance Year 2016, $0</li>
</ul>
</li>
</ul>
<ul>
<li><strong>First Agreement Period</strong>
<ul>
<li>Performance Year 2015, $0</li>
<li>Performance Year 2014, $0</li>
<li>Performance Year 2013, $0</li>
</ul>
</li>
</ul>
<p>“Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all
performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”</p>
<h3>Shared Savings Distribution</h3>
<ul>
<li><strong>Third Agreement Period</strong>
<ul>
<li>Performance Year 2021 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
<li>Performance Year 2020 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
<li>Performance Year 2019 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
</li>
<li><strong>Second Agreement Period</strong>
<ul>
<li>Performance Year 2019 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
<ul>
<li>Performance Year 2018 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
<li>Performance Year 2017 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
<li>Performance Year 2016 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
</li>
</ul>
<ul>
<li><strong>First Agreement Period</strong>
<ul>
<li>Performance Year 2015 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
<ul>
<li>Performance Year 2014 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
<ul>
<li>Performance Year 2013 <ul>
<li>Proportion invested in infrastructure: N/A</li>
<li>Proportion invested in redesigned care processes/resources: N/A</li>
<li>Proportion of distribution to ACO participants: N/A</li>
</ul>
</li>
</ul>
</li>
</ul>
<h3>Quality Performance Results</h3>
<h5>2021 Quality Performance Results</h5>
<h5>Quality performance results are based on CMS Web Interface</h5>
<table style="border-collapse: collapse; width: 100%;">
<tbody style="border: 1px solid black;">
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;"><strong>Measure #</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;"><strong>Measure Name</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;"><strong>Rate</strong></td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;"><strong>ACO Mean</strong></td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 479</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">0.1484</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">0.1540</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 318</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Falls: Screening for Future Fall Risk</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">96.80</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">80.52</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: MCCC 1</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">All-Cause Unplanned Admissions for Pts with Multiple Chronic Conditions for ACOs</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">31.51</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">33.90</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 110</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Preventive Care and Screening: Influenza Immunization</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">96.95</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">80.52</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 226</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">100.00</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">80.97</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 134</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">91.96</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">74.38</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 113</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Colorectal Cancer Screening</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">76.49</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">73.63</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 112</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Breast Cancer Screening</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">80.10</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">75.11</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 438</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Statin Therapy for the Prevention and Treatment of Cardiovascular Disease</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">78.97</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">84.24</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 001</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Diabetes: Hemoglobin A1c Poor Control (>9%)</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">8.93</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">12.46</td>
</tr>
<tr>
<td style="vertical-align: middle; border: 1px solid black; width: 20%; text-align: center;">Measure #: 236</td>
<td style="vertical-align: middle; border: 1px solid black; width: 60%; text-align: center;">Controlling High Blood Pressure</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">69.88</td>
<td style="vertical-align: middle; border: 1px solid black; width: 10%; text-align: center;">74.87</td>
</tr>
</tbody>
</table>
<p>“Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.”</p>
<p><strong>For Previous Years’ Financial and Quality Performance Results, please visit
<a href="https://data.cms.gov/browse?category=Special+Programs%2FInitiatives+-+Medicare+Shared+Savings+Program+%28MSSP%29&page=1" rel="noopener" target="_blank">data.cms.gov</a>.</strong></p>
<h3>Payment Rule Waivers</h3>
<ul>
<li>Waiver for Payment for Telehealth Services: <ul>
<li>Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.</li>
</ul>
</li>
</ul>
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<p>Ask for information on ACOs (TTY users should call <strong>1-877-486-2048</strong>)</p>
<p><strong><a href="/app/files/public/3823/aco-june2019-beneficiary_information_notice_template_without_snf.pdf">Beneficiary Information Notice</a></strong></p>
<p><strong><a href="/app/files/public/3824/aco-june2019-voluntary_alignment_bene_fact_sheet.pdf">Beneficiary Fact Sheet</a></strong></p>
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<p><span class="baec5a81-e4d6-4674-97f3-e9220f0136c1" style="white-space: nowrap;">(406) 255-8400 </span>or <span class="baec5a81-e4d6-4674-97f3-e9220f0136c1" style="white-space: nowrap;">1-800-252-1246</span></p>
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Skip to Content * I Want To * Call Us * Search * Menu DON'T DELAY YOUR CARE. WE ARE READY TO CARE FOR YOU SAFELY. LEARN MORE ABOUT COVID-19 TESTING, TREATMENT AND VACCINES AND HOW WE ARE PRIORITIZING YOUR SAFETY. Set Your Location Your location is... Change Your Location SET YOUR LOCATION TO SEE RELEVANT INFORMATION Use Your Current Location Set Your Location Setting your location helps us to show you nearby providers and locations based on your healthcare needs. * About Us * Careers * Classes * Contact Us Search Site MAIN NAVIGATION * Services & Specialties * Find a Doctor * Maps & Locations * Quality & Safety * Patients & Visitors * Health Information * For Medical Professionals YOU ARE HERE: Home > About Us > ACO Public Report - Accountable Care Organization - Billings, MT TEXT SIZE * * * Additional Section Links ABOUT US * News/Press Releases * Mission, Vision, Values * History of Billings Clinic * Community Benefit * Community Health Needs Assessments and Community Health Improvement Plans * Healing Environment * Leadership * Board of Directors * Foundation * Mayo Clinic Care Network * Accountable Care Organization * ACO Public Report - Accountable Care Organization - Billings, MT * Quality Awards and Recognition ACCOUNTABLE CARE ORGANIZATION (ACO) - PUBLIC REPORT ACO NAME AND LOCATION Billings Clinic 2800 10th Ave N Billings, MT 59101 ACO PRIMARY CONTACT Jan Bechtold 406-255-8468 jbechtold@billingsclinic.org ORGANIZATIONAL INFORMATION ACO PARTICIPANTS ACO Participants ACO Participant in Joint Venture Billings Clinic N ACO GOVERNING BODY Member Last Name Member First Name Member Title/Position Member's Voting Power: expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if applicable Cook Keith Mr./Chair 1 Medicare Beneficiary Representative Seger Clint Dr./Interim CEO 0 ACO Participant Representative Billings Clinic Ott Joy Ms./Secretary 1 Community Stakeholder Representative Hirsh Wayne Mr./Treasurer 1 Community Stakeholder Representative Bartholomew Craig Mr. 1 Community Stakeholder Representative Duncan Heidi Dr. 1 ACO Participant Representative Billings Clinic Fulton Elizabeth Ms./Treasurer 1 Community Stakeholder Representative McDonald Eileen Ms. 1 Community Stakeholder Representative Gordon Alice Ms. 1 Community Stakeholder Representative Trostel Kendrick "Kim" Dr. 1 ACO Participant Representative Billings Clinic KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP * ACO Executive: Ms. Amy Ready * Medical Director: Dr. Michael Temporal * Compliance Officer: Ms. Patti Reisinger * Quality Assurance/Improvement Officer: Ms. Amy Ready ASSOCIATED COMMITTEES AND COMMITTEE LEADERSHIP * Board Quality & Patient Safety Oversight Committee: Ms. Elizabeth Fulton, Chair * Audit & Compliance Committee: Mr. Craig Bartholomew, Chair * Executive Committee: Mr. Keith Cook, Chair * Finance Committee: Mr. Wayne Hirsch, Chair * Governance & Nominating Committee: Mr. Keith Cook, Chair * Investment Committee: Mr. Keith Cook, Chair * Physician Compensation Committee: Mr. Keith Cook, Chair TYPES OF ACO PARTICIPANTS OR COMBINATIONS OF PARTICIPANTS THAT FORMED THE ACO * ACO professionals in a group practice arrangement * Partnerships or joint venture arrangements between hospitals and ACO professionals SHARED SAVINGS AND LOSSES AMOUNT OF SHARED SAVINGS/LOSSES * Third Agreement Period * Performance Year 2021, $0 * Performance Year 2020, $0 * Performance Year 2019, $0 * Second Agreement Period * Performance Year 2019, $0 * Performance Year 2018, $0 * Performance Year 2017, $0 * Performance Year 2016, $0 * First Agreement Period * Performance Year 2015, $0 * Performance Year 2014, $0 * Performance Year 2013, $0 “Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.” SHARED SAVINGS DISTRIBUTION * Third Agreement Period * Performance Year 2021 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2020 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2019 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Second Agreement Period * Performance Year 2019 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2018 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2017 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2016 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * First Agreement Period * Performance Year 2015 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2014 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A * Performance Year 2013 * Proportion invested in infrastructure: N/A * Proportion invested in redesigned care processes/resources: N/A * Proportion of distribution to ACO participants: N/A QUALITY PERFORMANCE RESULTS 2021 QUALITY PERFORMANCE RESULTS QUALITY PERFORMANCE RESULTS ARE BASED ON CMS WEB INTERFACE Measure # Measure Name Rate ACO Mean Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate 0.1484 0.1540 Measure #: 318 Falls: Screening for Future Fall Risk 96.80 80.52 Measure #: MCCC 1 All-Cause Unplanned Admissions for Pts with Multiple Chronic Conditions for ACOs 31.51 33.90 Measure #: 110 Preventive Care and Screening: Influenza Immunization 96.95 80.52 Measure #: 226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100.00 80.97 Measure #: 134 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 91.96 74.38 Measure #: 113 Colorectal Cancer Screening 76.49 73.63 Measure #: 112 Breast Cancer Screening 80.10 75.11 Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.97 84.24 Measure #: 001 Diabetes: Hemoglobin A1c Poor Control (>9%) 8.93 12.46 Measure #: 236 Controlling High Blood Pressure 69.88 74.87 “Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.” For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov. PAYMENT RULE WAIVERS * Waiver for Payment for Telehealth Services: * Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613. RELATED INFORMATION 1-800-MEDICARE Ask for information on ACOs (TTY users should call 1-877-486-2048) Beneficiary Information Notice Beneficiary Fact Sheet FIND A PHYSICIAN Search our physician directory CALL HEALTHLINE Talk to a registered nurse about your health question. (406) 255-8400 or 1-800-252-1246 * Schedule an Appointment * Get Care Now * View my Medical Record * Pay my Bill * Make a Gift * Find a Job * Call our HealthLine Related Information * Accountable Care Organization * Billings Clinic Leadership * Billings Clinic designated as accredited... * * * * * * * 406-238-2500 * 800-332-7156 CONNECT WITH US * Billings Clinic Foundation * Request Financial Assistance * Sign up for eNewsletter * Volunteer at Billings Clinic RESOURCES * Donations & Sponsorship Request Form * Internal Medicine Residency * News & Media * Nursing Excellence * No Surprises Act * Patient Pricing Transparency * Provider Directory Poster * Research * * * Site Privacy * Patient Privacy * Terms & Conditions See important information from Billings Clinic on Non-discrimination and Interpreter Services. Billings Clinic is proud to be an equal opportunity/affirmative action (EOE/AA) e-verify employer.