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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 &amp; Patient Safety Oversight Committee</strong>: Ms. Elizabeth Fulton, Chair</li>
                        <li><strong>Audit &amp; 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 &amp; 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 (&gt;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&amp;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><strong>1-800-MEDICARE</strong></p>
                          <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><a class="Button" href="https://providers.billingsclinic.org/">Search our physician directory</a></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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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


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Talk to a registered nurse about your health question.

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