Supporting and Growing Independent Medicine

MSSP Public Reporting

 

ACO Name & Location

OneHealth Nebraska ACO, LLC
4600 Valley Road, Suite 400
Lincoln, NE 68510, U.S.A.

ACO Primary Contact
Primary Contact Name Brandon Webb, MD, FAAFP
Primary Contact Phone 402.261.9530
Primary Contact Email Address bwebb@OneHealthNE.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
BLUESTEM HEALTH No
BUTLER COUNTY CLINIC P C No
CAPITAL MEDICAL CLINIC, LLP No
CODDINGTON MEDICAL FAMILY PRACTICE LLC No
COLUMBUS MEDICAL CENTER, P.C. No
East Lincoln Family Health Professionals, PC No
EDGEWOOD FAMILY PHYSICIANS PC No
Fallbrook Family Health Center No
Family Health & Wellness Center, P.C. No
FAMILY MEDICAL CENTER OF HASTINGS No
FAMILY PHYSICIANS GROUP, PC No
FAMILY PRACTICE ASSOCIATES, P.C. No
FAMILY PRACTICE OF GRAND ISLAND, P.C. No
GRAND ISLAND CLINIC INC No
HASTINGS INTERNAL MEDICINE ASSOCIATES PC No
INNOVATIVE COMMUNITY HEALTH INSTITUTE LLC No
LINCOLN FAMILY MEDICAL GROUP P.C. No
LINCOLN FAMILY WELLNESS PC No
LINCOLN INTERNAL MEDICINE ASSOCIATES, PC No
Lincoln Medical Education Partnership No
South Lincoln Family Physicians, P.C./DBA: PRIMARY CARE PARTNERS No

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Svjetlana Dziko Board Member 20% ACO Participant Representative Family Health and Wellness, P.C.
Diane Wilson Board Member 20% Medicare Beneficiary Representative N/A
Jason Potts Board Member 20% ACO Participant Representative LINCOLN INTERNAL MEDICINE ASSOCIATES, PC
Rachel Blake Board Member 20% ACO Participant Representative South Lincoln Family Physicians, P.C./DBA: PRIMARY CARE PARTNERS
Tom Fischer Board Member 20% ACO Participant Representative FAMILY PHYSICIANS GROUP, PC

Key ACO Clinical and Administrative Leadership
ACO Executive Steve Kros
Medical Director Brandon Webb, MD, FAAFP
Compliance Officer Kristin Carmichael
Quality Assurance/Improvement Officer Brandon Webb, MD, FAAFP

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Expectations Committee Brandon Webb, MD; CMO OneHealth Nebraska ACO

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  •  Third Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
  •  Second Agreement Period
    • Performance Year 2024, $5,620,956.89
    • Performance Year 2023, $4,234,473.56
    • Performance Year 2022, $4,611,700.00
    • Performance Year 2021, $2,954,275.97
    • Performance Year 2020, $2,539,151.32
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, N/A

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2026
      • Proportion invested in infastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2025
      • Proportion invested in infastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2023
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
    • Performance Year 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2020
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 65%
  • First 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

    Quality Performance Results

    2024 Quality Performance Results:

    Quality performance results are based on CMS Web Interface collection type.

     
    321 CAHPS for MIPS CAHPS for MIPS Survey 9.83 6.67
    479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1502 0.1517
    484* Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims - 37
    318 Falls: Screening for Future Fall Risk CMS Web 93.51 88.99
    110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 76.29 68.6
    226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 70.83 79.98
    113 Colorectal Cancer Screening CMS Web Interface 88.94 77.81
    112 Breast Cancer Screening CMS Web Interface 87.31 80.93
    438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 84.07 86.5
    370 Depression Remission at Twelve Months CMS Web Interface 6.06 17.35
    001* Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 4.62 9.44
    134 Preventative Care and Screening: Screening for Depression and Follow-Up Plan CMS Web Interface 92.68 81.46
    236 Controlling High Blood Pressure CMS Web Interface 83.2 79.49
    CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 90.48 83.7
    CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.87 93.96
    CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 93.63 92.43
    CAHPS-4 Access to Specialists CAHPS for MIPS Survey 80.75 75.76
    CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 69.38 65.48
    CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 67.21 62.31
    CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.75 74.14
    CAHPS-8 Care Coordination CAHPS for MIPS Survey 90.21 85.89
    CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 94.9 92.89
    CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 35.91 26.98

    For Previous Years’ Financial and Quality Performance Results, please visit 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.

    *For Clinician and Clinician Group Risk-standarized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QP’s). Most providers participating in Track E and ENHANCED track ACO’s are QPs, and so performance rates for Track E and ENHANCED track ACO’s may not be representative of the care provided by these ACO’s providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

    Location

    • OneHealth Nebraska
    • 4600 Valley Road, Suite 400
    • Lincoln, NE 68510

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    An independent physicians association dedicated to supporting and growing independent medicine in Lincoln, Grand Island, Crete, Auburn, Hastings, Bellevue, Holdrege, Kearney, North Platte, Columbus, David City and Fremont.