(402)261-9530

402-261-9530
info@OneHealthNE.com
Supporting and Growing Independent Medicine

ACO

ACO Name & Location

OneHealth Nebraska ACO, LLC
Previous Names: N/A
4600 Valley Road
Suite 400

Lincoln, NE 68510

ACO Primary Contact

Primary Contract Name Bob Rauner, MD, MPH
Primary Contract Phone Number 402.261.9530
Primary Contract Email Address brauner@OneHealthNE.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Fallbrook Family Health Center Y
Family Physicians Group Y
Lincoln Medical Education Partnership Y
South Lincoln Family Physicians, P.C. Y
East Lincoln Family Health Professionals, PC Y
Lincoln Internal Medicine Associates Y
Innovative Community Health Institute LLC Y
Family Health & Wellness Center, P.C. Y

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
Campbell Kathy Voting Member 1 Medicare Beneficiary Representative N/A
Brinkhoff April Voting Member 2 ACO Participant Representative Fallbrook Family Health Center
Blake Rachel Voting Member 2 ACO Participant Representative South Lincoln Family Physicians, P.C.
Fischer Thomas Voting Member 2 ACO Participant Representative Family Physicians Group
Potts Jason Voting Member 2 ACO Participant Representative Lincoln Internal Medicine Associates

Key ACO Clinical and Administrative Leadership

Steve Kros ACO Executive
Bob Rauner Medical Director
Donna Mertz Compliance Officer
Bob Rauner Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Clinical Expectations Committee Bob Rauner, MD, MPH, ACO 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

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2020, $2,539,151
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0

Shared Savings Distribution:

  • Second Agreement Period
    • 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

2020 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite: (AHRQ Prevention Quality Indicator (PQI) #91) 0.61 0.95
ACO-13 Falls: Screening for Future Fall Risk 88.94 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 83.97 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66.67 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 75.00 71.46
ACO-19 Colorectal Cancer Screening 78.15 72.59
ACO-20 Breast Cancer Screening 81.27 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.42 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 7.30 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.45 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to the low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

Location

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

Contact

 

An independent physicians association dedicated to supporting and growing independent medicine in Lincoln, Grand Island, Crete, Auburn, Hastings, Bellevue, Holdrege and Kearney.

 

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