(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, PC Y
Lincoln Medical Education Partnership Y
South Lincoln Family Physicians, P.C. Y
East Lincoln Family Health Professionals, PC Y
Lincoln Internal Medicine Associates, PC 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
Palm David Voting Member 1 Medicare Beneficiary Representative N/A
Brinkhoff April Voting Member 1 ACO Participant Representative Fallbrook Family Health Center
Blake Rachel Voting Member 1 ACO Participant Representative South Lincoln Family Physicians, P.C.
Fischer Thomas Voting Member 1 ACO Participant Representative Family Physicians Group
Potts Jason Voting Member 1 ACO Participant Representative Lincoln Internal Medicine Associates

Key ACO Clinical and Administrative Leadership

Steve Kros ACO Executive
Bob Rauner, MD Chief Medical Officer
Brandon Webb, MD Medical Director
Donna Mertz Compliance Officer
Bob Rauner, MD 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 2021, $2,954,276 
    • 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 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 0% 
      • Proportion of distribution to ACO participants: 75%
  • 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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

 

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 6.62 12.46
134 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 90.56 74.38
236 Controlling High Blood Pressure 82.22 74.87
318 Falls: Screening for Future Fall Risk 93.63 87.03
110 Preventive Care and Screening: Influenza Immunization 90.13 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 67.74 80.97
113 Colorectal Cancer Screening 85.18 73.63
112 Breast Cancer Screening 84.21 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.49 84.24
321 CAHPS for MIPS N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1435 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 25.98 33.99

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.

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.

 

X