ACO Public Reporting Information

 

ACO Name and Location

Ochsner Accountable Care Network, LLC
Previous Names: N/A
1514 Jefferson Highway
New Orleans, LA 70121

ACO Primary Contact

Primary Contact Name Nicole Swan
Primary Contact Phone Number (855) 277-1509
Primary Contact Email Address nswan@ochsner.org

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

ACADIANA FAMILY PHYSICIANS, INC., A.P.M.C.

N

CHARLIE INTERNAL MEDICINE GROUP INCORPORATED

N

CHRISTOPHER D NAQUIN MD APMC

N

CONTEMPORARY WOMENS CARE OF BREAUX BRIDGE

N

DAMON T CUDIHY MD LLC

N

DANIEL SERVICES LLC

N

DAVID ASHTON REED MD INTERNAL MEDICINE LLC

N

DR JOHN M WISE

N

ELIZABETH B WHITE MD INC

N

FAMILY PRACTICE ASSOCIATES OF

N

GBR, LLC

N

INTERNAL MEDICINE CLINIC OF MORGAN CITY, LLC

N

JAMES M ROBINSON, MD, LLC

N

JEANNE D THERIOT MD APM LLC

N

JENNINGS AMERICAN LEGION HOSPITAL INC

N

KEMPER CAH, INC.

N

KENNER PHYSICIAN ASSOCIATES, LLC

N

LAFAYETTE HEALTH VENTURES INC

N

LAIRD HOSPITAL, INC.

N

LOUISIANA INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, LLC

N

LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE

N

MEDICAL FOUNDATION INC

N

MP MEDICAL PARTNERS LLC

N

OCHSNER BAYOU, LLC

N

OCHSNER CLINIC, LLC

N

OCHSNER MISSISSIPPI, LLC

N

OCHSNER UNIVERSITY HOSPITAL & CLINICS

N

PHYSICIAN PRACTICE PARTNERS

N

PREVENTION PLUS CLINIC LLC

N

ROBIN DALE, M.D., L.L.C.

N

ROWE S CROWDER III MD PLLC

N

RUSH HOSPITAL/BUTLER, INC

N

RUSH MEDICAL FOUNDATION

N

SCOTT REGIONAL MEDICAL CENTER, LLC

N

SINGING RIVER GULFPORT

N

SINGING RIVER HEALTH SYSTEM

N

SLIDELL MEMORIAL HOSPITAL

N

ST TAMMANY EMERGENCY PHYSICIANS GROUP LLC

N

ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1

N

TITUS COUNTY HOSPITAL DISTRICT

N

TOTAL ANESTHESIA CARE STPH LLC

N

TRAHAN CONSULTING GROUP LLC

N

WESTBANK MEDICAL ASSOCIATES

N

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

Carey, M.D.

Michael

Ochsner Accountable Care Network Board Member

1

 Medicare Beneficiary Representative

N/A

November

Peter

Ochsner Accountable Care Network Board Member

1

Non-ACO Participant Representative

N/A

Hulefeld

Michael

Ochsner Accountable Care Network Board Member

1

Non-ACO Participant Representative

N/A

Hart, M.D.

Robert

Ochsner Accountable Care Network Board Chairman

1

ACO Participant Representative

Ochsner Clinic, LLC

Jeansonne IV, M.D.

Louis

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Ochsner Clinic, LLC

Riddell, M.D.

Timothy

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Ochsner Clinic, LLC

Russo, M.D.

Aldo

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Ochsner Clinic, LLC

Gandy

Patrick

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Lafayette Health Ventures, Inc.

Logue, M.D.

Amanda

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Lafayette Health Ventures, Inc.

Coffman

Joan

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

St. Tammany Parish Hospital Service District No. 1 d/b/a St. Tammany Health System

Torcson, M.D.

Patrick

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

St. Tammany Parish Hospital Service District No. 1 d/b/a St. Tammany Health System

Badinger

Sandy

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

St. Tammany Parish Hospital Service District No. 2 d/b/a Slidell Memorial Hospital

 

McElveen, M.D.

 

Matthew

 

Ochsner Accountable Care Network Board Member

 

1

 

ACO Participant Representative

 

St. Tammany Parish Hospital Service District No. 2 d/b/a Slidell Memorial Hospital

Peoples

Phyllis

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Physician Practice Partners

McKee, M.D.

Nicole

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Physician Practice Partners

Achee, M.D.

Christopher

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Jennings American Legion Hospital, Inc.

Daniel, M.D.

Chaillie

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Daniel Services, LLC, d/b/a Daniel Clinic

Callecod

David

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

LSU Health Sciences Center – Shreveport Faculty Group Practice d/b/a Ochsner LSU Physician Group.

Fox, M.D.

Charles

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

LSU Health Sciences Center – Shreveport Faculty Group Practice d/b/a Ochsner LSU Physician Group.

Kennedy

Larkin

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Ochsner Rush Health

Duggan, M.D.

Frederick

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Ochsner Rush Health

Posecai

Scott

Ochsner Accountable Care Network Board Member

1

Non-ACO Participant Representative

N/A

 

Murdock

 

Tiffany

 

Ochsner Accountable Care Network Board Member

 

1

 

ACO Participant Representative

 

Singing River Health

Roth, M.D.

Randy

Ochsner Accountable Care Network Board Member

1

ACO Participant Representative

Singing River Health

Raymond, M.D.

Sidney

Ochsner Accountable Care Network Board Member

1

Non-ACO Participant Representative

N/A

Gallagher

Eric

Ochsner Accountable Care Network

Board Member

1

Non-ACO Participant Representative

N/A

Key ACO clinical and administrative leadership:

Sidney “Beau” Raymond, MD, FACP

Ochsner Accountable Care Network Interim Executive Director, Medical Director, Ex-Officio Ochsner Accountable Care Network Board Member

Eden Ezell

Compliance Officer

Susan Montz

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Network Development Committee

Philip Oravetz, MD, Chief Population Health Officer, Ochsner Health Network

Thomas Groves, VP, Network Development, Ochsner Health Network

Performance and Operations Committee

Sidney “Beau” Raymond, MD, FACP, Ochsner Accountable Care Network Executive Director, Medical Director, Ex-Officio Ochsner Accountable Care Network Board Member

Eric Gallagher, Chief Executive Officer, Ochsner Health Network

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospitals employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2021, $17,601,341
    • Performance Year 2020, $22,355,579
    • Performance Year 2019, $13,262,736

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2020
      • Proportion invested in infrastructure: 7%
      • Proportion invested in redesigned care processes/resources: 18%
      • Proportion of distribution to ACO participants: 74%
    • Performance Year 2019
      • Proportion invested in infrastructure: 7%
      • Proportion invested in redesigned care processes/resources: 18%
      • Proportion of distribution to ACO participants: 74%

Quality Performance Results

2021 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

9.09

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

82.46

74.38

236

Controlling High Blood Pressure

82.61

74.87

318

Falls: Screening for Future Fall Risk

96.47

87.03

110

Preventative Care and Screening: Influenza Immunization

81.11

80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

93.55

80.97

113

Colorectal Cancer Screening

86.85

73.63

112

Breast Cancer Screening

90.09

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.63

84.24

“Please note, the ACO-40 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

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
  • 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.

Other Services

  • Outpatient Case Management

OACN will provide outpatient case management for a limited period of time to beneficiaries who are considered high risk for healthcare complications as determined by an appropriate algorithm. This effort will achieve triple aim results through enhanced care coordination with the goal of reducing the incidence of healthcare complications.

  • Ready Responders Program

In order to achieve better health for individuals, better health for populations, and lowered growth in expenditures, OACN has engaged Ready Responders to provide various interventions, including home visits, visits in the community, and phone conversations as an in- kind service.

  • Partial Backstopping of Shared Losses

OACN will financially assess all participant community practitioners a portion of shared losses incurred at the ACO level. This will be calculated based upon beneficiary attribution and not to exceed a set amount per practitioner. All participants will therefore be responsible for some level of downside financial risk in order to create accountability for their attributed population of beneficiaries. It is necessary to limit the exposure to downside financial risk for community participants so that potential penalty does not preclude them from participation.  This also allows OACN to reach wider geographic and socioeconomic spread of beneficiaries.  This effort will achieve triple aim results by creating a shared incentive to improve care coordination.

  • Electronic Health Record System

OACN will provide a subsidy and/or discount to participant community practitioners to join into a single, unified Epic EHR platform. Participant community practitioners that can adequately interface with EPIC will have the option to retain their own EHR system, and all other participants will be required to use the EPIC EHR. OACN will also give participants the option to lease the necessary hardware needed to operate the EPIC EHR at a discounted rate to eliminate the barrier for adoption. This effort will achieve triple aim results through improved EHR communication and care coordination.

  • Digital Medicine Program(s)

Ochsner Accountable Care Network (OACN) has a primary goal of advancing the Triple Aim for the Medicare beneficiaries attributed through the Shared Savings Program. In order to achieve better health for individuals, better health for populations, and lowered growth in expenditures; OACN will enter beneficiaries suffering from certain chronic conditions and diseases into our digital monitoring program(s.)  To help them manage these conditions and diseases, we will provide items to promote beneficiaries’ adherence to their care plans and proactively identify changes in their health. This effort will achieve triple aim results through enhanced care coordination with the goal of reducing the incidence of chronic disease.

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