Welcome to Castell Accountable Care (formerly Intermountain Accountable Care), Medicare Shared Savings Program Accountable Care Organization (ACO). Our team is committed to providing patients with the highest quality, most convenient care through our hospitals, clinics, and other services.
What is a Medicare Shared Savings Program ACO? Medicare Shared Savings Program ACOs are part of a federal program designed to improve health and care. Physicians and clinician teams participating in Castell Accountable Care provide Medicare beneficiaries with safe, high quality, accessible, and affordable care—all within a patient-centered and family-friendly experience. Castell Accountable Care began January 1, 2018.
Patients are free to choose any hospital or physician. Medicare Shared Savings Program ACO beneficiaries do not self-select or join an ACO, nor is there any membership fee. Patients are assigned by Original Medicare as a member of Castell Accountable Care based on the fact that the primary care physician they most often see participates on this ACO. All the benefits received as an Original Medicare beneficiary continue as usual.
If you have additional questions, please give us a call. We look forward to serving you.
Castell Accountable Care, LLC
Formerly Intermountain Accountable Care, LLC
36 S. State St.
Suite 2200
Salt Lake City, UT 84111
Primary Contact
Eric Cragun
801-442-4556
eric.cragun@castellhealth.com
Organizational Information
ACO Participants
ACO Participants |
ACO Participant in Joint Venture |
Aaron Robinson DO PLLC |
N |
IHC Health Services, Inc. |
N |
Shelly Savage MD LLC |
N |
ACO Governing Body Members
Last Name |
First Name |
Title/Position |
Member's Voting Power |
Membership Type |
ACO Participant TIN Legal Business Name/DBA |
Bassett |
Nick |
President |
9% |
ACO Executive |
Castell, LLC. |
Drollinger, MD |
Brooke |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Hancey |
Brian C. |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Hughes |
Melanie C. |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Jiricko |
Audrey |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Moore |
Mikelle |
Chair |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Newbold |
Douglas R. |
Vice Chair |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Nielsen |
Michael S. |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Obray |
Cathleen M. |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Sekaran, MD |
Nishant |
Member |
9% |
ACO Participant Rep |
IHC Health Services, Inc. |
Wolcott |
Andrea |
Member |
9% |
Medicare Beneficiary Rep |
N/A |
Key Clinical and Administrative Leadership
- ACO Executive: Nick Bassett
- Medical Director: Joshua Romney, MD
- Compliance Officer: Suzanne Draper
- Compliance Officer: Tina Ballamis
- Quality Assurance/Improvement Officer: Shannon Phillips
ACO Committees and Committee Leaderships
- Quality Improvement & Informatics Committee Chair: Brooke Drollinger, MD
- Executive Committee Chair: Mikelle Moore
- Governance Committee Chair: Audrey Jiricko, MD
- Contracts Committee Chair: Brian Hancey, MD
Identification of the Types of ACO Participants or Combinations of Participants that Formed the ACO
- Critical Access Hospital (CAH) billing under Method II
- ACO professionals in a group practice management
- Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
|
First Agreement Period
Performance Year 2019
Performance Year 2018
|
Shared Savings Distribution
|
First Agreement Period
Performance Year 2019
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 70%
Performance Year 2018
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 60%
|
Quality Performance Results
2019 Quality Performance Results:
ACO # |
Measure Name |
Rate |
ACO Mean |
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
83.90 |
85.86 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
93.86 |
94.11 |
ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.91 |
92.69 |
ACO-4 |
CAHPS: Access to Specialists |
81.92 |
81.54 |
ACO-5 |
CAHPS: Health Promotion and Education |
64.37 |
60.44 |
ACO-6 |
CAHPS: Shared Decision Making |
59.83 |
62.78 |
ACO-7
|
CAHPS: Health Status/Functional Status |
76.26 |
73.79 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
30.70 |
26.17 |
ACO-45 |
CAHPS: Courteous and Helpful Office Staff |
93.04 |
92.84 |
ACO-46 |
CAHPS: Care Coordination |
87.38 |
86.89 |
ACO-8 |
Risk Standardized, All Condition Readmission |
12.93 |
14.86 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
41.20 |
58.15 |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) |
1.40 |
1.87 |
ACO-13 |
Falls: Screening for Future Fall Risk |
91.60 |
84.04 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
73.52 |
74.77 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
90.91 |
78.04 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
90.36 |
70.40 |
ACO-19 |
Colorectal Cancer Screening |
75.50 |
70.76 |
ACO-20 |
Breast Cancer Screening |
74.12 |
73.84 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
82.72 |
82.17 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
8.11 |
13.88 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
70.63 |
75.04 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
Note: In the Quality Performance Results file(s) above, search for “Intermountain Accountable Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3774 in the public use files on data.cms.gov.
Payment Rule Waivers
Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
Waiver for Payment for Telehealth Services:
- Yes, our ACO clinicians do provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.