Welcome to Intermountain Accountable Care, Intermountain Healthcare’s Medicare 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 Intermountain’s ACO provide Medicare beneficiaries with safe, high quality, accessible, and affordable care—all within a patient-centered and family-friendly experience. Intermountain’s ACO 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 Intermountain’s ACO 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.

ACO Name and Location
Castell Accountable Care, LLC
Formerly Intermountain Accountable Care, LLC 
36 S. State St.
Suite 2200 
Salt Lake City, UT 84111 

ACO Primary Contact
Eric Cragun
801-442-4556
eric.cragun@imail.org

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
IHC Health Services, Inc. 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

  • $4,950,749

Performance Year 2018

  • $1,154,357

 

 

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.