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Shared Savings Program Public Reporting

ACO Name and Location

Montana Health Plus
1805 Euclid Avenue, Helena , MT, 59601

ACO Primary Contact

Breann Streck
406-442-2750
MontanaHealthPlus@mtpca.org

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Joint Venture
BIGHORN VALLEY HEALTH CENTER INCORPORATEDNo
BULLHOOK COMMUNITY HEALTH CENTER, INC.No
BUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INCNo
COMMUNITY HEALTH CARE CENTER INCORPORATEDNo
FLATHEAD COMMUNITY HEALTH CENTER, INC.No
GLACIER COMMUNITY HEALTH CENTER INCNo
LINCOLN COUNTY COMMUNITY HEALTH CENTER INCNo
MARIAS HEALTHCARE SERVICES INC.No
MONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.No
PARTNERSHIP HEALTH CENTER INCNo
PUREVIEW HEALTH CENTERNo
SAPPHIRE COMMUNITY HEALTH INCNo
YELLOWSTONE CITY-COUNTY HEALTH DEPARTMENTNo

ACO Governing Body:

Member
First Name
Member
Last Name
Member
Title/ Position
Member’s Voting
Power (Expressed as a percentage)
Membership TypeACO Participant Legal
Business Name, if applicable
BetsySeglemVoting Member7.143%ACO Participant RepresentativeGLACIER COMMUNITY HEALTH CENTER INC
CindyStergarNonvoting0%OtherN/A
DavidMarkVice President7.143%ACO Participant RepresentativeBIGHORN VALLEY HEALTH CENTER INCORPORATED
DonaGonzalesVoting Member7.142%Medicare Beneficiary RepresentativeN/A
JamieBrownellSecretary Treas7.143%ACO Participant RepresentativeMARIAS HEALTHCARE SERVICES INC.
JonForteVoting Member7.143%ACO Participant RepresentativeYELLOWSTONE CITY-COUNTY HEALTH DEPARTMENT
KyndraHallVoting Member7.143%ACO Participant RepresentativeBULLHOOK COMMUNITY HEALTH CENTER, INC.
LaraSalazarVoting Member7.143%ACO Participant RepresentativePARTNERSHIP HEALTH CENTER INC
MariaClemonsPast President7.143%ACO Participant RepresentativeLINCOLN COUNTY COMMUNITY HEALTH CENTER INC
MarySterhanPresident7.143%ACO Participant RepresentativeFLATHEAD COMMUNITY HEALTH CENTER, INC.
MichelleMartenVoting Member7.142%ACO Participant RepresentativePUREVIEW HEALTH CENTER
PatrickPeerVoting Member7.143%ACO Participant RepresentativeSAPPHIRE COMMUNITY HEALTH INC
TammyCoxVoting Member7.143%ACO Participant RepresentativeBUTTE SILVER BOW PRIMARY HEALTH CARE CLINIC INC
VickiThuesenVoting Member7.143%ACO Participant RepresentativeMONTANA MIGRANT AND SEASONAL FARMWORKERS COUNCIL, INC.
WilliamPrestonVoting Member7.143%ACO Participant RepresentativeCOMMUNITY HEALTH CARE CENTER INCORPORATED

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive:
Leslie Southworth

Medical Director:
Shawna Yates

Compliance Officer:
Leslie Southworth

Quality Assurance/Improvement Officer:
Leslie Southworth

Associated Committees and Committee Leadership:

Committee NameCommittee Leader Name and Position
N/AN/A

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
    • Performance Year 2024, N/A
    • Performance Year 2023, $1,845,514.83

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2026
      • 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 2025
      • 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 2024
      • 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 2023
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #Measure TitleCollection TypePerformance RateCurrent Year Mean
Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey6.76.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims37
318Falls: Screening for Future Fall RiskCMS Web Interface30.2388.99
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface47.9268.6
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface75.4479.98
113Colorectal Cancer ScreeningCMS Web Interface61.7877.81
112Breast Cancer ScreeningCMS Web Interface66.1980.93
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface87.986.5
370Depression Remission at Twelve MonthsCMS Web Interface10.3817.35
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface10.639.44
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface89.1181.46
236Controlling High Blood PressureCMS Web Interface67.6379.49
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey80.5883.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey93.2293.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey91.8492.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey77.5675.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey70.3465.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey62.9862.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey70.6274.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey85.5885.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.1992.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey27.7426.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.