ACO Name and Location
Western Accountable Care Organization, LLC
715 Horizon Drive, Suite 485
Grand Junction, CO 81506
ACO Primary Contact
Marnell Bradfield
970-986-3679
Marnell.Bradfield@wha1.org
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| ASPEN VALLEY HOSPITAL CLINICS, PLLC | N |
| ASPEN VALLEY HOSPITAL DISTRICT | N |
| CEDAR POINT HEALTH LLC | N |
| COMMUNITY MEDICAL GROUP LLC | N |
| EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT | N |
| GRAND RIVER HOSPITAL DISTRICT | N |
| GUNNISON VALLEY FAMILY PHYSICIANS | N |
| GUNNISON VALLEY HOSPITAL | N |
| LAKE FORK HEALTH SERVICES DISTRICT | N |
| LINDA M PETERSON, MD, PLLC | N |
| MIDVALLEY FAMILY HEALTH PRACTICE PC | N |
| MOAB VALLEY HEALTHCARE INC | N |
| MONTROSE MEMORIAL HOSPITAL, INC | N |
| MOUNTAIN MEDICAL CENTER LLC | N |
| PAULA KADISON MD PC | N |
| RANGELY HOSPITAL DISTRICT | N |
| THE MEMORIAL HOSPITAL | 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 |
| Alyssa | Franklin | Member | 1 | ACO Participant Representative | ASPEN VALLEY HOSPITAL CLINICS, PLLC |
| Elaine | Gerson | Member | 1 | ACO Participant Representative | ASPEN VALLEY HOSPITAL DISTRICT |
| Jim | Coombs | Member | 1 | ACO Participant Representative | GRAND RIVER HOSPITAL DISTRICT |
| Rhonda | Parker | Member | 1 | ACO Participant Representative | MONTROSE MEMORIAL HOSPITAL, INC |
| Barry | Mink | Member | 1 | Medicare Beneficiary Representative | N/A |
| Kyle | Wren | Member | 1 | ACO Participant Representative | RANGELY HOSPITAL DISTRICT |
| Liz | Sellers | Member | 1 | ACO Participant Representative | EASTERN RIO BLANCO COUNTY HEALTH SERVICE DISTRICT |
| Marc | Lassaux | Member | 1 | Stakeholder Member | N/A |
| Paula | Belcher | Member | 1 | ACO Participant Representative | THE MEMORIAL HOSPITAL |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Marnell Bradfield
Medical Director: Vacant, Currently Recruiting
Compliance Officer: Marnell Bradfield
Quality Assurance/Improvement Officer: Marnell Bradfield
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Compliance Committee | Elaine Gerson, Chair |
| Finance & Audit Committee | Vacant, currently recruiting new Chair |
| Medicare Council | Dr. Bryce Lokey |
| Executive Committee | Elaine Gerson, WACO Board Vice Chair |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Networks of individual practices of ACO professionals
- Critical Access Hospital (CAH) billing under Method II
- Rural Health Clinic (RHC)
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Fourth Agreement Period
- Performance Year 2022, $0
- Third Agreement Period
- Performance Year 2021, $0
- Second Agreement Period
- Performance Year 2020, $0
- First Agreement Period
- Performance Year 2019, $0
Shared Savings Distribution:
- Fourth Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Third Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- 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
Quality Performance Results
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 6.27 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 73.29 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 72.17 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 63.75 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 71.61 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 80.95 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 68.06 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 77.60 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 78.94 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 16.33 | 16.03 |
| Measure# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | Administrative Claims | 0.1432 | 0.1510 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | Administrative Claims | 23.09 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 80.12 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 92.65 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 91.28 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 74.08 | 77.00 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 62.43 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 59.49 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.93 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 85.07 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 93.45 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 26.93 | 25.62 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- N/A
- Waiver for Payment for Telehealth Services:
- N/A
Fraud and Abuse Waivers
- There are no Fraud and Abuse Waivers to disclose.