Medicare ACO

ACO NAME & LOCATION

Community Health Center Network of Idaho (CHCNI)
1087 W. River St. Boise, ID 83702

ACO PRIMARY CONTACT

Matt Wimmer
Phone: 208-392-3473
Email: mwimmer@idahochc.org

 

ACO PARTICIPANTS

ACO Participants ACO Participant in Joint Venture

Boundary Regional Community Health Center, Inc.

(Kaniksu Community Health)

 N

The Family Medicine Residency of Idaho, Inc

(Full Circle Health)

 N
Adams County Health Center Inc. N

Community Council of Idaho, Inc.

(Community Family Clinic)		 N

Community Health Clinics Inc.

(Terry Reilly Health Services)

 N
Health West Inc. N
Family Services Corporation  N
Valley Family Health Care, Inc N

Glenns Ferry Health Center, Inc.

(Desert Sage Health Centers)

 N

Benewah Medical Center

(Marimn Health)

 N

Upper Valley Community Health Services, Inc.

(Grand Peaks)

 N

Community Health Association of Spokane

 N

Dirne Health Centers Inc.

(Heritage Health)

 N

Challis Area Health Center Inc.

 N

 

 

ACO GOVERNING BODY

Member
First Name		 Member
Last Name		 Member
Title/Position		 Member's
Voting Power		 Membership
Type		 ACO Participant Legal
Business Name & D/B/A
Aaron  Wilson Board Member 6.25% ACO Participant Representative Community Health Association of Spokane
Aaron  Houston Board Member 6.25% ACO Participant Representative Family Health Services Corporation
Arnold Cantu Board Member 6.25% ACO Participant Representative

Community Council of Idaho, Inc.

(Community Family Clinic)
Denise Chuckovich Board Member 6.25% Medicare Beneficiary 
Representative		 N/A
Heidi Hart Board Member 6.25% ACO Participant Representative Community Health Clinics 
Inc
Janice Jordan Board Member 6.25% ACO Participant Representative Benewah Medical Center
Kevin Knepper Board Member 6.25% ACO Participant Representative Boundary Regional 
Community Health Center, 
Inc.
Mendy Stanford Board Member 6.25% ACO Participant Representative Adams County Health 
Center Inc.
Lori Sessions Board Member 6.25% ACO Participant Representative Upper Valley Community 
Health Services, Inc.
Amber Jordan Board Member 6.25% ACO Participant Representative Glenns Ferry Health Center, 
Inc.
Michael Baker Board Member 6.25% ACO Participant Representative DIRNE HEALTH CENTERS 
INC
Mindy Benedetti Board Member 6.25% ACO Participant Representative HEALTH WEST INC.
Steve Rembelski Board Member 6.25% ACO Participant Representative CHALLIS AREA HEALTH 
CENTER INCORPORATED
Ted Epperly Board Member 6.25% ACO Participant Representative The Family Medicine 
Residency of Idaho, Inc
Ken Hart Board Member 6.25% ACO Participant Representative Valley Family Health Care, 
Inc

 Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

KEY CLINICAL & ADMINISTRATIVE LEADERSHIP

  • ACO Executive: Matt Wimmer
  • Medical Director: Andrew Baron, MD
  • Compliance Officer: Matt Wimmer
  • Quality Assurance/Improvement Officer: Anita Suljic

 

ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP

Committee Name Committee Leader Name & Position
N/A N/A

 

 

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

  • ACO professionals in a group practice arrangement

  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses 

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2026, N/A
      Performance Year 2025, N/A
      Performance Year 2024, $1,967,239.08
      Performance Year 2023, $2,894,485.15
      Performance Year 2022, $2,027,687.00
  • First Agreement Period
    • Performance Year 2021, $8,835,310.27
      Performance Year 2020, $2,517,896.01
      Performance Year 2019, $0.00
      Performance Year 2018, $0.00

Shared Savings Distribution

  • Second 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: 
      - Proportion invested in redesigned care processes/resources:
      - Proportion of distribution to ACO participants:
    • Performance Year 2023
      - Proportion invested in infrastructure: 
      - Proportion invested in redesigned care processes/resources:
      - Proportion of distribution to ACO participants:
    • Performance Year 2022
      - Proportion invested in infrastructure: 
      - Proportion invested in redesigned care processes/resources:
      - Proportion of distribution to ACO participants:
  • First Agreement Period
    • Performance Year 2021
      - Proportion invested in infrastructure: 
      - Proportion invested in redesigned care processes/resources:
      - Proportion of distribution to ACO participants:
    • Performance Year 2020
      - Proportion invested in infrastructure: 
      - Proportion invested in redesigned care processes/resources:
      - Proportion of distribution to ACO participants:
    • 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
    • Performance Year 2018
      - 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

2024 Quality Performance Results:

Quality Performance results are based on the CMS Web Interface collection type 

Measure #

Measure Name

Collection Type

Reported Performance Rate

Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 321 CAHPS for MIPS CAHPS for MIPS Survey 5.06 6.67
Quality ID #479* Hospital-Wide, 30-Day, All-Cause 
Unplanned Readmission (HWR) Rate for MIPS Groups		 Administrative Claims - 0.1517
 Quality ID# 484* Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims 31.36 37
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 80.48 88.99
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 38.62 68.6
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 73.12 79.98
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 69.77 77.81
Quality ID# 112 Breast Cancer Screening CMS Web Interface 67.97 80.93
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  CMS Web Interface 80.21 86.5
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 15.66 17.35
Quality ID# 001* Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 9.7 9.44
Quality ID# 134 Preventative Care and Screening: 
Screening for Depression and Follow-up Plan		 CMS Web Interface 88.04 81.46
Quality ID#236 Controlling High Blood Pressure  CMS Web Interface 75.17 79.49
CAHPS-1 Getting Timely Care ,Appointments, And Information  CMS Web Interface 76.16 83.7
CAHPS-2 How Well Providers Communicate CMS Web Interface

91.18

93.96
CAHPS-3 Patient's Rating of Provider CMS Web Interface

89.47

92.43
CAHPS-4 Access to Specialists CMS Web Interface

76.42

75.76
CAHPS-5 Health Promotion and Education CMS Web Interface

62.77

65.48
CAHPS-6 Shared Decision Making CMS Web Interface

61.66

62.31
CAHPS-7 Health Status and Functional Status CMS Web Interface

70.22

74.14
CAHPS-8 Care Coordination CMS Web Interface

83.74

85.89
CAHPS-9 Courteous and Helpful Office Staff CMS Web Interface

93.97

92.89
CAHPS-11 Stewardship of Patient Resources CMS Web Interface

29.51

26.98

 

For previous year's 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.