Accountable Care Organization (ACO) - Public Report

ACO Name and Location

Billings Clinic
2800 10^th Ave N
Billings, MT 59101

ACO Primary Contact

Amy Ready
406-238-5182
Aready1@billingsclinic.org

Organizational Information

ACO participants

ACO governing body

Key ACO clinical and administrative leadership

• ACO Executive: Ms. Amy Ready
• Medical Director: Dr. Michael Temporal
• Compliance Officer: Ms. Patti Reisinger
• Quality Assurance/Improvement Officer: Ms. Amy Ready

Associated committees and committee leadership

• Board Quality & Patient Safety Oversight: open
• Audit & Compliance Committee: Mr. Craig Bartholomew, Chair
• Executive Committee: Mr. Keith Cook, Chair
• Finance Committee: Mr. Wayne Hirsch
• Governance & Nominating Committee: Mr. Keith Cook, Chair
• Investment Committee: Mr. Keith Cook, Chair
• Physician Compensation Committee: Mr. Keith Cook, Chair
• Regional Strategy Committee: open

Types of ACO participants or combinations of participants that formed the ACO

• ACO professionals in a group practice arrangement
• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• Third Agreement Period
  • Performance Year 2022, $0
  • Performance Year 2021, $0
  • Performance Year 2020, $0
  • Performance Year 2019, $0

• Second Agreement Period
  • Performance Year 2019, $0
  • Performance Year 2018, $0
  • Performance Year 2017, $0
  • Performance Year 2016, $0

• First Agreement Period
  • Performance Year 2015, $0
  • Performance Year 2014, $0
  • Performance Year 2013, $0

“Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”

Shared Savings Distribution

• Third 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
  • 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
  • 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
  • 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
• Second 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
  • 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
  • Performance Year 2017
    • 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 2016
    • 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 2015
    • 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 2014
    • 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 2013
    • 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 Set

Payment Rule Waivers

• Waiver for Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.