ACO Public Report – Next Gen
Revere Health was accepted into the Next Generation Accountable Care Organization (ACO) Model and joined the initiative in January 2018.
The Revere Health Next Generation ACO is comprised of doctors and healthcare providers who have come together voluntarily to provide coordinated, high-quality care at lower costs to their Original Medicare patients. ACOs are patient-centered organizations where the patient and providers are true partners in care decisions. Participating patients will see no change in their Original Medicare benefits and will keep their freedom to see any Medicare provider.
Included in the Next Generation ACO Model are strong patient protections to ensure that patients have access to and receive high-quality care. Like other Medicare ACO initiatives, this Model will be evaluated on its ability to deliver better care for individuals, better health for populations, and lower growth in expenditures.
All members of Revere Health will work together to see that you get the right care at the right time. We will protect your medical records and privacy. We will work to reduce duplicate tests and duplicate paperwork. We will help everyone work smarter to give you better care. We will coordinate your care according to your medical needs and choices.
If you have general questions or would like more information about accountable care organizations, please visit: https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/ or call 1-800-MEDICARE (1-800-633-4227; TTY users should call 1-877-486-2048).
ACO Name and Location
Revere Health
1055 North 500 West
Provo, Utah 84604
ACO Primary Contact
Debra Taylor
debra.taylor@reverehealth.com
(801) 429-8148
Revere Health ACO Governing Board
Karl Weenig, MD
Steve Wallentine, MD
Richard Jackson Jr. MD
Troy Lunceford, MD
Marc Nuttall, MD
Josh Burkhart, MD
Scott Bingham, MD
Kent Gledhill, MD
Todd Hamilton, MD
Heather Harrison, DO
Brad Huber, MD
Justin Jones, MD
John Staheli, MD – Finance Committee Chair
Greg Craner, MD – Consumer Advocate/Medicare Beneficiary Rep
Curtis Carter, MD
Eric Carter, MD – ACO Committee Chair
Revere Health ACO Committees and Key Leadership Personnel
Scott Bingham, MD – Executive Committee member
Justin Jones, MD – Chief Medical Officer, ACO Committee Member, Executive Committee member
Eric Carter, MD – ACO Committee Chair
Todd Hamilton, MD – ACO Committee Member
Brad Huber, MD – ACO Committee Member
Heather Harrison, DO – ACO Committee Member
Christine Foster – CMO Population Health and ACO Committee Member
David Kimball, MD – ACO Committee Member
Garry Miller, MD – ACO Committee Member
Troy Lunceford, MD – Board Member and ACO Committee Member
Aaron Starbuck, MD – ACO Committee Member
Medicare Beneficiary Representative
Greg Craner
Next Generation Model ACO Participants
Download the list of all Revere Health Next Generation ACO Model participants.
Next Generation Model ACO Preferred Providers
- A-Plus Home Health (A-Plus Home Care and Hospice)
- A-Plus Hospice (A-Plus Home Care and Hospice)
- Aspen Ridge Home Health and Hospice (AHC Home Health Care of Murray, LLC)
- Aspen Ridge of Utah Valley (AHC of Orem, LLC)
- CNS (Community Nursing Services)
- Dixie Home Health and Hospice
- Encompass Home Health of Utah (Encompass Home Health of the West)
- Encompass Home Health of Southern Utah (Encompass Home Health of the West)
- Hearts for Hospice, LLC
- Stonehenge of American Fork
- Stonehenge of Orem
- Stonehenge of Springville
- Utah Home Health and Hospice
- Valeo Home Healthcare Services, LLC (Valeo Home Health and Hospice)
- Zions Way Home Health & Hospice (Red Rock Healthcare, Inc)
Next Generation Model ACO Joint Ventures Among the Next Generation Participants
Skilled Nursing Facility: Advance Healthcare of Salem
In an effort to improve coordination of care and create programs that will result in achieving Revere Health’s “Your Health Above All Else” experience, while improving care for the Medicare Fee-For-Service beneficiaries we serve, better health for the populations we care for, and doing so in a financially sustainable manner, Revere Health and its participating providers, working in collaboration with RH, formed the joint venture, Advance Healthcare of Salem.
Shared Savings and Losses
Shared Savings And Losses — $9,651,413.58
Shared Savings Distributions —See “How Savings are Distributed”
How Savings are Distributed
Agreement period beginning 2020, performance year 2020
Proportion invested in infrastructure: 10%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 80%
Quality Measures
Performance Year 2020 Results
Next Generation ACO Participation Waiver Disclosures
The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that otherwise limit innovation by ACOs participating in the Next Generation ACO Model (see HHS, Notice of Amended Waivers of Certain Fraud and Abuse Laws in Connection with the Next Generation ACO Model, published December 29, 2016). Pursuant to that notice, Revere Health seeks protection under the Next Generation ACO Participation Waiver for the following arrangements set forth below: