ACO Public Report - Next Gen - Revere Health
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
Edward Prince, MD
Jeff Johnson, MD – IT Committee Chair
Bruce McAllister, MD

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

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)
  • Advance Health Care of Salem
  • 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 (Kane County Human Resources Special Service District)
  • Utah Home Health and Hospice
  • Valeo Home Healthcare Services, LLC (Valeo Home Health and Hospice)
  • Zions Way Home Health & Hospice (Red Rock Healthcare, Inc)
Shared Savings and Losses
  • Shared Savings And Losses — $3,715,924
  • Shared Savings Distributions —See “How Savings are Distributed”
How Savings are Distributed

Agreement period beginning 2019, performance year 2019

Proportion invested in infrastructure: 10%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 80%

Quality Measures

Performance Year 2019 Results

Table 2. Patient/Caregiver Experience [1]
Measure Number Measure Name Your ACO Performance Rate Current Year Mean Performance Rate (NextGen ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 83.98 86.03
ACO-2 CAHPS: How Well Your Providers Communicate 93.30 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 91.30 92.75
ACO-4 CAHPS: Access to Specialists 83.16 80.97
ACO-5 CAHPS: Health Promotion and Education 57.23 60.46
ACO-6 CAHPS: Shared Decision Making 62.83 61.38
ACO-7 CAHPS: Health Status/Functional Status 71.75 74.49
ACO-34 CAHPS: Stewardship of Patient Resources 29.86 24.40
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.14 93.05
ACO-46 CAHPS: Care Condition 85.45 87.26
Table 3. Care Coordination/Patient Safety
Measure Number Measure Name Your ACO Performance Rate Current Year Mean Performance Rate (NextGen ACOs)
ACO-8 Risk Standardized, All Condition Readmission 13.66 14.98
ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions 42.34 56.34
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality
Indicator (PQI #91))
1.56 1.72
ACO-13 Falls: Screening for Future Fall Risk 91.35 88.97
Table 4. Preventative Health
Measure Number Measure Name Your ACO Performance Rate Current Year Mean Performance Rate (NextGen ACOs)
ACO-14 Preventive Care and Screening: Influenza Immunization 70.36 76.98
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention
76.47 79.60
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
81.04 73.00
ACO-19 Colorectal Cancer Screening 83.50 77.12
ACO-20 Breast Cancer Screening 72.41 79.31
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.94 82.43
Table 5. At-Risk Population
Measure Number Measure Name Your ACO Performance Rate Current Year Mean Performance Rate (NextGen ACOs)
ACO-40 Depression Remission at Twelve Months 0.00 11.82
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 12.67 11.43
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.8 78.62
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: