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 Body

Scott Bingham, MD – ACO Committee Chair, Executive Committee member
Curtis Carter, MD
Eric Carter, MD
Kent Gledhill, MD
Todd Hamilton, MD
Jarrett Hammer, DO
Brad Huber, MD
Jeff Johnson, MD – IT Committee Chair
Justin Jones, MD
Bruce McAllister, MD
John Staheli, MD – Finance Committee Chair
Steve Wallentine, MD
Karl Weenig, MD
Greg Craner, MD – Medicare Beneficiary Representative

 

Revere Health ACO Committees and Key Leadership Personnel

Scott Bingham, MD – ACO Committee Chair, Executive Committee member
Steven Embley, DO – 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
Troy Lunceford, 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 or Orem, LLC)
  • CNS (Community Nursing Services)
  • Coral Desert Surgery Center, LLC
  • 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
  • Meds In Motion, LLC
  • Stonehenge of American Fork
  • Stonehenge of Orem
  • Stonehenge of Springville (Kane County Human Resources Special Service District)
  • Utah Home Health and Hospice
  • Utah Valley Specialty Hospital Inc
  • Valeo Home Healthcare Services, LLC (Valeo Home Health and Hospice)
  • Valeo Hospice, LLC (Valeo Home Health and Hospice)
  • Zions Way Home Health & Hospice (Red Rock Healthcare, Inc)
Shared Savings and Losses
  • Shared Savings And Losses — $15,311,656.28
  • Shared Savings Distributions —See “How Savings are Distributed”
How Savings are Distributed

Agreement period beginning 2018, performance year 2018

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

Quality Measures

Performance Year 2018 Results

 

Table 2. Patient/Caregiver Experience [1]
Measure NumberMeasure NameYour ACO Performance RateCurrent Year Mean Performance Rate (NextGen ACOs)
ACO-1CAHPS: Getting Timely Care, Appointments, and Information85.7186.37
ACO-2CAHPS: How Well Your Providers Communicate93.1294.10
ACO-3CAHPS: Patients’ Rating of Provider92.4192.78
ACO-4CAHPS: Access to Specialists80.1181.16
ACO-5CAHPS: Health Promotion and Education55.2760.83
ACO-6CAHPS: Shared Decision Making61.9061.11
ACO-7CAHPS: Health Status/Functional Status72.5873.98
ACO-34CAHPS: Stewardship of Patient Resources26.6925.29
Table 3. Care Coordination/Patient Safety
Measure NumberMeasure NameYour ACO Performance RateCurrent Year Mean Performance Rate (NextGen ACOs)
ACO-8Risk Standardized, All Condition Readmission13.8715/19
ACO-35Skilled Nursing Facility 30-Day All-Cause Readmission measure (SNFRM)15.6119.02
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes [2]25.5736.88
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure52.2078.83
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions43.9460.02
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality
Indicator (PQI #91))
1.761.85
ACO-12Medication Reconciliation Post-Discharge80.8180.75%
ACO-13Falls: Screening for Future Fall Risk85.60%80.83%
ACO-44Use of Imaging Studies for Low Back Pain68.75%67.02%
Table 4. Preventative Health
Measure NumberMeasure NameYour ACO Performance RateCurrent Year Mean Performance Rate (NextGen ACOs)
ACO-14Preventive Care and Screening: Influenza Immunization70.39%71.39%
ACO-15Pneumonia Vaccination Status for Older Adults86.58%78.09%
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up70.54%72.05%
ACO-17
Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention
100.00%70.77%
ACO-18
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
73.33%65.96%
ACO-19Colorectal Cancer Screening83.33%71.87%
ACO-20Breast Cancer Screening73.19%73.80%
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease59.65%79.17%
Table 5. At-Risk Population
Measure NumberMeasure NameYour ACO Performance RateCurrent Year Mean Performance Rate (NextGen ACOs)
ACO-40Depression Remission at Twelve Months0.00%6.69%
Diabetes CompositeDiabetes Composite (All or Nothing Scoring)52.98%47.93%
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control 13.41%15.93%
ACO-41Diabetes: Eye Exam60.26%52.93%
ACO-28Hypertension (HTN): Controlling High Blood Pressure75.45%74.42%
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic83.00%88.11%
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: