Stratum Med ACO

ACO Name and Location

dba Stratum Med ACO

3310 Fields South Drive, Suite 101

Champaign, IL 61822

ACO Primary Contact

Primary Contact Name
William (Trent) Kramer
Primary Contact Phone Number
217-902-5466
Primary Contact Email Address
support@www.stratummed.com

Organizational Information

ACO Participants	ACO Participant in Joint Venture
HUTCHINSON CLINIC PA INC	N
CHRISTIE CLINIC, LLC	N
MCFARLAND CLINIC, PC	N
JEFFERSON CITY MEDICAL GROUP, PC	N
JCMG ANCILLARY SERVICES LLC	N
JCMG MENTAL HEALTH CLINIC LLC	N
THE IOWA CLINIC PC	N
JCMG Surgery Center, INC.	N
MANKATO CLINIC, LTD.	N
MANKATO CLINIC ENDOSCOPY CENTER LLC	N
MEDICAL HILLS INTERNISTS LLC	N
PAIN CENTERS OF MINNESOTA-MANKATO, LLC	N
FAMILY HEALTH CARE OF SIOUXLAND PLC	N
AMERICAN MULTISPECIALTY GROUP INC	N
RISHI N SUD, MD PC	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Andrew	Perry	Board Member	12.50%	ACO Board Chair	McFarland Clinic
Amber	Lenhardt	Board Member	12.50%	ACO Participant Representative	The Iowa Clinic
Kenny	Bilger	Board Member	12.50%	ACO Participant Representative	Christie Clinic
Trent	Kramer	Board Member/Exec. Director	0%	Board Member	Stratum Med
Michael	Little, MD	Board Member/Medical Director	0%	ACO Participant Representative	Hutchinson Clinic
Ben	Koger	Board Member	0%	Board Member	Stratum Med
Keri	Wright	Board Member	12.50%	ACO Participant Representative	Jefferson City Medical Group
Don	Skinner	Board Member	12.50%	Medicare Beneficiary	N/A
David	Kearney	Board Member	12.50%	ACO Participant Representative	American Multispecialty Group Inc
Collin	Roloff	Board Member	0%	ACO Vice Chair	Christie Clinic
Matt	Leary	Board Member	12.50%	ACO Participant Representative	Hutchinson Clinic
Aaron	Johnson	Board Member	12.50%	ACO Participant Representative	Mankato Clinic

Key ACO clinical and administrative leadership:

Trent Kramer
ACO Executive
Michael Little, MD
Medical Director
Jordan Hall
Compliance Officer
Branden Neal
Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name
Committee Leader Name and Position
Quality & Performance Committee
Michael Little, MD, Medical Director
Compliance Committee
Jordan Hall, Compliance Officer
Care Coordination & Performance Committee
Michael Little, MD, Medical Director
Finance & Payer Contracting Committee
Trent Kramer & Branden Neal

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

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

Performance Year 2019: $4,237,354.12
Performance Year 2020: $9,787,812.65
Performance Year 2021: $9,324,828.23

Second Agreement Period

Performance Year 2022: $27,144,213.13
Performance Year 2023: $31,430,942.00
Performance Year 2024: $50,214,333.00

Note: Our ACO participated in multiple performance years during Calendar Year 2019. 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:

First Agreement Period

Performance Year 2019:
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%
Performance Year 2020:
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%
Performance Year 2021:
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 90%

Second Agreement Period

Performance Year 2022:
- Proportion invested in infrastructure: 6.66%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 93.34%
Performance Year 2024:
- Proportion invested in infrastructure: 6.7%
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 93.3%

Quality Performance Results

2024 Quality Performance Results:

Measure #	Measure Name	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	6.25	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	89.63	81.46
236	Controlling High Blood Pressure	83.54	79.49
318	Falls: Screening for Future Fall Risk	95.3	88.99
110	Preventative Care and Screening: Influenza Immunization	55.78	68.60
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	82.61	79.98
113	Colorectal Cancer Screening	83.11	77.81
112	Breast Cancer Screening	85.57	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.38	86.50
370	Depression Remission at Twelve Months	19.18	17.35
321	CAHPS for MIPS [2]	6.37	6.67
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	0.1501	0.1517
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	34.02	35.39
	Hospital Admission Rates for Patients with
	Multiple Chronic Conditions [1]

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Fraud and Abuse Waivers

ACO Participation Waiver

The following are arrangements for which protection is sought under the Final ACO Waiver Rule jointly issued by the Centers for Medicare and Medicaid Services (“CMS”) and the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services as described at 80 Fed. Reg. 66726 (Oct. 29, 2015) (Medicare Program: Final Waivers in Connection with the Shared Savings Program).

Orthopedic Surgery Clinical Engineering Joint Venture Arrangement

Parties to the arrangement
- Caravan Health ACO 20 LLC d/b/a Stratum Med ACO (“Stratum ACO”)
- Proctor Hospital (“Proctor Hospital”)
- Midwest Orthopaedic Center, S.C. (“MOC”), an orthopedic group and its orthopedic surgeons (“MOC Physicians”)
- Midwest Orthopaedic Surgeons II, LLC (“MOS-II”), an affiliate of the MOC Physicians
- MOUPH, LLC (“MOUPH”)
Date of arrangement – January 1, 2025.
Items, services, goods, or facility provided
- MOUPH, working in coordination with MOC and the MOC Physicians (and the MOC Physicians’ affiliate, MOS-II), provides comprehensive clinical direction and various administrative services (the “Services”) in connection the operation of Proctor Hospital’s outpatient orthopedic surgery service line (the “Outpatient Ortho Service Line”) and related ACO initiatives designated to achieve goals of the MSSP.
- MOC and the MOC Physicians provide Services to Proctor Hospital on behalf of MOUPH.
- Proctor Hospital provides MOUPH the support services.
- Stratum ACO collaborates with Proctor Hospital and MOUPH in connection with the ongoing development, implementation, monitoring and enhancement of various programs, initiatives and measurement mechanisms to enhance the quality, efficiency and cost-effectiveness of the Outpatient Ortho Service Line to assist Proctor Hospital and MOUPH in (1) promoting accountability for the quality, patient safety, cost, and overall care of patients, (2) managing and coordinate care of patients, and (3) encouraging investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients.

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