PUBLIC REPORTING
As required by the Centers for Medicare and Medicaid Services, the information on this page contains the Public Reporting information for the Nebraska Health Network Accountable Care Organization.
ACO NAME AND LOCATION
NEBRASKA HEALTH NETWORK, LLC
9140 West Dodge Road, Suite 400
Omaha NE 68114
PRIMARY CONTACT
Lee J. Handke, PharmD, MBA
Chief Executive Officer
Email: [email protected]
Ph. 531-721-2560
ORGANIZATIONAL INFORMATION
ACO Participants
| ACO Participants | ACO Participant in Joint Venture (Yes or No) |
|---|---|
| ADVANCED DERMATOLOGY OF THE MIDLANDS PC | N |
| Anesthesia West, PC | N |
| BELLEVUE FAMILY PRACTICE PC | N |
| BLUFFS FAMILY HEALTH CARE PC | N |
| EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C. | N |
| FREMONT HEALTH CLINIC | N |
| HAYSAM AKKAD, MD, PC | N |
| Infectious Disease Associates, PC | N |
| MIDWEST GASTROINTESTINAL ASSOCIATES PC | N |
| MOD DERMATOLOGY PC | N |
| Midwest Regional Health Services Llc | N |
| NEPHROLOGY CARE LLC | N |
| Omaha OB-GYN Associates, P.C. | N |
| ORTHOANESTHESIA PC | N |
| ORTHOWEST PC | N |
| Physicians Clinic Inc. | N |
| Primary Care Physicians LLP | N |
| Pulmonary Infectious Disease Associates, P.C. | N |
| RADIOLOGIC CENTER INC | N |
| RIDGE FAMILY PRACTICE, P.C. | N |
| SANCTA FAMILIA HEALTH ASSOCIATES LLC | N |
| The Urology Center, P.C. | N |
| UNMC Physicians | N |
| West Broadway Clinic, P.C. | N |
ACO Governing Body
| Member Last Name | Member First Name | Member Title/Position | Member's Voting Power (Expressed as a percentage or number) | ACO Participant Legal Business Name and DBA if applicable |
|---|---|---|---|---|
| Ahrens, MD | Patrick | Director, Voting Member, ACO Participant Representative | 1 | Physicians Clinic Inc. |
| Ash, MD | Michael | Director, Voting Member, ACO Participant Representative | 1 | UNMC Physicians |
| Blad, MD | Kenneth | Director, Voting Member, ACO Participant Representative | 1 | Midwest Regional Health Services, LLC |
| Cannella, III, MD | John J. | Director, Voting Member, ACO Participant Representative | 1 | Midwest Gastrointestinal Associates, PC |
| Daubert | Stephanie | Secretary, Voting Member, ACO Participant Representative | 1 | UNMC Physicians |
| Francis | Jeff | Treasurer, Voting Member, ACO Participant Representative | 1 | Physicians Clinic Inc. |
| Goeser | Steve | CEO/Director, Voting Member, ACO Participant Representative | 1 | Physicians Clinic Inc. |
| Hahn | Richard | Director, Voting Member, Medicare beneficiary representative | 1 | Medicare Beneficiary |
| Harrison, MD | Jeff | Chair, Voting Member, ACO Participant Representative | 1 | UNMC Physicians |
| Mohring, MD | Stephen | Director, Voting Member, ACO Participant Representative | 1 | UNMC Physicians |
| Reade, MD | Chad | Director, Voting Member, ACO Participant Representative | 1 | Physicians Clinic Inc. |
| Willadsen, MD | Kent | Past Chair, Voting Member, ACO Participant Representative | 1 | Physicians Clinic Inc. |
| Whitted, MD, JD | Peter | Director, Voting Member, ACO Participant Representative | 1 | UNMC Physicians |
Non-Voting Members
Todd Grages
President and CEO, Non-Voting Member, ACO Participant Representative, Methodist Physicians Clinic
Suzanne Nuss, MBA, PhD, RN, CENP
CNO, Non-Voting Member, ACO Participant Representative, Nebraska Medicine
Key ACO Clinical and Administrative Leadership
Lee J. Handke, PharmD, MBA
ACO Executive
Michael Romano, MD
Medical Director
Mallory Callahan, MPAS, PA-C
Senior Director of Population Health Management and Innovation
Lindsay Cosimano, APR
Senior Director of Marketing and Communications
James Johnson
Director of IT and Analytics, Compliance Officer
Associated Committees and Committee Leadership
Value Based Performance Advisory Committee
Michael Romano, MD, Chief Medical Officer
Executive Committee of the Board
Jeff Harrison, MD, Chairman
Types of ACO Participants, or combinations of participants, that formed the ACO
Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- Third Agreement Period
- Performance Year 2023: $3,570,027
- Second Agreement Period
- Performance Year 2022: $2,612,549
- Performance Year 2021: $4,058,036
- Performance Year 2020: $6,217,722
- First Agreement Period
- Performance Year 2019, $6,065,704
- Performance Year 2018, $0
- Performance Year 2017, $0
Shared Savings Distribution
- Third Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2023
- Second Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2021
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2020
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2022
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2019
2023 Quality Performance Results
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | CMS Web Interface | 5.22 | 9.84 |
| 134 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | CMS Web Interface | 92.32 | 80.97 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 73.62 | 77.80 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 96.86 | 89.42 |
| 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 82.75 | 70.76 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 75.76 | 79.29 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 87.4 | 77.14 |
| 112 | Breast Cancer Screening | CMS Web Interface | 89.88 | 80.36 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 91.86 | 87.05 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 5.26 | 16.58 |
| 321 | CAHPS for MIPS [2] | CMS Web Interface | 8.45 | 6.25 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | CMS Web Interface | 0.1574 | 0.1553 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | -- | 35.39 |
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.
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.