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

9140 West Dodge Road, Suite 400
Omaha NE 68114

PRIMARY CONTACT

Lee J. Handke, PharmD, MBA
Chief Executive Officer
Email: lhandke@nebraskahealthnetwork.com
Ph. 402-559-6464

Compliance Concerns

If you are a Medicare beneficiary, health-care provider, NHN contractor, supplier or team member with potential ethical, legal or compliance-related concerns or questions, notify us today.

Methodist Health System
Nebraska Medicine
NHN logo white
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
BLUFFS FAMILY HEALTH CARE PC N
EAR NOSE & THROAT - HEAD AND NECK SURGERY P.C. 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
ORTHOANESTHESIA PC N
Omaha OB-GYN Associates, P.C. N
Physicians Clinic Inc. 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

  • Steven Bailey, MD

    Past Chairman, Voting Member, ACO Participant Representative, Physicians Clinic Inc.

  • John J. Cannella, III, MD

    Director, Voting Member, ACO Participant Representative, Physician's Clinic Inc.

  • Brent Crouse, MD

    Director, Voting Member, ACO Participant Representative, UNMC Physicians

  • Don Darst, MD

    Chairman, Voting Member, ACO Participant Representative, Midwest Regional Health Services, LLC

  • Stephanie Daubert

    Secretary, Voting Member, ACO Participant Representative, UNMC Physicians

  • Jeff Francis

    Treasurer, Voting Member, ACO Participant Representative, Physicians Clinic Inc.

  • STEVE GOESER

    CEO/Director, Voting Member, ACO Participant Representative, Physicians Clinic Inc.

  • Richard Hahn

    Director, Voting Member, Medicare Beneficiary

  • Jim Linder, MD

    CEO/Director, Voting Member, ACO Participant Representative, UNMC Physicians

  • Bill Lydiatt, MD

    Director, Voting Member, ACO Participant Representative, Physicians Clinic Inc.

  • Kent Willadsen, MD

    Director, Voting Member, ACO Participant Representative, Physicians Clinic Inc.

  • Peter Whitted, MD, JD

    Past Chair, Voting Member, ACO Participant Representative, 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

  • Cory Shaw

    COO, Non-Voting Member, ACO Participant Representative, UNMC Physicians

  • Michael Vrbicky

    Chief Network Development Officer, Non-Voting Member, ACO Participant Representative, Methodist Physicians Clinic

Key ACO Clinical and Administrative Leadership

  • Lee J. Handke, PharmD, MBA

    ACO Executive

  • Michael Romano, MD

    Medical Director

  • DAVID WIRKA, MS, RRT

    Compliance Officer

  • Mallory Callahan, MPAS, PA-C

    Director of Population Health Management and Innovation

  • Lindsay Cosimano, APR

    Director of Marketing and Communications

Associated Committees and Committee Leadership

  • Value Based Performance Advisory Committee

    Michael Romano, MD, Chief Medical Officer

  • membership committee

    Bill Lydiatt, MD, Chairman

  • Executive Committee of the Board

    Don Darst, 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

  • Second Agreement Period
    • 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

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 5%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 90%
  • 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%
quality performance results

2020 Quality Performance Results

ACO#Measure NameRateACO Mean
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.060.95
ACO-13Falls: Screening for Future Fall Risk85.9684.97
ACO-14Preventive Care and Screening: Influenza Immunization88.0576.03
ACO-17Preventive Care and Screening: Tobacco Use, Screening and Cessation Intervention78.9581.67
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-Up84.871.46
ACO-19Colorectal Screening85.6672.59
ACO-20Breast Cancer Screening87.0774.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease88.1583.37
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control8.7414.70
ACO-28Hypertension (HTN): Controlling High Blood Pressure71.7972.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For previous years' financial and quality performance results, please visit data.cms.gov.

Note: In the Quality Performance Results file(s) above, search for “Nebraska Health Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A94589 in the public use files on 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.

 

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.

RESOURCES

Additional Information Available via the Centers for Medicare and Medicaid Services

For general questions or additional information about Accountable Care Organizations for Medicare Beneficiaries, please visit the Medicare website or call 1-800-MEDICARE or 1-800-633-4227. TTY users should call 1-877-486-2048.

Scroll to Top
Copy link
Powered by Social Snap