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. 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
Midwest Regional Health Services Llc N
MOD DERMATOLOGY PC N
NEPHROLOGY CARE LLC N
Omaha OB-GYN Associates, P.C. N
ORTHOANESTHESIA PC N
ORTHOWEST PC 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

Member Last NameMember First NameMember Title/PositionMember's Voting Power (Expressed as a percentage or number)ACO Participant Legal Business Name and DBA if applicable
Ahrens, MDPatrickDirector, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
Blatchford, MDGarnetDirector, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
Cannella, III, MDJohn J. Director, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
Darst, MDDonPast Chair, Voting Member, ACO Participant Representative1Midwest Regional Health Services, LLC
DaubertStephanieSecretary, Voting Member, ACO Participant Representative1UNMC Physicians
FrancisJeffTreasurer, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
GoeserSteveCEO/Director, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
HahnRichardDirector, Voting Member, Medicare beneficiary representative1Medicare Beneficiary
Harrison, MDJeffChair Elect, Voting Member, ACO Participant Representative1UNMC Physicians
Linder, MDJimCEO/Director, Voting Member, ACO Participant Representative1UNMC Physicians
Mohring, MDStephenDirector, Voting Member, ACO Participant Representative1UNMC Physicians
Willadsen, MDKentChair, Voting Member, ACO Participant Representative1Physicians Clinic Inc.
Whitted, MD, JDPeterPast Chair, Voting Member, ACO Participant Representative1UNMC 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

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

  • membership committee

    Bill Lydiatt, MD, Chairman

  • Executive Committee of the Board

    Kent Willadsen, 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 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

  • Second Agreement Period
    • 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%
  • 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

2021 Quality Performance Results

Quality performance results are based on CMS Web Interface.

Measure #Measure NameRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control28.6312.46
134Preventative Care and Screening: Screening for Depression and Follow-up Plan94.2574.38
236Controlling High Blood Pressure76.2574.87
318Falls: Screening for Future Fall Risk Intervention95.6487.03
110Preventative Care and Screening: Influenza Immunization89.4180.52
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention56.2580.97
113Colorectal Cancer Screening87.7273.63
112Breast Cancer Screening89.2175.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease90.9184.24
321CAHPS for MIPS3N/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups20.14250.1540
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)235.8533.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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.

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