ACO Name and Location
Think ACO, LLC
Previous Names: N/A
7100 West Center Road
Omaha, NE 68106
ACO Primary Contact
| Primary Contact Name | Chris Morehouse |
| Primary Contact Phone Number | 531.222.8851 |
| Primary Contact Email Address | chris.morehouse@thinkhealthcare.org |
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
| Think Aksarben, LLC | No |
ACO governing Body:
| Member Last Name | Member First Name | Member Title/Position | Member’s Voting Power – Expressed as a percentage or number | Member Type | ACO Participant Legal Business Name/DBA, If Applicable |
| Canedy | Jim | ACO Executive | 1 | ACO participant representative | Think Aksarben, LLC |
| Engle | William | Medical Director | 1 | ACO participant representative | Think Aksarben, LLC |
| Recker | Robert | Physician | 1 | ACO participant representative | Think Aksarben, LLC |
| Weeks | William | Physician | 1 | ACO participant representative | Think Aksarben, LLC |
| Dunn | Michael | Retired Physician | 1 | Medicare beneficiary representative |
Key ACO Clinical and Administrative Leadership:
| ACO Executive | Jim Canedy, MD |
| Medical Director | William Engle, DO |
| Compliance Officer | Torri Criger, JD |
| Quality Assurance/Improvement Officer | Chris Morehouse, Value Based Care Clinical Coordinator |
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Population Health | William Engle, DO, Medical Director |
| Quality Assurance and Quality Improvement | Chris Morehouse, Value Based Care Clinical Coordinator |
| Compensation/Gainshare Committee | Jason Doll, Chief Operating Officer |
Types of ACO participants, or combinations of participants, that formed the ACO:
- ACO professionals in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2021, $2,692,110
- Performance Year 2020, $1,493,375.13
- Performance Year 2019, $2,843,195.84
- First Agreement Period
- Performance Year 2019, $2,843,195.84
- Performance Year 2018, $0
- Performance Year 2017, $2,412,663
- Performance Year 2016, $0
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings amount reported for Performance Year 2019 therefore represents net shared savings 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
Second Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2020
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2019
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2017
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
- Performance Year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface
| ACO# | Measure Name | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 4.91 | 12.46 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 96.65 | 74.38 |
| 236 | Controlling High Blood Pressure | 87.74 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 96.96 | 87.03 |
| 110 | Preventative Care and Screening: Influenza Immunization | 95.60 | 80.52 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 80.00 | 80.97 |
| 113 | Colorectal Cancer Screening | 86.45 | 73.63 |
| 112 | Breast Cancer Screening | 88.59 | 75.11 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 87.91 | 84.24 |
| 321 | CAHPS for MIPS | 22.86 | 15.50 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | 0.1317 | 0.1540 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | 27.81 | 33.99 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
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.
- 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.