Public Reporting - Think ACO, LLC

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
Doll	Jason	ACO Executive	1	ACO participant representative	Think Aksarben, LLC
Recker	Robert	Medical Director	1	ACO participant representative	Think Aksarben, LLC
Weeks	William	Physician	1	ACO participant representative	Think Aksarben, LLC
Mancuso	Martin	Retired Physician	1	Medicare beneficiary representative

Key ACO Clinical and Administrative Leadership:

ACO Executive	Jason Doll, MD
Medical Director	Robert Recker, MD
Compliance Officer	Cameron Arch, 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	Robert Recker, MD, Medical Director
Quality Assurance and Quality Improvement	Chris Morehouse, Value Based Care Clinical Coordinator
Compensation/Gainshare Committee	Robert Recker, MD, Medical Director

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 2023: $6,262,254.24
- Performance Year 2022: $6,044,807.27
- 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 201: $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 2023
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%

Performance Year 2022
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%

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

2022 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	2.1	9.84
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	96.58	80.97
236	Controlling High Blood Pressure	91.67	77.8
318	Falls: Screening for Future Fall Risk	96.54	89.42
110	Preventative Care and Screening: Influenza Immunization	90.79	70.76
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	83.33	79.29
113	Colorectal Cancer Screening	91.54	77.14
112	Breast Cancer Screening	93.26	80.36
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	89.17	87.05
370	Depression Remission at Twelve Months	7.14	16.58
321	CAHPS for MIPS	9.29	6.25
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups²	0.1569	0.1553
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Condition	N/A	35.39

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

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- N/A
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.