OneHealth ACO
ACO Name and Location
OneHealth Nebraska ACO, LLC
Previous Names: N/A
4600 Valley Road
Suite 250
Lincoln, Nebraska 68510
ACO Primary Contact
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Primary Contract Name
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Bob Rauner, MD, MPH
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Primary Contact Phone Number
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402.261.9530
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Primary Contact Email Address
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brauner@onehealthne.com
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Organizational Information
ACO Participants:
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ACO Participants
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ACO Participant in Joint Venture
(Enter Y or N)
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Fallbrook Family Health Center
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Y
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Nebraska Internal Medicine, P.C.
|
Y
|
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Lincoln Medical Education Partnership
|
Y
|
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South Lincoln Family Physicians, P.C.
|
Y
|
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East Lincoln Family Health Professionals, PC
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Y
|
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Family Health & Wellness Center, P.C.
|
Y
|
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Lincoln Family Wellness
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Y
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ACO Governing Body:
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Member
|
Member’s Voting Power – Expressed as a percentage or number
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Membership Type
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ACO Participant Legal Business Name/DBA, if Applicable
|
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Last Name
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First Name
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Title/Position
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Schneider
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Ed
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Voting Member/ Chair
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1
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Medicare Beneficiary Representative
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N/A
|
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Brinkhoff
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April
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Voting Member
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1
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ACO Participant Representative
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Fallbrook Family Health Center
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|
Webb
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Brandon
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Voting Member
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1
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ACO Participant Representative
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South Lincoln Family Physicians, PC
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|
Schmidt
|
Don
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Voting Member/ Vice Chair
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1
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ACO Participant Representative
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Nebraska Internal Medicine, PC
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Key ACO clinical and administrative leadership:
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Steve Kros
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ACO Executive
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Bob Rauner
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Medical Director
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Donna Mertz
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Compliance Officer
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Bob Rauner
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Quality Assurance/Improvement Officer
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Associated committees and committee leadership:
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Committee Name
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Committee Leader Name and Position
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Clinical Expectations Committee
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Bob Rauner, MD, MPH, ACO Medical Director
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|
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|
|
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Types of ACO participants, or combinations of participants, that formed the ACO:
- Network of individual practices of ACO professionals
Shared Savings/Losses
Amount of Shared Savings/Losses
- Performance Year 2017, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Quality Performance Results
2017 Quality Performance Results:
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ACO#
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Measure Name
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Rate
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ACO Mean
|
|
ACO-1
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CAHPS: Getting Timely Care, Appointments, and Information
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87.61
|
80.60
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ACO-2
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CAHPS: How Well Your Providers Communicate
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94.72
|
93.13
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ACO-3
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CAHPS: Patients’ Rating of Provider
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93.98
|
92.31
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ACO-4
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CAHPS: Access to Specialists
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86.38
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83.32
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ACO-5
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CAHPS: Health Promotion and Education
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61.55
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62.30
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ACO-6
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CAHPS: Shared Decision Making
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80.00
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75.85
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ACO-7
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CAHPS: Health Status/Functional Status
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75.01
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73.05
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ACO-34
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CAHPS: Stewardship of Patient Resources
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31.82
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25.68
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ACO-8
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Risk-Standardized, All Condition Readmission
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14.78
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15.01
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ACO-35
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Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)
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17.94
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18.46
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ACO-36
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All-Cause Unplanned Admissions for Patients with Diabetes
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48.95
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53.95
|
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ACO-37
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All-Cause Unplanned Admissions for Patients with Heart Failure
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67.34
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79.16
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ACO-38
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All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
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57.82
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61.74
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ACO-43
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Ambulatory Sensitive Condition Acute Composite: (AHRQ* Prevention Quality Indicator (PQI #91))
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1.81
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1.93
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ACO-11
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Use of Certified EHR Technology
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100.00
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98.48
|
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ACO-12
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Medication Reconciliation
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70.92
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75.32
|
|
ACO-13
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Falls: Screening for Future Fall Risk
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49.67
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74.38
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ACO-44
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Imaging Studies for Low Back Pain
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80.00
|
67.32
|
|
ACO-14
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Preventive Care and Screening: Influenza Immunization
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75.93
|
72.52
|
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ACO-15
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Pneumonia Vaccination Status for Older Adults
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84.97
|
72.92
|
|
ACO-16
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Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up
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51.61
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70.69
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ACO-17
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Preventive Care Screening: Tobacco Use: Screening and Cessation Intervention
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90.91
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90.48
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ACO-18
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Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
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49.91
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61.98
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ACO-19
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Colorectal Cancer Screening
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80.88
|
64.58
|
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ACO-20
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Breast Cancer Screening
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80.00
|
70.05
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ACO-42
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Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
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73.05
|
79.89
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ACO-27
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Diabetes Mellitus: Hemoglobin A1c Poor Control
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8.32
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16.74
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ACO-41
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Diabetes: Eye Exam
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42.10
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50.37
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ACO-28
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Hypertension (HTN): Controlling High Blood Pressure
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75.35
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71.47
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ACO-30
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Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
|
89.62
|
86.86
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Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.
Note: In the Quality Performance Results file(s) above, search for "OneHealth Nebraska ACO, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A10434 in the public use files on data.cms.gov.
Payment Rule Waivers:
- No, our ACO does not use the SNF 3-Day Rule Waiver