Accountable Care Organization

Who We Are

Welcome to Cotton O’Neil ACO, LLC: A new way of providing health care.

Accountable Care Organizations (ACOs) are groups of doctors and other health care providers who voluntarily work together with Medicare to give you high quality service and care at the right time in the right setting.

Cotton O’Neil physicians have agreed to participate in a Medicare ACO and to work closely with other doctors and health care providers in the ACO to coordinate care for Medicare beneficiaries who have traditional Medicare.

Cotton O’Neil ACO may share in any savings that result.

ACOs Don’t Change Your Medicare Benefits

  • An ACO is not a Medicare Advantage plan or an HMO plan.
  • If you have traditional Medicare, you still have the right to see any doctor or hospital who accepts Medicare, at any time.
  • Cotton O’Neil physicians may recommend that you see particular doctors for your specific health needs, but it’s always your choice about what doctors you see or hospitals you visit.

How Will An ACO Help My Doctor Coordinate My Care?

  • You benefit because your doctors will be part of a better coordinated team.
  • You may not have to fill out as many medical forms that ask for the same information.
  • Each of your doctors will not only know about the health issues they’ve treated, they will have a more complete picture of your health through talking with your other doctors.

Questions

If you have questions or concerns, you can talk with your Cotton O’Neil Primary Care physician or call Stormont Vail’s Health Connections at (785) 354-5225 (800) 432-2951 at any time (phones are answered 24/7).

You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (TTY users should call 1-877-486-2048). (TTY 785-354-5260)

ACO Name and Location:

Cotton-O’Neil ACO llc
Previous Names: N/A
1500 S.W. 10th Ave.
Topeka, KS 66604

ACO Primary Contact:

Primary Contact Name Todd Lutz
Primary Contact Phone Number (785) 354-6000
Primary Contact Email tolutz@stormontvail.org

Organizational Information:

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
STORMONT VAIL HEALTHCARE INC N
Cotton-O’Neil Clinic Revocable Trust N
Pediatric Care IRRV Trust N

ACO Governing Body

Member Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if applicable
Last Name First Name Title/Position
Kincade Amy Chairman/Secretary 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Donepudi Sridevi Vice Chairman 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Langland Robert Treasurer 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Cuevas Traci Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Cutting Brad Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Herrman Melissa Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Jones Cliff Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Thomas Mark Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
O’Rourke Tracy Board Member 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Phillips Korri Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Long Vernon Board Member 1 Medicare Beneficiary
Sartain Sarah Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust
Steck Kevin Board Member 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Voth Eric Board Member 1 ACO Participant Representative Stormont Vail HealthCare, Inc.
Wright George Board Member 1 ACO Participant Representative Cotton O’Neil Revocable Trust

Key ACO clinical and administrative leadership

Todd Lutz ACO Executive
Sridevi Donepudi Medical Director
Yaslyn Howey Compliance Officer
Sridevi Donepudi Quality Assurance/Improvement Officer

Associated committees and committee leadership

Committee Name Committee Leader Name and Position
Finance Committee Robert Langland, Chair
Compliance Committee Kevin Steck, Chair
Quality and Audit Committee Sridevi Donepudi, Chair

Types of ACO participants or combination of participants that formed the ACO:

  • Hospital employing ACO professionals

Shared Savings and Losses

Amount Shared Savings and Losses

  • Second Agreement Period
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • Second Agreement Period
    • 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
  • 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
    • 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
    • Performance Year 2015
      • 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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.02 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.46 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.10 92.45
ACO-4 CAHPS: Access to Specialists 81.52 81.50
ACO-5 CAHPS: Health Promotion and Education 63.00 59.26
ACO-6 CAHPS: Shared Decision Making 64.08 61.94
ACO-7 CAHPS: Health Status/Functional Status 74.81 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 24.73 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.71 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 20.24 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 38.30 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 80.33 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 66.71 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.89 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation 92.96 85.91
ACO-13 Falls: Screening for Future Fall Risk 98.85 79.73
ACO-44 Imaging Studies for Low Back Pain 63.08 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 94.04 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 94.54 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 91.48 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 65.00 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 97.65 66.74
ACO-19 Colorectal Cancer Screening 81.40 68.27
ACO-20 Breast Cancer Screening 82.99 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.94 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.08 15.51
ACO-41 Diabetes: Eye Exam 73.89 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.50 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.27 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Cotton-O’Neil ACO llc” to view the quality performance results. This ACO can also be found by using the ACO ID A2506 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.