ACO Information
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
1500 S.W. 10th Ave.
Topeka, KS 66604
ACO Primary Contact:
Todd Lutz
(785) 354-6000
[email protected]
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 |
ACO Governing Body
| First Name | Last Name | Title/Position | Member's Voting Power | Membership Type | ACO Participant Legal Business Name/DBA, if applicable |
|---|---|---|---|---|---|
| Brad | Cutting | Board Member | 8.33% | ACO Participant Representative | Cotton O’Neil Revocable Trust |
| Chad | Yeager | Chairman/Secretary | 8.34% | ACO Participant Representative | Stormont Vail HealthCare, Inc. |
| Clayton | Wood | Board Member | 8.33% | ACO Participant Representative | Cotton O’Neil Revocable Trust |
| Cliff | Jones | Board Member | 8.33% | ACO Participant Representative | Cotton O’Neil Revocable Trust |
| Kristen | Miller | Vice Chairman | 8.34% | ACO Participant Representative | Stormont Vail HealthCare, Inc. |
| Larry | Morris | Board Member | 8.33% | Medicare Beneficiary Representative | N/A |
| Stacie | Mason | Treasurer | 8.34% | ACO Participant Representative | Stormont Vail HealthCare, Inc. |
| Melissa | Herrman | Board Member | 8.33% | ACO Participant Representative | Cotton O’Neil Revocable Trust |
| MIke | Lexow | Board Member | 8.33% | ACO Participant Representative | Cotton O'Neil Revocable Trust |
| Tim | Shultz | Compliance | 8.33% | ACO Participant Representative | Stormont Vail HealthCare, Inc. |
| Todd | Lutz | Board Member | 8.33% | ACO Participant Representative | Stormont Vail HealthCare, Inc. |
| Traci | Cuevas | Board Member | 8.33% | ACO Participant Representative | Cotton O’Neil Revocable Trust |
Key ACO clinical and administrative leadership
| Title | Name |
|---|---|
| ACO Executive | Todd Lutz |
| Medical Director | Mike Lexow |
| Compliance Officer | Timothy Shultz |
| Quality Assurance/Improvement Officer | Kristen Miller |
Associated committees and committee leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| N/A | N/A |
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
- Third Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
- Performance Year 2024, $7,474,895.04
- Performance Year 2023, $4,472,267.00
- Performance Year 2022, $4,316,090.32
- Performance Year 2021, $0
- Second Agreement Period
- Performance Year 2021, $0
- Performance Year 2020, $0
- Performance Year 2019, $0
- Performance Year 2018, $0
- First Agreement Period
- Performance Year 2017, $0
- Performance Year 2016, $0
- Performance Year 2015, $0
Shared Savings Distribution
- Third Agreement Period
- Performance Year 2026
- 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 2025
- 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 2024
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
- Performance Year 2023
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 0%
- Performance Year 2022
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 50%
- Proportion of distribution to ACO participants: 0%
- Performance Year 2021
- 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 2026
- Second Agreement Period
- Performance Year 2020
- 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 2019
- 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 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 2020
- 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
- Performance Year 2017
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 6.21 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1433 | 0.1517 |
| 484* | Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | - | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | - | - |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | - | - |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | - | - |
| 113 | Colorectal Cancer Screening | CMS Web Interface | - | - |
| 112 | Breast Cancer Screening | CMS Web Interface | - | - |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | - | - |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | - | - |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | eCQM | 20.94 | 28.16 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | eCQM | 76.73 | 54.68 |
| 236 | Controlling High Blood Pressure | eCQM | 72.32 | 71.39 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 82.53 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 92.95 | 93.96 |
| CAHPS-3 | Patient?s Rating of Provider | CAHPS for MIPS Survey | 90.23 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 79.91 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 67.57 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 57.71 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.92 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 85.81 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 93.64 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 28.34 | 26.98 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk standardized Hospital Admission Rates for Patients with Multiple
Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.
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.
- Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.