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
Previous Names: N/A
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 INCN
Cotton-O’Neil Clinic Revocable TrustN

ACO Governing Body

First Name Last Name Title/Position Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if applicable
AmyKincadeChairman/Secretary1ACO Participant RepresentativeStormont Vail HealthCare, Inc.
MikeLexowVice Chairman1ACO Participant RepresentativeStormont Vail HealthCare, Inc.
StacieMasonTreasurer1ACO Participant RepresentativeStormont Vail HealthCare, Inc.
TraciCuevasBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
BradCuttingBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
MelissaHerrmanBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
CliffJonesBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
ChadYeagerBoard Member1ACO Participant RepresentativeStormont Vail HealthCare, Inc.
TracyO’RourkeBoard Member1ACO Participant RepresentativeStormont Vail HealthCare, Inc.
KorriPhillipsBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
LarryMorrisBoard Member1Medicare Beneficiary
SarahFarnanBoard Member1ACO Participant RepresentativeCotton O’Neil Revocable Trust
KevinSteckBoard Member1ACO Participant RepresentativeStormont Vail HealthCare, Inc.

Key ACO clinical and administrative leadership

ACO ExecutiveTodd Lutz
Medical DirectorMike Lexow
Compliance OfficerKevin Steck
Quality Assurance/Improvement OfficerChad Yeager

Associated committees and committee leadership

Committee Name Committee Leader Name and Position
Alternative Payment Model CommitteeAmy Kincade, 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

  • Third Agreement Period
    • Performance Year 2022, $4,316,090.32
    • Performance Year 2021, $0
  • Second Agreement Period
    • 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 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
  • 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
  • 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

2022 Quality Performance Results are based on CMS Web Interface.

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]CMS Web Interface7.4710.71
Quality ID# 134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface99.6176.97
Quality ID# 236Controlling High Blood PressureCMS Web Interface76.3676.16
Quality ID# 318Falls: Screening for Future Fall RiskCMS Web Interface10087.83
Quality ID# 110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface89.5677.34
Quality ID# 226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface9079.27
Quality ID# 113Colorectal Cancer ScreeningCMS Web Interface89.8175.32
Quality ID# 112Breast Cancer ScreeningCMS Web Interface89.3778.07
Quality ID# 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface90.5886.37
Quality ID# 370Depression Remission at Twelve MonthsCMS Web Interface17.2416.03
Quality ID# 321CAHPS for MIPS [3]CMS Web InterfaceN/AN/A
Measure# 479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]CMS Web Interface0.14510.151
Measure# 484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]CMS Web Interface32.7430.97
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey83.7283.96
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey94.0793.47
CAHPS-3Patient's Rating of ProviderCAHPS for MIPS Survey91.6892.06
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey78.6877
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey64.5762.68
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey59.2260.97
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey73.9673.06
CAHPS-8Care CoordinationCAHPS for MIPS Survey87.0185.46
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.6491.97
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey30.5525.62

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 used the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Waiver for Payment for Telehealth Services:

Related Resources