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 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
Chad	Yeager	Chairman/Secretary	8.34%	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Kristen	MIller	Vice Chairman	8.34%	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Stacie	Mason	Treasurer	8.34%	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Traci	Cuevas	Board Member	8.34%	ACO Participant Representative	Cotton O’Neil Revocable Trust
Brad	Cutting	Board Member	8.33%	ACO Participant Representative	Cotton O’Neil Revocable Trust
Melissa	Herrman	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
MIke	Lexow	Board Member	8.33%	ACO Participant Representative	Cotton O'Neil Revocable Trust
Todd	Lutz	Board Member	8.33%	ACO Participant Representative	Stormont Vail HealthCare, Inc.
Clayton	Wood	Board Member	8.33%	ACO Participant Representative	Cotton O’Neil Revocable Trust
Larry	Morris	Board Member	8.33%	Medicare Beneficiary
Kevin	Steck	Board Member	8.33%	ACO Participant Representative	Stormont Vail HealthCare, Inc.

Key ACO clinical and administrative leadership

Title	Name
ACO Executive	Todd Lutz
Medical Director	Mike Lexow
Compliance Officer	Kevin Steck
Quality Assurance/Improvement Officer	Kristen Miller

Associated committees and committee leadership

Committee Name	Committee Leader Name and Position
Alternative Payment Model Committee	Kristen Miller, 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 2023, $4,472,267.00
- 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 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
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

2023 Quality Performance Results are based on CMS Web Interface collection type.

Measure #	Measure Name	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
Quality ID#: 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	25.01	27.39
Quality ID#: 134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	76.99	48.99
Quality ID#: 236	Controlling High Blood Pressure	71.79	72.35
Quality ID#: 321	CAHPS for MIPS [2]	8.7	6.25
Measure # 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	0.1385	0.1553
Measure # 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	---	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	85.52	83.68
CAHPS-2	How Well Providers Communicate	95.06	93.69
CAHPS-3	Patient's Rating of Provider	93.27	92.14
CAHPS-4	Access to Specialists	78.94	75.97
CAHPS-5	Health Promotion and Education	66.71	63.93
CAHPS-6	Shared Decision Making	63.4	61.6
CAHPS-7	Health Status and Functional Status	74.48	74.12
CAHPS-8	Care Coordination	87.75	85.77
CAHPS-9	Courteous and Helpful Office Staff	95.69	92.31
CAHPS-11	Stewardship of Patient Resources	34.03	26.69