ACO Name and Location

Inspire Health Partners, LLC
415 Washington Street
Columbus, IN 47201

ACO Primary Contact

Primary Contact Name Marc E. Rothbart, President
Primary Contact Phone Number 812-376-5444
Primary Contact Email Address [email protected]

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Jackson County Schneck Memorial Hospital Y
Jackson Park Physicians Pc Y
Physicians Practice Organization, Inc Y
Family Medical Center, P.C. Y
Columbus Regional Health Physicians, LLC Y

ACO governing body:

Member Member’s Voting Power –Expressed as a percentage or number Membership Type – ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Fish, MD Eric Chairperson 10% ACO Participant Jackson County Schneck Memorial Hospital
Dorenbusch, MD Michael Vice-Chairperson 10% ACO Participant Columbus Regional Health Physicians, LLC
Bickel Jim Secretary 10% ACO Participant Columbus Regional Health Physicians, LLC
Mann Debbie Treasurer 10% ACO Participant Jackson County Schneck Memorial Hospital
Crowder, MD Slade Board Member 10% ACO Participant Columbus Regional Health Physicians, LLC
Lemming, MD Nick Board Member 10% ACO Participant Family Medical Center, P.C.
Zabor Susan Board Member 10% ACO Participant Jackson County Schneck Memorial Hospital
Meyer Gary Board Member 10% Medicare Beneficiary Representative  N/A
Byers Grant Board Member 10% ACO Participant Columbus Regional Health Physicians, LLC
Whittington Mark Board Member 10% Community Stakeholder Representative  N/A

Key ACO clinical and administrative leadership:

ACO Executive: Marc Rothbart
Medical Director: Slade Crowder, MD
Compliance Officer: Jordan Kiel
Quality Assurance/Improvement Officer: Slade Crowder, MD

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Primary Care Leadership & Quality Committee Nick Lemming, MD (Primary Care Physician & President of Family Medical Center)
Finance Committee Debbie Mann (VP Finance/CFO – Schneck Medical Center) & Grant D. Byers (Exec. VP, CFO – Columbus Regional Health)
Information Technology Committee Slade Crowder, MD (Director of System Medical Informatics – Columbus Regional Health)
Membership and Credentialing Committee John Fye, MD (Primary Care Physician & Vice President of Family Medical Center)

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2019, $0
    • Performance Year 2020, $0
    • Performance Year 2021, $0
  • Second Agreement Period
    • Performance Year 2022, $0
    • Performance Year 2023, $1,358,501.81

Shared Savings Distribution

  • First 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
    • 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 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 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 2022
      • 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 2023
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%

Quality Performance Results

2023 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 8.24 9.84
134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 76.69 80.97
236 Controlling High Blood Pressure CMS Web Interface 72.90 77.80
318 Falls: Screening for Future Fall Risk CMS Web Interface 73.57 89.42
110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 73.72 70.76
226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 52.63 79.29
113 Colorectal Cancer Screening CMS Web Interface 84.29 77.14
112 Breast Cancer Screening CMS Web Interface 80.97 80.36
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.77 87.05
370 Depression Remission at Twelve Months CMS Web Interface 8.77 16.58
321 CAHPS for MIPS CMS Web Interface 7.18 6.25
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups CMS Web Interface 0.1480 0.1553
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 35.06 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.89 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.77 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.39 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 79.42 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 58.67 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 73.06 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 73.74 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.30 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.10 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 32.15 26.69

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov