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Accountable Care Organization (ACO) - Public Report

ACO Name and Location:

Billings Clinic
2800 Tenth Ave North
Billings, MT 59101-7000

ACO Primary Contact:

Jan Bechtold

Organizational Information:

ACO Participants:

Billings Clinic as an organization represents the entire composition of the Billings Clinic ACO. The following locations of Billings Clinic participate in our ACO:

  • Billings Clinic main campus (all services)
  • Billings Clinic West
  • Billings Clinic Heights
  • Billings Clinic Miles City
  • Billings Clinic Cody
  • Bozeman OB/GYN

ACO Participants in Joint Ventures between ACO Professionals and Hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

The Billings Clinic Board of Directors serves as the governing body for the Billings Clinic ACO. All board members are voting members of the Billings Clinic ACO Board.

  • Joy Ott - Chairman - Community Stakeholder Representative
  • Penni Nance - Vice Chair- Community Stakeholder Representative
  • Elizabeth (Liz) Fulton - Treasurer- Community Stakeholder Representative
  • Lil Anderson - Secretary - Medicare Beneficiary Representative
  • Craig Bartholomew - Member - Community Stakeholder Representative
  • Keith Cook - Member - Community Stakeholder Representative
  • Clayton "Tersh" McCracken, MD - Member - ACO Participant Representative - Billings Clinic
  • David Brown - Member- Community Stakeholder Representative
  • Robert Pueringer, MD - Member - ACO Participant Representative - Billings Clinic
  • Frank Reed, MD - Member - Community Stakeholder Representative
  • Wayne Hirsch - Member - Community Stakeholder Representative
  • Randall Gibb, MD - Ex Officio Member - ACO Participant Representative - Billings Clinic

Key ACO Clinical and Administrative Leadership / Associated Committees and Committee Leadership:

Billings Clinic Organizational Chart

Click to enlarge and view the full chart

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

ACO professionals in a group practice management

Shared Savings/Losses

Amount of Shared Savings / Losses:

  • Performance Year 1: $0
  • Performance Year 2014: $0
  • Performance Year 2015: $0

How Shared Savings Are Distributed

Because Billings Clinic is the sole member of the ACO any Shared Savings will be reinvested in our infrastructure to continue our mission of health care, education, and research.

Quality Performance Results

ACO Quality Performance Results

Click to enlarge and view full image

For more information on how to interpret scores on the above quality performance measures, see

Related Information

FAQ: Accountable Care Organizations and You

Medicare's ACOs Webpage


Ask for information on ACOs (TTY users should call 1-877-486-2048)

How It All Started

Welcome to Billings Clinic

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