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Accountable Care Organization (ACO) - Public Report

ACO Name and Location:

Billings Clinic
2800 Tenth Ave North
P.O. Box 37000
Billings, MT 59107-7000

ACO Primary Contact:

Jan Bechtold
jbechtold@billingsclinic.org
406-255-8468

Organizational Information:

ACO Participants:

  • Billings Clinic 

ACO Participants in Joint Ventures between ACO Professionals and Hospitals (annotated by aserisk [*]):

  • ACO professionals in a group practice arrangement, Partnerships or joint venture arrangements between hospitals and ACO professionals.

ACO Governing Body

  1. Ms. Joy Ott, Voting Member and Chair, Community Stakeholder
  2. Dr. Clayton “Tersh” McCracken, Voting Member, ACO Provider/Supplier, Dr Robert Pueringer, Voting Member, ACO Provider/Supplier, Dr Randall Gibb, Voting Member, ACO Provider/Supplier
  3. Ms. Lil Anderson, Voting Member and Secretary, Medicare Beneficiary Representative
  4. Ms. Penni Nance, Voting Member and Vice Chair, Community Stakeholder Representative
  5. Ms. Elizabeth Fulton, Voting Member and Treasurer, Community Stakeholder Representative
  6. Mr. Craig Bartholomew, Voting Member, Community Stakeholder Representative
  7. Mr. Keith Cook, Voting Member, Community Stakeholder Representative
  8. Mr. David Brown, Voting Member, Community Stakeholder Representative
  9. Dr. Frank Reed, Voting Member and Past Chair, Community Stakeholder Representative
  10. Mr. Wayne Hirsh, Voting Member, Community Stakeholder Representative
  11. Mr. Bill Ebzery, Voting Member, Community Stakeholder Representative

Key ACO clinical and administrative leadership:

  1. ACO Executive : Dr. Randall Gibb
  2. Medical Director : Dr. Michael Temporal
  3. Compliance Official : Ms. Peggy Wharton
  4. Quality Assurance/Improvement Officer: Ms. Jackie Hines

Associated committees and committee leadership:

  1. Board Quality & Patient Safety Oversight Committee: Dr Tersh McCracken, Chair
  2. Audit & Compliance Committee: Ms. Lil Anderson, Chair
  3. Executive Committee: Ms. Joy Ott, Chair
  4. Finance Committee: Ms. Elizabeth Fulton, Chair
  5. Governance & Nominating Committee: Ms. Joy Ott, Chair
  6. Investment Committee: Mr. David Brown, Chair
  7. Physician Compensation Committee: Ms. Joy Ott, Chair
  8. Regional Strategy Committee: Ms. Joy Ott, Chair 

Billings Clinic Organizational Chart

Click to enlarge and view the full chart

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

  1. ACO professionals in a group practice arrangement
  2. Partnership or joint venture arrangement between hospitals and ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Agreement period beginning 2013, Performance Year 1: $0
  • Agreement period beginning 2013, Performance Year 2014: $0
  • Agreement period beginning 2013, Performance Year 2015: $0

Shared Savings Distribution

  • Agreement period beginning 2013, Performance Year 1: $0
  • Agreement period beginning 2013, Performance Year 2014: $0
  • Agreement period beginning 2013, Performance Year 2015: $0

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver

Quality Performance Results

ACO Quality Performance Results 2015

Click to enlarge and view 2015 chart

Click to enlarge and view 2012-2014 chart

For more information on how to interpret scores on the above quality performance measures, see http://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf.

Related Information

FAQ: Accountable Care Organizations and You

Medicare's ACOs Webpage

1-800-MEDICARE

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

Call HealthLine

Talk to a registered nurse about your health question or get help finding a physician.

(406) 255-8400 or 1-800-252-1246