Accountable Care Organization (ACO) - Public Report

ACO Name and Location

Billings Clinic
2800 10th Ave N
Billings, MT 59101

ACO Primary Contact

Azher Gobbs
406-238-2959
agobbs@billingsclinic.org

Organizational Information

ACO participants

ACO Participants ACO Participant in Joint Venture
Billings Clinic N

ACO governing body

Member Last Name Member First Name Member Title/Position Member's Voting Power: expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if applicable
Underiner Blake Mr. 3.125% Community Stakeholder Representative
Riha Gordon Dr. 18.75% ACO Participant Representative Billings Clinic
Bartholomew Craig Mr./Chair 3.125% Community Stakeholder Representative
Cook Keith Mr./Past Immediate Chair 3.125% Medicare Beneficiary Representative
Seger Clint CEO 18.75% ACO Participant Representative Billings Clinic
Cebull Amy Ms. 3.125% Community Stakeholder Representative
Hirsh Wayne Mr./Treasurer 3.125% Community Stakeholder Representative
Duncan Heidi Dr. 18.75% ACO Participant Representative Billings Clinic
Edwards John Mr. 3.125% Community Stakeholder Representative
Gordon Alice Ms. 3.125% Community Stakeholder Representative
McDonald Eileen Ms. 3.125% Community Stakeholder Representative
Trostel Kendrick Dr. 18.75% ACO Participant Representative Billings Clinic

Key ACO clinical and administrative leadership

  • ACO Executive: Ms. Azher Gobbs
  • Medical Director: Dr. Michael Temporal
  • Compliance Officer: Ms. Patti Reisinger
  • Quality Assurance/Improvement Officer: Ms. Azher Gobbs

Associated committees and committee leadership

  • Board Quality & Patient Safety Oversight: open
  • Audit & Compliance Committee: Mr. Craig Bartholomew, Chair
  • Executive Committee: Mr. Keith Cook, Chair
  • Finance Committee: Mr. Wayne Hirsch
  • Governance & Nominating Committee: Mr. Keith Cook, Chair
  • Investment Committee: Mr. Keith Cook, Chair
  • Physician Compensation Committee: Mr. Keith Cook, Chair
  • Regional Strategy Committee: open

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

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Fourth Agreement Period
    • Performance Year 2024, $0
  • Third Agreement Period
    • Performance Year 2023, $0
    • Performance Year 2022, $0
    • Performance Year 2021, $0
    • Performance Year 2020, $0
    • Performance Year 2019, $0
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

“Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”

Shared Savings Distribution

  • Fourth Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Third Agreement Period
    • Performance Year 2023
      • 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 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 2021
      • 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 2019
      • 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 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
    • 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
  • First Agreement Period
    • 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
    • Performance Year 2014
      • 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 2013
      • 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

Quality performance results are based on CMS Web Interface Measure Set

2024 Quality Performance Results

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] CMS Web Interface 10.40 9.44
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 91.86 81.46
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 65.73 79.49
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 92.34 88.99
Quality ID# 110 Preventative Care and Screening: Influenza Immunizations CMS Web Interface 59.27 68.60
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 4.35 79.98
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 58.96 77.81
Quality ID# 112 Breast Cancer Screening CMS Web Interface 83.87 80.93
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 89.96 86.50
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 1.82 17.35
Quality ID# 321 CAHPS for MIPS [2] CAHPS for MIPS Survey 2.71 6.67
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] Administrative Claims 0.1490 0.1517
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 33.82 37.00

2024 Summary of Survey Measures

Summary Survey Measure Score (Your ACO) Mean Score (All ACOs)
Getting Timely Care, Appointments, and Information 82.57 83.73
How Well Providers Communicate 90.98 94.44
Patient's Rating of Provider 89.16 92.91
Access to Specialists 69.43 75.23
Health Promotion and Education 59.58 66.28
General Health Promotion and Education 57.97 70.28
Mental Health Promotion and Education 61.18 62.30
Shared Decision Making 56.76 62.16
Making Decisions about Medications 85.94 88.01
Sharing Your Health Information 27.58 36.26
Courteous and Helpful Office Staff 91.27 93.24
Care Coordination 82.38 86.46
Stewardship of Patient Resources 19.56 26.45
Health Status and Functional Status 68.66 74.83
Self-Rated Health 51.23 54.55
Self-Rated Mental Health 65.03 67.56
Cognitive Functioning 83.88 89.94
Chronic Condition Status 49.40 58.99
Beneficiaries' Functional Status 74.94 81.90
  • For Previous Years Financial and Quality Performance Results, please visit data.cms.gov.
  • [1] A lower performance rate corresponds to higher quality. Add to 001, 479, 484)

Payment Rule Waivers

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Related Information

1-800-MEDICARE

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

Contact Us

  • Online: Contact Us Form
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  • Patient Financial Services: 406-238-2250
  • Medical Records: 406-238-2530
  • Healthline - talk to a registered nurse about your health questions: 406-255-8400 or 1-800-252-1246

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