HEARTLAND HEALTH ACO INC
2910 WESTOWN PARKWAY SUITE 302, WEST DES MOINES, IA 50266

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Organizations Filed Purposes: 1. TO PROMOTE AND PROVIDE ACCESS TO COST-EFFECTIVE AND EFFICIENT DELIVERY OF HEALTH CARE SERVICES TO PEOPLE LIVING OR WORKING IN IOWA AND/OR NEBRASKA; 2. TO DEVELOP AND IMPLEMENT EFFECTIVE METHODS AND MEASURES TO PROMOTE THE PROPER UTILIZATION OF HEALTH CARE SERVICES BY PROVIDERS AND BY PEOPLE LIVING OR WORKING IN IOWA AND/OR NEBRASKA; 3. TO DEVELOP AND IMPLEMENT EFFECTIVE METHODS AND MEASURES TO IMPROVE THE QUALITY OF HEALTH CARE SERVICES FOR PEOPLE LIVING OR WORKING IN IOWA AND/OR NEBRASKA; 4. TO DEVELOP AN ORGANIZATION IN WHICH AND WITH WHICH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS CAN WORK COOPERATIVELY TO OFFER COST-EFFECTIVE AND EFFICIENT DELIVERY OF AND ACCESS TO HEALTH SERVICES TO PEOPLE LIVING OR WORKING IN IOWA AND/OR NEBRASKA, INCLUDING BUT NOT LIMITED TO OFFERING TO CONTRACT FOR HEALTH CARE SERVICES ON THE BASIS OF FINANCIAL OR OTHER RISK SHARING; 5. TO MARKET ONE OR MORE COMPETITIVE HEALTH DELIVERY PLANS OR PROGRAMS TO SERVE EMPLOYERS AND PEOPLE LIVING OR WORKING IN IOW

HEARTLAND HEALTH ACO WAS ORGANIZED IN 2018, WENT THROUGH THE MSSP ACO APPLICATION PROCESS WITH CMS, WAS APPROVED AND BEGAN OPERATIONS AS A MEDICARE SHARED SAVINGS ACO ON JULY 1, 2019. MANY OF THE MEMBER PRACTICES HAD SOME PREVIOUS ACO EXPERIENCE, BUT THIS WAS A NEW COMBINATION OF PRACTICES UNDER HHACO. THE ACO BOARD AS WELL AS THE COMPLIANCE AND QUALITY/MEDICAL MANAGEMENT COMMITTEES WERE FORMED, POLICIES AND PROCEDURE WERE DEVELOPED AND ADOPTED, AND THE WORK ON THE ACO BEGAN. WE HELD A FALL LEARNING COLLABORATIVE, BRINGING TOGETHER PRACTICE TEAMS FROM ALL ACO PRACTICES TO LEARN FROM AND SUPPORT ONE ANOTHER. WORK BEGAN TO IMPROVE QUALITY OF CARE PROVIDED TO MEDICARE BENEFICIARIES, WITH PRACTICES GETTING CONNECTED TO OUR POPULATION HEALTH PLATFORM, THE GARAGE, IN ORDER TO TRACK AND IMPROVE QUALITY OF CARE. ADDITIONALLY, WE BEGAN TO RECEIVE CLAIMS DATA FROM CMS, WHICH WAS ALSO LOADED INTO THE GARAGE FOR PRACTICES TO BEGIN TO USE TO ADDRESS COST. MONTHLY CALLS/MEETINGS WERE HELD WITH PRACTICES TO DIRECT AND SUPPORT THE COST AND QUALITY WORK. EDUCATION WAS PROVIDED TO PRACTICES TO IMPROVE PERFORMANCE. IN ALL, THE ACO HAD A SOLID START TO ITS PERFORMANCE OVER THE LAST HALF OF 2019. THE HHACO CONTRACT WITH CMS RUNS THROUGH DECEMBER 31, 2024.

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