Bluestone Accountable Care Organization (ACO)
Bluestone Physician Services is participating in Bluestone ACO, an Accountable Care Organization. An ACO is a group of health care providers that work together to improve the quality and experience of care you receive. ACOs receive a portion of any savings that result from reducing costs and meeting quality requirements. Beneficiaries that are included in this population are those that have fee-for-service Medicare or Original Medicare.
What you need to know
- Medicare evaluates how well each ACO meets these goals every year. Those ACOs that do a good job can earn a financial bonus. ACOs that earn a bonus may use the payment to invest more in your care or share a portion directly with your providers. ACOs may owe a penalty if their care increases costs.
- Our participation in the Bluestone ACO doesn’t limit your choice of health care providers. Your Medicare benefits are not changing. You still have the right to visit any doctor, hospital or other provider that accepts Medicare at any time, just like you do now.
- To help us coordinate your health care better, Medicare shares information about your care with your providers. If you wish to decline this sharing of information call 1-800-MEDICARE (1-800-633-4227).
- Questions? Contact Bluestone at 877-599-1039 or BluestoneACO@BluestoneMD.com.
Resources
For more information on the CMS ACO Models, the following resources are available:
| Medicare | Medicare.gov
(800) MEDICARE (800-633-4227) |
| Bluestone ACO | BluestoneACO@bluestonemd.com
Toll Free: 877-599-1039 |
| 2021 Beneficiary Handouts | ||
| Medicare Beneficiary Handout | English | Spanish |
| Practice Notice | English | Spanish |
| Voluntary Alignment Notice | English | Spanish |
ACO Name and Location
Bluestone ACO
9822 Tapestry Park Circle
Suite 208
Jacksonville, Florida 33246
ACO Primary Contact
Timothy Koehler
612-214-7223
Tim.koehler@bluestonemd.com
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| Bluestone Physician Services Southeast LLC | N |
| Bluestone Physician Services PA | N |
| Bluestone Physician Services Wisconsin SC | 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 and D/B/A, if applicable |
| Koehler | Tim | Chairman / Chief Executive Officer/Voting Member | 23.75% | Participant Representative | |
| Keenan | Sarah | Co-Chairman/COO/Voting Member | 23.75% | Participant Representative | |
| Stivland | Todd | CMO / Voting Member | 23.75% | Participant Representative | Bluestone Physician Services PA |
| Nelsen | David | CFO | 23.75% | Other | |
| Hunkins | Nate | Director of Population Health | 0% | Other | |
| Ryan
Levy |
Joanne
Candice |
Compliance Officer | 0% | Other | |
| Weinke | Katie | Program Manager | 0% | Other | |
| Bergen | Brad | Beneficiary POA | 2.5% | Beneficiary Representative | |
| Reuland | Stacey | Beneficiary POA | 2.5% | Beneficiary Representative |
Key ACO Clinical and Administrative Leadership
| Tim Koehler | ACO Chief Executive Officer |
| Todd Stivland | Chief Medical Officer |
| Sarah Keenan | Chief Operating Officer |
| David Nelsen | Chief Financial Officer |
| Joanne Ryan
Candice Levy |
Compliance Officer |
| Nate Hunkins | Director of Population Health |
| Katie Weinke | Program Manager |
Associated Committees and Committee Leadership
| Committees | Committee Chairs |
| Quality Assurance and Process Improvement | Nate Hunkins |
| Medical Cost and Provider Network | David Nelsen |
| Utilization and Care Management | Nate Hunkins |
| Finance and Compensation | David Nelsen |
| Patient Experience | Sarah Keenan |
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Bi-Weekly Value Based Care Committee
· Patient Experience · Quality Assurance & Process Improvement · Medical Costs and Provider Network · Utilization and Care Management |
Nate Hunkins, Director of Population Health
Katie Weinke, Program Manager |
| Executive & Finance Committee
· Finance and Compensation · Medical Costs and Provider Network |
Tim Koehler, CEO
Katie Weinke, Program Manager |
| Bluestone ACO & Cura Management Committee | Tim Koehler, CEO
Katie Weinke, Program Manager |
Types of ACO Participants, or Combinations of Participants, that Formed the ACO:
- Bluestone Physician Services (MN/WI/FL/VA)
Shared Savings and Losses
Amount of Shared Savings/Losses:
N/A
Shared Savings Distribution:
N/A
Quality Performance Results
2019 Quality Performance Results:
Our ACO did not participate in the Shared Savings Program in the 2019 performance year, therefore this section is not applicable at this time.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
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.