1. A Caravan of Travelers- Began with the NRACO Journey
Lynn Barr, MPH
CEO & Founder, Caravan Health; Founder & Chief Transformation Officer, National Rural Accountable Care Consortium; Former CIO at Truckee Hospital, Critical Access Hospital in Rural CA.
While working at a rural hospital as Chief Information Officer, Lynn organized the National Rural Accountable Care Consortium to overcome barriers for rural health providers so they could participate in innovative payment models under healthcare reform. There was a group of rural leaders concerned about the ability of rural providers to preform under new Accountable Care Payment Models. In 2014 Caravan Health was formed to provide turn-key services to providers interested in population health programs in Practice Transformation Networks, Medicare and Commercial Accountable Care Organizations, MACRA, Comprehensive Primary Care, and other payment models.
As Chief Executive Officer of Caravan Health, Ms. Barr has lead the development and execution of nationwide programs that bring better care to patients and help health care providers achieve financial success.
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2. A Rural Model for Accountable Care
Caravan Health supports more than 13,000 primary care providers and 250 community hospitals making the transformation to value-based payments, with affordable, simple solutions that achieve outstanding results.
Ms. Barr is a popular speaker and a frequent collaborator with government and national organizations looking to improve our healthcare systems.
A Rural Model for Accountable Care
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3. Our Story-An ACO Model for Rural Healthcare Organizations
MSSP Track 1 (MIPS) ACOs owned by providers
Virtual groupings typically without shared patients
Local control & accountability
Group reporting
Economies of scale
Shared learning
Care coordination that is LOCAL – Population Health Nurses
Practice Coaching
Regional Workshops
PDSA
Virtual Groupings are based in evidence- DHHS Peer counties. Important to meet CMS attribution requirements
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4. Meet Tim Putnam - Critical Access CEO
Tim Putnam, DHA, FACHE
CEO of Margaret Mary Health, Batesville, IN
2014 NRACC Founding Member
CAH
SHO2 ACO
Participants: Margaret Mary Community Hospital, Henry County Memorial Hospital, Internal Medicine of SE Indiana, Suzanne Martini, MD
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5. Case Study- Margaret Mary Health
Why form an ACO?
Benefits to Margaret Mary Health
Impact on patients
Accountable Care as a Business and Quality Improvement Strategy. BENEFITS-Opportunity to provide more patient centered care- Waivers. Estimated 2016 Shared Savings= (SHO)ACO 2- $2,273,492,Estimated Margaret Mary Savings=

6. Top 10 by ATI Score (Ability To Impact)
Column1
Birth Date
Provider
12 Mo Costs
ATI Score
ER Visit Count
Chronic Conditions
Prob. High Total Cost
Predictive Risk Score
Patient 16
2/22/1932
RHC
$18,971
9.65 7 16
0.08
1.664
Patient 9
10/12/1936
Provider 5
$16,011
9.61 8 15
0.21
2.716
Patient 22
6/23/1935
$11,587 12
0.1
1.845
Patient 23
4/23/1964
$7,513
9.58 10
0.04
1.054
Patient 26
1/18/1937
Provider 3
$84,350
9.56 6 17
0.69
6.796
Patient 28
12/30/1957
$37,523
9.53 14
0.28
3.156
Patient 10
4/5/1934
$19,744 11
0.11
1.975
Patient 12
8/11/1958
Provider 1
$7,111
9.46
1.648
Patient 5
12/26/1960
Provider 6
$21,167
9.45 9
1.914
Patient 32
12/6/1937
$13,790
9.43
0.13
2.106
ATI is a Lightbeam specific score. It stands for Ability To Impact and is a modified version of a regular risk score. It takes into account the patients current diagnoses, their utilization habits, but also sociodemographic factors such as if they are single/widowed, etc. As far as I’m concerned, this is the crown gem of Lightbeam and I’ve found it to be the most accurate and easy to use tool of it’s kind.

7. Meet Lee McCall – Rural PPS Hospital CEO
Lee McCall, MPH, MBA, FACHE
CEO of Neshoba Hospital and Nursing Home, Philadelphia, MS
Rural PPS Hospital
Magnolia Evergreen ACO
7 Rural Hospitals - 4 in Washington State, 3 in Missisippi
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8. Case Study - Neshoba Health
Why join an ACO?
Benefits to Health System
Impact on patients
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9. Case Study Neshoba Health- Magnolia-Evergreen ACO
7 Rural Critical Access and PPS Hospitals
4 in Washington State
3 in Mississippi
One large independent primary care practice in Mississippi.
All independent and unaffiliated.
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10. 2016 Impact on Financial Performance - Mag/Evergreen
Seven Rural Hospitals
Local hospital revenue went up 7% while saving 8.4% per beneficiary.
Net patient revenue went up $30 million while saving Medicare $11 million.
Inpatient revenue increased $13 million while saving Medicare $7 million.

11. Questions? Lynn Barr Lbarr@caravanhealth.com
Lee McCall
Tim Putnam
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12. www.CaravanHealth.com info@CaravanHealth.com 916.542.4582
Thank You
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