MSSP ACO Public Report

ACO Name and Location
Iowa Health Centers for Accountability – West, LLC; d/b/a IowaHealth+
500 SW 7th Street, Suite 300
Des Moines, IA 50309

Primary Contact
Tory Schrock
515-349-1926
tschrock@iowapca.org

ACO Participants

ACO Participants ACO Participant in Joint Venture
All Care Health Center N
Community Health Center of Fort Dodge N
Community Health Centers of Southeastern Iowa N
Community Health Centers of Southern Iowa N
Crescent Community Health Center N
Eastern Iowa Health Center N
Peoples Community Health Clinic N
Primary Health Care, Inc. N
Promise Community Health Center N
River Hills Community Health Center N
Siouxland Community Health Center N

ACO Governing Body

Governing Body Members Board Position Member's Voting Power Membership Type ACO Participant Legal Business Name
Emily Tuschen Chair 7.692% ACO Participant Representative Greater Sioux Community Health Center
Kyle Ahlenstorf Vice Chair 7.692% ACO Participant Representative Infinity Health
Mark Donaldson Secretary 7.692% ACO Participant Representative Siouxland Community Health Center
Renae Kruckenberg Treasurer 7.692% ACO Participant Representative Community Health Center of Fort Dodge
Joel Dougherty Member 7.692% ACO Participant Representative All Care Health Center
Chad Wolbers Member 7.692% ACO Participant Representative Crescent Community Health Center
Joe Lock Member 7.692% ACO Participant Representative Eastern Iowa Health Center
Nathan Simpson Member 7.692% ACO Participant Representative Primary Health Care, Inc.
William Grimm Member 7.692% ACO Participant Representative Community Health Centers of Southeastern Iowa
Christine Kemp Member 7.692% ACO Participant Representative Peoples Community Health Clinic
Joy Alexander Member 7.692% ACO Participant Representative River Hills Community Health Center
Aaron Todd Member 7.692% Voting Partner N/A
William Schoenenberger Member 7.692% Medicare Beneficiary Representative N/A
Dr. Wendy Fluegel Chief Medical Officer 7.692% Non-voting Employee of the Board Infinity Health

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Aaron Todd

  • Medical Director: Dr. Wendy Fluegel

  • Compliance Officer: Erica Shannon Stueve

  • Quality Assurance/Improvement Officer: Jennifer Furler

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Clinical Quality Committee Dr. Wendy Fluegel, Chief Medical Officer
Consumer Advisory Committee Kyle Ahlenstorf, Vice Chair
Finance Committee Renae Kruckenberg, Treasurer

Types of ACO Participants or Combinations of ACO Participants (as listed in § 425.102(a)) that Formed the ACO

  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings and Losses

  • Fourth Agreement Period

    • Performance Year 2025, N/A

  • Third Agreement Period

    • Performance Year 2024, $1,273,891.75 in Shared Savings

  • Second Agreement Period

    • Performance Year 2023, $1,349,439.00 in Shared Savings

  • First Agreement Period

    • Performance Year 2022, $1,147,821.07 in Shared Savings

Shared Savings Distribution:

  • Fourth Agreement Period

    • Performance Year 2025

      • Proportion invested in infrastructure: TBD%

      • Proportion invested in redesigned care processes/resources: TBD%

      • Proportion of distribution to ACO participants: TBD%

  • Third Agreement Period

    • Performance Year 2024

      • Proportion invested in infrastructure: 33%

      • Proportion invested in redesigned care processes/resources: 25%

      • Proportion of distribution to ACO participants: 42%

  • Second Agreement Period

    • Performance Year 2023

      • Proportion invested in infrastructure: 30%

      • Proportion invested in redesigned care processes/resources: 23%

      • Proportion of distribution to ACO participants: 47%

  • First Agreement Period

    • Performance Year 2022

      • Proportion invested in infrastructure: 35%

      • Proportion invested in redesigned care processes/resources: 27%

      • Proportion of distribution to ACO participants: 38%

2024 Quality Performance Results

1] A lower performance rate corresponds to higher quality.

[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.

[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256). Refer to Table 5 for details on CAHPS for MIPS performance.

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov

Use of Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: NO

    • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

  • Waiver for Payment for Telehealth Services: NO

    • Our ACO is not an applicable ACO under 42 CFR § 425.613

Information About a Beneficiary Incentive Program

Our ACO has not established a beneficiary incentive program.

[1] A lower performance rate corresponds to higher quality.

[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.

[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256). Refer to Table 5 for details on CAHPS for MIPS performance.

For previous years' Financial and Quality Performance Results, please visit: data.cms.gov

Use of Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver: NO

    • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

  • Waiver for Payment for Telehealth Services: NO

    • Our ACO is not an applicable ACO under 42 CFR § 425.613

Information About a Beneficiary Incentive Program

Our ACO has not established a beneficiary incentive program.

© 2025 IowaHealth+

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 13.13 9.687
Quality ID# 034 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 88.06 80.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 74.19 77.80
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 363.35 89.42
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 56.45 70.76
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 90.38 79.29
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 62.35 77.14
Quality ID# 112 Breast Cancer Screening CMS Web Interface 60.56 80.36
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 100 87.05
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 9.3 16.58
Quality ID# 321 CAHPS for MIPS [3] CAHPS for MIPS 6.95 6.25
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.129129 0.1553