Direct Contracting for Medicare
In accordance with the GPDC Performance Year (PY) 2022 Direct Contracting Entities (DCEs) are required to publicly report certain information from the start of each PY. Based on Section 14.01 of the PY 2022 PA, each DCE shall report the following organizational information on a publicly accessible website maintained by the DCE:
1. Name and location of the direct contracting entity
Fairview Health Services
2450 Riverside Avenue
Minneapolis, MN 55454
2. Primary contact information for the direct contracting entity
R. Andrew McCoy, VP Payer Relations
Andy.McCoy@fairview.org
(612) 672-6594
3. Participant and preferred providers:
Please see Excel documents:
4. Identification of joint ventures
Identification of all joint ventures between or among the Direct Contracting Entity and any of its Direct Contracting Participant Providers and Preferred Providers: There are no joint ventures between Fairview Health Services and any of its Direct Contracting Participant Providers and Preferred Providers.
5. Key clinical and administrative leaders
| Name | Title, Position |
|---|---|
| Kim DeRoche, MD | Chief of Primary Care, Fairview Health Services and Physician Chief of Primary Care, Fairview Medical Group |
| Susan Pleasants, MD, MBA | Senior Vice President, Optimal Care, M Health Fairview |
| Scott Garavet | Vice President, Operations and Strategy, Fairview Physician Associates |
| John Kvasnicka, MD | President, Fairview Physician Associates |
| R. Andrew McCoy | Vice President, Payer Relations, M Health Fairview |
6. Governing body members:
| Name | Membership Type |
|---|---|
| Steve Robinson, MD | Fairview Medical Group, Participant Provider |
| John Berge, MD | France Avenue Family Physicians, Participant Provider |
| Justin Golden, MD | Richfield Medical Group, Participant Provider |
| Ruth Bachman | Medicare Beneficiary |
| Amanda McGinty | M Health Fairview, Consumer Advocate |
7. Shared savings and shared losses information, including:
Shared savings and shared losses will be updated as results become available in 2022.
- The amount of any Shared Savings or Shared Losses for any Performance Year
- The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries; and
- The proportion of Shared Savings distributed to DC Participant Providers and Preferred Providers
8. Performance on the quality measures in Section 9.02
Performance on quality measures will be updated as results become available in 2022.
*For more information go to “Direct Contracting for Medicare” on M Health Fairview’s Billing Information & Financial Services webpage.