Medicare Shared Savings

ACO Name and Location

Mission Health Care Network, LLC
2525 deSales Avenue
Chattanooga, TN 37404

ACO Primary Contact

Carol Newton
Interim Executive Director
Carol_Newton@memorial.org
423-495-7762

ACO Participants
Memorial Health Partners Foundation, Inc
Indravadan Shah
Chattanooga Surgical Oncology and Associates, PLLC
Tareck A. Kadrie, M.D.,Pllc
Associates In General Surgery, LLC
Allergycare Of Chattanooga,PLLC
Chattanooga Family Practice Associates, P.C.
Chattanooga Emergency Medicine PLLC
Matthew Kodsi, M.D.
Phillip Tallent
Abdulhafiz Eletr
Roger Land
Vein Therapies of Chattanooga,PLLC
Family Care Of Northwest Georgia
Robert S. Furr, Md Pllc
Obstetrics & Gynecology Of Hixson, Pllc
Adele Ackell
Robert Barnett
John Gwin
Nathan Wyatt
Kirk Brody, M.D., P.C.
DENNIS C MATZKIN MD PC
Sharon Farber
Associates In Ear, Nose,Throat/Head And Neck
Memorial Health Care System Inc.
The Plastic Surgery Group,P.C.
Diagnostic Imaging Consultants Inc
Chattanooga Ear Nose &Throat Assoc., P.C.
Chattanooga Orthopaedic Group Pc
Obgyn Centre Of Excellence
Plaza Urology Group PC
Chattanooga Skin & Cancer Clinic
David N. Collins, Md PC
Thomas W Brown Iii Md Pc
Vincent A. Viscomi M.D.,P.C.
Diagnostic Pathology Serv Pc
Beacon Health Alliance, P.C.
David M. Huffman, M.D.,P.C.
University Surgical Associates
Caroline K. Elias, M.D., P.C.
Alan F Shikoh Md Pc
Northgate Neurology, PLLC
Womens Health Services Chattanooga PC
Advanced Foot Care LLP
Renaissance Health And Surgical Associates, P.C.
Chattanooga Allergy Clinic PLLC
Hixson Urology, PC

No participants are involved in a joint venture between ACO professionals and hospitals.  

ACO Governing Body:

Member Last name Member First Name Member Title / Position Member's Voting Power Membership Type: ACO Participant TIN Legal Business Name
Kaplan, D.O. Paul Member 1 vote ACO Participant Representative Diagnostic Pathology Services, P.C.
Sutton Michael Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
McGill Andrew Secretary/ Treasurer 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Carkner, M.D. Lisa Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Friddell, M.D. Anthony Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Arant Charles Member 1 vote Medicare Beneficiary Representative N/A
Cockerham, M.D. Todd Member 1 vote ACO Participant Representative University Surgical Associates, P.C.
Patel, M.D. Nilesh Member 1 vote Other: Community Provider N/A
Cherry, M.D. Collin Member 1 vote ACO Participant Representative Beacon Health Alliance, P.C.
Jump, M.D. Jeffrey Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Heinsohn, M.D. Mark Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.

Key ACO Clinical and Administrative Leadership
Carol Newton ACO Executive
Marijka Grey Medical Director
Christi Knox Compliance Officer
Sandy Loveless Quality Assurance/Improvement Officer

ACO Committees and Committee Leadership
Executive Committee Michael Sutton, Chair
Finance Committee Andrew McGill, Chair
Quality Value Committee Mark E. Heinsohn, M.D., Chair
Network Development Committee Anthony Friddell, M.D., Chair, Andrew McGill, Secretary/Treasurer

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2018: $0
  • First Agreement Period
    • Performance Year 2017: $0
    • Performance Year 2016: $0
    • Performance Year 2015: $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2018 Quality Performance Results 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.07 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.27 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.52 92.45
ACO-4 CAHPS: Access to Specialists 81.55 81.50
ACO-5 CAHPS: Health Promotion and Education 58.19 59.26
ACO-6 CAHPS: Shared Decision Making 60.63 61.94
ACO-7 CAHPS: Health Status/Functional Status 69.79 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 36.84 26.26
ACO-8 Risk Standardized, All Condition Readmission 13.71 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.19 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 30.96 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 59.89 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.61 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.59 1.98
ACO-11 Use of Certified EHR Technology 95.40 98.20
ACO-12 Medication Reconciliation Post-Discharge 93.94 85.91
ACO-13 Falls: Screening for Future Fall Risk 94.10 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 68.29 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 70.30 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 71.12 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 90.93 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93.94 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 60.24 66.74
ACO-19 Colorectal Cancer Screening 70.25 68.27
ACO-20 Breast Cancer Screening 71.00 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.39 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.93 15.51
ACO-41 Diabetes: Eye Exam 45.83 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 72.08 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.66 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.    

Note: In the Quality Performance Results file(s) above, search for “Mission Health Care Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2645 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Mission Health Care Network | 2525 de Sales Avenue | Chattanooga, TN 37404 | MissionHealth@memorial.org
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