| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| Abdulhafiz Eletr | N |
| Allergycare Of Chattanooga, PLLC | N |
| Associates In Ear, Nose, Throat/Head And Neck | N |
| Beacon Health Alliance PC |
N |
| Chattanooga Allergy Clinic PLLC | N |
| Chattanooga Emergency Medicine PLLC | N |
| Chattanooga Family Practice Associates, PC | N |
| Chattanooga Orthopaedic Group PC | N |
| Chattanooga Skin & Cancer Clinic | N |
| Chattanooga Surgical Oncology And Associates, PLLC | N |
| David M. Huffman, MD, PC | N |
| David N. Collins, MD PC | N |
| Dennis C Matzkin MD PC | N |
| Diagnostic Imaging Consultants Inc | N |
| Diagnostic Pathology Services PC | N |
| Family Care Of Northwest Georgia | N |
| Hixson Urology, PC | N |
| Howard Kraft | N |
| Indravadan Shah | N |
| Kirk Brody MD PC | N |
| Memorial Health Care System Inc. | N |
| Memorial Health Partners Foundation, Inc | N |
| Nathan Wyatt | N |
| Northgate Neurology, PLLC | N |
| Obgyn Centre Of Excellence | N |
| Phillip Tallent | N |
| Renaissance Health And Surgical Associates, PC | N |
| Robert S. Furr, MD, PLLC | N |
| Roger Land | N |
| Sharon Farber | N |
| Southeastern Spine PLLC | N |
| Tareck A. Kadrie, M.D., PLLC | N |
| The Plastic Surgery Group, PC | N |
| Thomas W Brown III MD PC | N |
| University Surgical Associates, LLC | N |
| Vincent A Viscomi MD PC | 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 |
|---|---|---|---|---|---|
| Boxell, MD | John | Member | 1 vote | Medicare Beneficiary Representative | |
| Carkner, M.D. | Lisa | Member | 1 vote | ACO Participant Representative | Memorial Health Care System, Inc. |
| Cherry, M.D. | Collin | Member | 1 vote | ACO Participant Representative | Beacon Health Alliance, P.C. |
| Cockerham, M.D. | Todd | Member | 1 vote | ACO Participant Representative | University Surgical Associates, LLC |
| Friddell, M.D. | Anthony | Member | 1 vote | ACO Participant Representative | Memorial Health Partners Foundation, Inc. |
| Grey, M.D. | Marijka | Member | 1 vote | ACO Participant Representative | Memorial Health Care System, Inc. |
| Heinsohn, M.D. | Mark | Member | 1 vote | ACO Participant Representative | Memorial Health Partners Foundation, Inc. |
| Jump, M.D. | Jeffrey | Member | 1 vote | ACO Participant Representative | Memorial Health Partners Foundation, Inc. |
| Kaplan, D.O. | Paul | Member | 1 vote | ACO Participant Representative | Diagnostic Pathology Services, P.C. |
| Kodsi, MD | Matt | 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. |
| Sutton | Michael | Member | 1 vote | ACO Participant Representative | Memorial Health Care System, Inc. |
| Key ACO Clinical and Administrative Leadership | |
|---|---|
| ACO Executive: |
John Redding, MD, MBA |
| Medical Director: |
Marijka Grey |
| Compliance Officer: | Christi Knox |
| Quality Assurance/Improvement Officer: |
Jessica Stanley |
| ACO Committees and Committee Leadership | |
|---|---|
| Executive Committee | Michael Sutton, Chair |
| Finance Committee | Andrew McGill, Chair |
| Quality Value Committee | Mark Heinsohn, M.D., Chair |
| Network Development Committee | Andrew McGill, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
Amount of Shared Savings/Losses
Shared Savings Distribution
Quality Performance Results
2020 Quality Performance Results
| ACO Quality Measure # | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-43 | Ambulatory Sensitive Condition Acute Composite | 0.74 | 0.95 |
| ACO-13 | Falls: Screening for Future Fall Risk | 85.80 | 93.10 |
| ACO-14 | Preventative Care and Screening: Influenza Immunization | 66.90 | 68.62 |
| ACO-17 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91.67 | 81.67 |
| ACO-18 | Preventative Care and Screening: Screening for Depression and Follow-Up Plan | 63.47 | 71.46 |
| ACO-19 | Colorectal Cancer Screening | 71.38 | 72.59 |
| ACO-20 | Breast Cancer Screening | 71.63 | 74.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 88.80 | 83.37 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1C Poor Control | 12.93 | 14.70 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 76.58 | 72.87 |
“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.”
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.Payment Rule Waivers
Waiver for Payment for Telehealth Services: