Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Blue Ridge, LLC

330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Erin Shustack

(434) 425-1357

erin.shustack1@lifepointhealth.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
CLINCH VALLEY MEDICAL CENTER, INC.	N
CLINCH VALLEY PHYSICIANS ASSOCIATES LLC	N
COMPLEXIONS DERMATOLOGY, PC	N
DANVILLE GASTROENTEROLOGY CENTER PC	N
DANVILLE PHYSICIAN PRACTICES LLC	N
DANVILLE REGIONAL MEDICAL CENTER LLC	N
DLP TWIN COUNTY PHYSICIAN PRACTICES LLC	N
DLP TWIN COUNTY REGIONAL HEALTHCARE LLC	N
FAMILY HEALTHCARE OF WYTHEVILLE, PC	N
FAUQUIER FAMILY PRACTICE PLC	N
FAUQUIER MEDICAL CENTER LLC	N
FAUQUIER PHYSICIAN PRACTICES LLC	N
MARTINSVILLE NEUROLOGICAL ASSOC INC	N
MARTINSVILLE PHYSICIAN PRACTICES LLC	N
PEACHTREE INPATIENT CONSULTING LLC	N
PIEDMONT ACCESS TO HEALTH SERVICES INC	N
PIEDMONT HEALTH & WELLNESS, P.C.	N
RALEIGH GENERAL HOSPITAL LLC	N
TWO RIVERS PHYSICIAN PRACTICES, LLC	N
WYTHE COUNTY COMMUNITY HOSPITAL, LLC	N
WYTHE COUNTY PHYSICIAN PRACTICES LLC	N

ACO Governing Body:

Member First Name	Member Last Name	Member Title / Position	Member’s Voting Power (As a percentage)	Membership Type	ACO Participant Legal Business Name, if applicable
Mike	Caplan	Member/Chair	10%	ACO Participant Representative	Danville Physician Practices LLC
Nona	Crouse	Member	10%	ACO Participant Representative	Clinch Valley Physician Associates LLC
Stephanie	Crumpton	Member	10%	ACO Participant Representative	Sovah Physician Practices LLC
Steve	Heatherly	Member	10%	ACO Participant Representative	Sovah Physician Practices LLC
Tony	Fiore	Member	10%	ACO Participant Representative	Fauquier Physician Practices LLC
Michael	Moore	Member	10%	Medicare Beneficiary Representative	N/A
James	Milam	Member	10%	ACO Participant Representative	Piedmont Access To Health Services Inc
Stephen	Foust	Member	10%	Community Stakeholder Representative	N/A
Teresa	Dix	Member	10%	ACO Participant Representative	Wythe County Community Hospital LLC
Naga	Sudireddy	Member	10%	ACO Participant Representative	DLP Twin County Physician Practices LLC

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Erin Shustack

Medical Director: Mike Caplan, MD

Compliance Officer: Ashlie Heald

Quality Assurance/Improvement Officer: Carol Ann Hudson

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Quality Performance & Improvement	Monica Crews, MSN, RN, CMCN
Contracting & Finance	Steve Heatherly, CEO

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Federally Qualified Health Center (FQHC)
ACO Professionals in a group practice arrangement
Hospital Employing ACO Professionals
Network of individual practices of ACO professionals
Rural Health Center (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2024, $1,158,041
First Agreement Period
- Performance Year 2023, $1,720,360
- Performance Year 2022, $1,329,182
- Performance Year 2021, $0
- Performance Year 2020, $1,928,248
- Performance Year 2019A, $0

Shared Savings Distribution:

Second Performance Period
- Performance Year 2024
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%
First Performance Period
- Performance Year 2023
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%
- Performance Year 2022
  - Proportion invested in infrastructure: 50%
  - Proportion of distribution to ACO participants: 50%
- Performance Year 2021
  - N/A
- Performance Year 2020
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 75%
- Performance Year 2019A
  - N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs collection type.

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	MIPS CQM	42.15	41.62
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	46.69	31.79
236	Controlling High Blood Pressure	MIPS CQM	64.25	65.61
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1556	0.1538
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	85.75	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.10	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	89.81	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	76.28	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	59.56	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.58	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.71	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	84.02	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.87	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	26.56	26.98

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

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
Payment for Telehealth Services:
- N/A

Blue Ridge ACO Public Reporting