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Blue Ridge ACO Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Blue Ridge, LLC
330 Seven Springs Way
Brentwood, TN 37027


ACO Primary Contact

Primary Contact Name Brett Jackson
Primary Contact Phone Number (434) 425-1357
Primary Contact Email Address bjackson@gatewayhealth.com

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)

Chatham Family Medical Center PC N
Clinch Professional Physician Services LLC N
Clinch Valley Medical Center, INC N
Clinch Valley Physician Associates LLC N
Complexions Dermatology, PC N
Danville Gastroenterology Center PC N
Danville Patient Care Inc N
Danville Physician Practices LLC N
Danville Regional Medical Center LLC N
Danville Womens Care PC  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
K.A. Hamdy, MD, PC 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, PC N
Providence Family & Sports Medicine INC N
Two Rivers Physician Practices N
Wythe County Community Hospital LLC N
Wythe County Physician Practices LLC  N

ACO Governing Body

Member First Name Member Last Name Title/Position Members' Voting Power Membership Type ACO Participant Legal Business Name
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
Scotty Dove  Member 10% ACO Participant Representative DLP Twin County Physician Practices LLC
Donna Gravely Member 10% ACO Participant Representative Sovah Physician Practices LLC
Peter Howard Member 10% Medicare Beneficiary Representative N/A
James Milam Member 10% ACO Participant Representative Piedmont Access To Health Services Inc
Kristen Phillips Member 10% Community Stakeholder Representative N/A
Suthanthira Ratnasamy Member 10% ACO Participant Representative Twin County Regional Healthcare, LLC
Spencer Thomas Member 10% ACO Participant Representative Danville Physician Practices LLC

Key ACO Clinical and Administrative Leadership

ACO Executive Brett Jackson
Medical Director Mike Caplan, MD
Compliance Officer Ashlie Heald
Quality Assurance/Improvement Officer Carol Ann Hudson

ACO Committees and Committee Leadership

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

Types of ACO Participants, or combinations or 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

    • Fourth Performance Period
      • Performance Year 2022, 1,329,182
    • Third Performance Period
      • Performance Year 2021, $0
    • Second Performance Period
      • Performance Year 2020, $1,928,248
    • First Performance Period
      • Performance Year 2019A, $0

Shared Savings Distribution

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

Quality Performance Results

2022 Quality Performance Results:

Measure # Measure Name Collection Type ACO Performance ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] MIPS CQM 55.05 44.73
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan eCQM 19.92 39.11
236 Controlling High Blood Pressure MIPS CQM 61.46 68.82
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1488 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 25.40 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.89 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.79 93.47
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 92.82 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 79.74 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 56.91 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.79 60.97
CAHPS-7 Health Status and Functional Status  CAHPS for MIPS Survey 73.60 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.34 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.56 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 29.19 25.62

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

For Previous Years' Financial and Quality Performance Results: please visit data.cms.com.


Payment Rule Waivers

None

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