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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 Erin Shustack
Primary Contact Phone Number (434) 425-1357
Primary Contact Email Address erin.shustack1@lifepointhealth.net

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)

Chatham Family Medical Center PC 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
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
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 Title/Position Members' Voting Power Membership Type ACO Participant Legal Business Name
Mike Caplan Member/Chair 11.1111% ACO Participant Representative Danville Physician Practices LLC
Nona Crouse Member 11.1111% ACO Participant Representative Clinch Valley Physician Associates LLC
Stephanie Crumpton Member 11.1111% ACO Participant Representative Sovah Physician Practices LLC
Steve Heatherly  Member 11.1111% ACO Participant Representative Sovah Physician Practices LLC
Peter Howard Member 11.1111% Medicare Beneficiary Representative N/A
James Milam Member 11.1111% ACO Participant Representative Piedmont Access To Health Services Inc
Kristen Phillips Member 11.1111% Community Stakeholder Representative N/A
Suthanthira Ratnasamy Member 11.1111% ACO Participant Representative Twin County Regional Healthcare, LLC
Kareem Zaki Member 11.1111% 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

Interim ACO Executive Erin Shustack
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

    • First Performance 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

    • 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

2023 Quality Performance Results:

Measure # Measure Name Collection Type ACO Performance ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] MIPS CQM 42.20 35.18
134 Preventive Care and Screening: Screening for Depression and Follow-up Plan eCQM 42.61 48.99
236 Controlling High Blood Pressure MIPS CQM 63.17 72.35
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] Administrative Claims 0.1479 0.1553
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.29 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.89 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 90.46 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 77.05 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 62.92 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 61.03 61.6
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.62 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.05 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.6 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 29.8 26.69

[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

    • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
      • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

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