Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Bluegrass, LLC

(D.B.A. AdvantagePoint Health Alliance – Commonwealth)

330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

David Mastin

(810) 919-7026

david.mastin@lpnt.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Bourbon Physician Practice LLC	N
Clark Regional Physician Practices LLC	N
Harold Helton	N
Kentucky MSO LLC (Georgetown Physician Practices)	N
Lake Cumberland Cardiology Associates, LLC	N
Lake Cumberland Physician Practices LLC	N
Lake Cumberland Regional Hospital LLC	N
Meadowview Physician Practice LLC	N
Pinelake Physician Practice, LLC (Jackson Purchase)	N
Robert Drake	N
Spring View Hospital LLC	N
Spring View 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
Laura	Pedersen	Member	10%	ACO Participant Representative	Lake Cumberland Regional Hospital LLC
TBD	TBD	Member	10%	Medicare Beneficiary Representative	N/A
Amanda	Estep, MD	Member	10%	ACO Participant Representative	Kentucky MSO LLC
Stephen	Foust	Member	10%	Community Stakeholder Representative	N/A
Michael	McKinney, MD	Vice Chair	10%	ACO Participant Representative	Clark Regional Physician Practices, LLC
Sherry	Rogers, MD	Member	10%	ACO Participant Representative	Clark Regional Physician Practices, LLC
Eric	Ruby, MD	Member	10%	ACO Participant Representative	Lake Cumberland Physician Practices LLC
Matthew	Shea, MD	Chair	10%	ACO Participant Representative	Harold Helton
Matt	Smith	Member	10%	ACO Participant Representative	Clark Regional Physician Practices LLC
Kristie	Short, NP	Member	10%	ACO Participant Representative	Lake Cumberland Regional Hospital LLC
Carolyn	Sparks	Member		ACO Participant Representative	Lake Cumberland Physician Practices LLC

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: David Mastin

Medical Director: Laura Pederson, 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	Carol Ann Hudson, Committee Chair
Contracting & Finance	Steve Sloan, Committee Chair

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)
Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Performance Period
- Performance Year 2024, $1,118,215
First Performance Period
- Performance Year 2023, $0
- Performance Year 2022, $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

Performance Year 2022

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	50.86	41.62
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	34.48	31.79
236	Controlling High Blood Pressure	MIPS CQM	62.00	65.61
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1498	0.1538
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	85.88	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	96.35	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	94.82	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	80.78	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	58.95	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.27	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.31	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	88.84	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	95.75	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	31.91	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

Commonwealth ACO Public Reporting