Commonwealth ACO Public Reporting

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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
      • N/A
    • Performance Year 2022
      • 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 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