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 Member12.5% ACO Participant Representative Lake Cumberland Regional Hospital LLC
RoyBrownMember 8.333% Medicare Beneficiary Representative N/A
Amanda Estep, MD Member 12.5% ACO Participant Representative Kentucky MSO LLC
Stephen Foust Member 8.334% Community Stakeholder Representative N/A
Michael McKinney, MD Chair 12.5% ACO Participant Representative Clark Regional Physician Practices,  LLC
Sherry Rogers, MD Member 12.5% ACO Participant Representative Clark Regional Physician Practices,  LLC
Eric Ruby, MD Member 12.5% ACO Participant Representative Lake Cumberland Physician Practices LLC
Matt Smith Member8.333% ACO Participant Representative Clark Regional Physician Practices LLC
Carolyn Sparks Member 12.5%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