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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 Member9.375% ACO Participant Representative Lake Cumberland Regional Hospital LLC
MichaelBoydMember9.375%ACO Participant RepresentativeMeadowview Physician Practice LLC
RoyBrownMember 8.333% Medicare Beneficiary Representative N/A
LydiaFloydMember9.375%ACO Participant RepresentativeMeadowview Physician Practice LLC
Stephen Foust Member 8.334% Community Stakeholder Representative N/A
Michael McKinney, MD Chair 9.375% ACO Participant Representative Clark Regional Physician Practices, LLC
Sherry Rogers, MD Member 9.375% ACO Participant Representative Clark Regional Physician Practices, LLC
Eric Ruby, MD Member 9.375%ACO Participant Representative Lake Cumberland Physician Practices LLC
Matt Smith Member8.333% ACO Participant Representative Clark Regional Physician Practices LLC
BabatundeSokanMember9.375%ACO Participant RepresentativeBourbon Physician Practices, LLC
Carolyn Sparks Member 9.375%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 TitleCollection TypePerformance RateCurrent Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey8.516.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.14980.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims-37
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControleCQM50.8628.16
134Preventative Care and Screening: Screening for Depression and Follow-up PlaneCQM34.4854.68
236Controlling High Blood PressureeCQM6271.39
CAHPS-1Getting Timely Care, Appointments, andCAHPS for85.8883.7
 InformationMIPS Survey  
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey96.3593.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey94.8292.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey80.7875.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey58.9565.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey62.2762.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey71.3174.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey88.8485.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey95.7592.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey31.9126.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

 

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