Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Hot Springs, LLC

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

330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Brittney Carrington

(615) 920-7000

brittney.carrington@lpnt.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Archer-Knight Health & Wellness PLLC	N
Arkansas Healthcare Services LLC	N
Essent PRMC LP	N
Havasu Regional Medical Center LLC	N
Hot Springs National Park Hospital Holdings, LLC	N
HRMC, LLC	N
John R Pace MD PA	N
Kota Cancer Clinic, PLLC	N
Las Cruces Physician Practices, LLC	N
Los Alamos Physician Practices LLC	N
National Park Cardiology Services LLC	N
PHC-Fort Mohave, Inc	N
PHC-Las Cruces Inc	N
PHC Los Alamos Inc	N
PRMC Healthcare Group, Inc	N
Russellville Holdings, LLC	N
Saline Clinics LLC	N
Saline Hospital LLC	N
Sierra Vista Regional Health Center Medical Group LLC	N
St Marys Physician Services 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
Vanessa	Bailey	Chair		Community Stakeholder Representative	St Marys Physician Services LLC
Jonathan	Brixey	Member		ACO Participant Representative	St Marys Physician Services LLC
Brandon	Byrd	Member		ACO Participant Representative	Hot Springs National Park Hospital Holdings, LLC
Blake	Dixon	Member		ACO Participant Representative	St Marys Physician Services LLC
Stephen	Foust	Member		Community Stakeholder Representative	N/A
Payal	Gandhi, MD	Member		ACO Participant Representative	Saline Clinics LLC
Heather	Jones, APRN	Vice Chair		ACO Participant Representative	St Marys Physician Services LLC
Amanda	Maynard	Member		ACO Representative	Saline Clinics LLC
Wayne	Padgette	Member		Medicare Beneficiary Representative	N/A

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: Brittney Carrington

Co-Medical Director: Christopher Skelley, MD

Co-Medical Director: Michael McAlister, 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	TBD
Contracting & Finance

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

ACO Professionals in a group practice arrangement
Hospital Employing ACO Professionals
Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Performance Period

Performance Year 2024, $2,228,573

First Performance Period

Performance Year 2023, $2,596,648
Performance Year 2022, $0

Shared Savings Distribution:

Second Performance Period
- Performance Year 2024
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
First Performance Period
- Performance Year 2023
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
- 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	55.80	41.62
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	33.84	31.79
236	Controlling High Blood Pressure	MIPS CQM	68.80	65.61
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1635	0.1538
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	35.74	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	85.94	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.14	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	93.03	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	76.61	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	61.16	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.83	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.74	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.82	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	94.90	92.89
AHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	32.02	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

Southwest ACO Public Reporting