Southwest ACO Public Reporting

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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 10%Community Stakeholder Representative St Marys Physician Services LLC
Jonathan Brixey Member 10%ACO Participant Representative St Marys Physician Services LLC
Brandon Byrd Member 10%ACO Participant Representative Hot Springs National Park Hospital Holdings, LLC
Blake Dixon Member 10%ACO Participant Representative St Marys Physician Services LLC
Stephen Foust Member 10%Community Stakeholder Representative N/A
Payal Gandhi, MD Member 10%ACO Participant Representative Saline Clinics LLC
Heather Jones, APRN Vice Chair 10%ACO Participant Representative St Marys Physician Services LLC
Amanda Maynard Member 10%ACO Representative Saline Clinics LLC
WaynePadgetteMember 10%Medicare Beneficiary Representative N/A
CaseyWillisMember10%ACO RepresentativeSt Marys Physician Services LLC

 

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 & ImprovementNone
Contracting & Finance None

 

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 TitleCollection TypePerformance RateCurrent Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey7.426.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.16350.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims-37
318Falls: Screening for Future Fall RiskCMS Web Interface--
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface--
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface--
113Colorectal Cancer ScreeningCMS Web Interface--
112Breast Cancer ScreeningCMS Web Interface--
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface--
370Depression Remission at Twelve MonthsCMS Web Interface--
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControleCQM55.828.16
134Preventative Care and Screening: Screening for Depression and Follow-up PlaneCQM33.8454.68
236Controlling High Blood PressureeCQM68.871.39
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey85.9483.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey94.1493.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey93.0392.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey76.6175.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey61.1665.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey60.8362.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey73.7474.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey86.8285.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.992.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey32.0226.98

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