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 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