Laurel Highlands ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Laurel Highlands, LLC
330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Sonia Walker
810.919.7026
sonia.walker@lpnt.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Alleghenies Independent Physician PC	N
Banmaha PC	N
Charles Stotler	N
DLP Conemaugh Memorial Medical Center LLC	N
DLP Conemaugh Meyersdale Medical Center, LLC	N
DLP Conemaugh Miners Medical Center, LLC	N
DLP Conemaugh Physician Practices, LLC	N
J Wieczorek	N
Laurel Cardiology PC	N
Medical Associates of Boswell	N
Nason Medical Center LLC	N
Nason Physician Practices, LLC	N
Orchard Valley Physician Services PLLC	N
Ottumwa Health Group LLC	N
RHC Ottumwa LLC	N
Shenggao Han, M.D., LLC (Carsalus Primary Care)	N
Windber Hospital, Inc (WindberCare Physicians)	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
Stephen	Foust	Member	9.091%	Community Stakeholder Representative	N/A
Jason	Burmeister, MD	Member	9.091%	ACO Participant Representative	DLP Conemaugh Physician Practices, LLC
Bernard	Leech, DO	Member	9.091%	ACO Participant Representative	DLP Conemaugh Physician Practices, LLC
Scott	Magley, MD	Member	9.091%	ACO Participant Representative	DLP Conemaugh Memorial Medical Center LLC
Elliot	Smith, MD	Member	9.091%	ACO Participant Representative	Windber Hospital Inc
Nathan	Thomas	Member	9.091%	Medicare Beneficiary Representative	N/A
Rodney	Reider	Member	9.091%	ACO Participant Representative	DLP Conemaugh Memorial Medical Center LLC
Mark	Ratchford, DO	Member, Chair	9.091%	ACO Participant Representative	DLP Conemaugh Physician Services, LLC
Lynn	Kennington	Member	9.091%	ACO Participant Representative	DLP Conemaugh Memorial Medical Center LLC
Evangeline	Hillegrass, MD	Member	9.091%	ACO Participant Representative	Orchard Valley Physician Services PLLC
Han	Shenggao, MD	Member	9.091%	ACO Participant Representative	Shenggao Han, M.D., LLC (Caresalus Primary Care)

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: Sonia Walker, MSN, RN
Medical Director: Jessica Masser, DO
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	Jessica Masser, DO, Committee Chair
Finance	Mark Ratchford, DO, 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 Agreement Period
- Performance Year 2024, $717,554
First Agreement Period
- Performance Year 2023; $1,050,951
- Performance Year 2022; $566,917
- Performance Year 2021; $1,158,283
- Performance Year 2020; $0
- Performance Year 2019A; $0

Shared Savings Distribution:

Second Agreement 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 Agreement 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
  - Proportion invested in infrastructure: 25%
    Proportion of distribution to ACO participants: 75%
- Performance Year 2021
  - Proportion invested in infrastructure: 12.5%
  - Proportion invested in redesigned care processes/resources: 12.5%
  - Proportion of distribution to ACO participants: 75%
- Performance Year 2020
  - N/A
- Performance Year 2019A
  - 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 [1]	MIPS CQM	93.62	41.62
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	eCQM	50.97	31.79
236	Controlling High Blood Pressure	MIPS CQM	45.28	65.61
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	Administrative Claims	0.1671	0.1538
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	47.58	37.70
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS	86.35	83.70
CAHPS-2	How Well Providers Communicate	CAHPS	95.13	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS	93.56	92.43
CAHPS-4	Access to Specialists	CAHPS	78.01	75.76
CAHPS-5	Health Promotion and Education	CAHPS	62.91	65.48
CAHPS-6	Shared Decision Making	CAHPS	59.44	62.31
CAHPS-7	Health Status and Functional Status	CAHPS	74.70	74.14
CAHPS-8	Care Coordination	CAHPS	85.52	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS	94.74	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS	21.61	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