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 |
| Cathy | Sampson | 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%
- Performance Year 2024
- 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%
- Proportion invested in infrastructure: 25%
- 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
- Performance Year 2023
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on eCQMs/MIPS CQMs collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1556 | 0.1517 |
| 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 Control | eCQM | 35.27 | 28.16 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | eCQM | 50.97 | 54.68 |
| 236 | Controlling High Blood Pressure | eCQM | 74.09 | 71.39 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 86.25 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 95.13 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 93.56 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 78.01 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 62.91 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 59.44 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.7 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 85.52 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 94.74 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for | 21.61 | 26.98 |
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