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Laurel Highlands ACO Public Reporting

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ACO Name and Location

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

ACO Primary Contact

Primary Contact Name Kirsten Held
Primary Contact Phone Number (814) 534-1628
Primary Contact Email Address kirsten.held@lpnt.net

Organizational Information:

ACO Participants:

ACO Participant Legal Business Name and DBA, if applicable                                                                                                                         ACO Participant in Joint Venture (Y or N)
Alleghenies Independent Physician PC N
Banmaha PC N
Brian Gunnlaugson MD PC N
Caring Healthcare Network Richland LLC N
Charles Stotler N
Cove Family Practice, Inc.  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
Russell Miller MD Family Practice PC N
Shenggao Han, M.D., LLC   N
Windber Hospital, Inc (WindberCare Physicians) N

ACO Governing Body:

Member First Name Member Last Name Title/ Position Members' Voting Power Membership Type          ACO Participant Legal Business Name
Russell  Miller  Member 10% ACO Participant Representative Russell Miller MD Family Practice PC
Kristen Phillips Member 10% Community Stakeholder Representative N/A
Jason Burmeister, MD Member 10% ACO Participant Representative DLP Conemaugh Physician Practices, LLC
Scott Magley, MD Member 10% ACO Participant Representative DLP Conemaugh Memorial Medical Center LLC
Nathan Thomas Member 10% Medicare Beneficiary Representative N/A
Ryan Flick, MD Member 10% ACO Participant Representative DLP Conemaugh Physician Practices, LLC 
Lynn Kennington Member 10% ACO Participant Representative DLP Conemaugh Memorial Medical Center LLC
Rodney Reider Member 10% ACO Participant Representative DLP Conemaugh Memorial Medical Center LLC
Mark Ratchford, DO Member 10% ACO Participant Representative DLP Conemaugh Physician Services, LLC
Michaeleen Wilson, MD Member 10% ACO Participant Representative DLP Conemaugh Physician Practices, LLC 

Key ACO Clinical and Administrative Leadership:

ACO Executive Kirsten Held
Medical Director Elliot Smith, MD
Compliance Officer Ashlie Heald
Quality Assurance/Improvement Officer Carol Ann Hudson

ACO Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Contracting and Finance Mark Ratchford, MD
Quality and Performance Improvement Elliot Smith, MD
Network Performance Kirsten Held

Types of ACO Participants, or combinations or 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:

    • Fourth Agreement Period
      • ​Performance Year 2022; $566,917
    • Third Agreement Period
      • ​Performance Year 2021; $1,158,283
    • Second Agreement Period
      • Performance Year 2020, $0
    • First Agreement Period
      • Performance Year 2019A, $0

Shared Savings Distribution:

    • Fourth Agreement Period
      • ​Performance Year 2022​
        • Proportion invested in infrastructure: 25%
        • Proportion of distribution to ACO participants: 75%
    • Third Agreement Period
      • ​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%
    • Second Agreement Period
      • Performance Year 2020
        • N/A
    • First Agreement Period
      • Performance Year 2019A
        • N/A

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs

Measure Number Measure Name Collection Type ACO Performance Mean Performance
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] MIPS CQM 53.46 44.73
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan eCQM 34.99 39.11
236 Controlling High Blood Pressure MIPS CQM 65.68 68.82
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

Administrative Claims

 0.1558 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 30.36 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS 88.38 83.96
CAHPS-2 How Well Providers Communicate CAHPS 94.08 93.47
CAHPS-3 Patient's Rating of Provider CAHPS 92.41 92.06
CAHPS-4 Access to Specialists CAHPS 80.90 77.00
CAHPS-5 Health Promotion and Education CAHPS 60.47 62.68
CAHPS-6 Shared Decision Making CAHPS 62.78 60.97
CAHPS-7 Health Status and Functional Status CAHPS 73.09 73.06
CAHPS-8 Care Coordination CAHPS 85.52 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS 94.66 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS 23.69 25.62

[1] A lower performance rate corresponds to higher quality.

For Previous Years' Financial and Quality Performance Results, please visit: data.cms.com.

Payment Rule Waivers

None

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