Tennessee Valley ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance – Tennessee Valley, LLC
330 Seven Springs Way, Brentwood, TN 37027

ACO Primary Contact

Rebecca Hall
256.710.5200
becky.hall@lpnt.net

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
AMG - Crockett, LLC	N
AMG - Hillside, LLC	N
AMG - Southern Tennessee, LLC	N
Athens Physician Practices, LLC	N
Athens Regional Medical Center, LLC	N
Crockett Hospital LLC	N
Donald E Beach PC	N
ECM Health Group LLC	N
ECM TVCC LLC	N
Frances A Berry-Brown MD	N
Hillside Hospital LLC	N
Northwest Alabama Emergency Medicine LLC	N
North Alabama Neuroservices LLC	N
RCHP - Florence, LLC	N
Restoration Primary Care PLLC	N
Shoals Health Group, LLC	N
Shoals Obstetrics and Gynecology, LLC	N
Southern Tennessee Medical Center, LLC	N
Sumner Physician Practices, LLC	N
Sumner Regional Medical Center, 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
Sara	Bush	Member	8.333%	ACO Participant Representative	AMG - Crockett, LLC
Kay	Fearing	Member	8.333%	ACO Participant Representative	AMG - Southern Tennessee LLC
Shannon	Foster	Member	8.333%	ACO Participant Representative	Restoration Primary Care, PLLC
Stephen	Foust	Vice Chair	8.333%	Community Stakeholder Representative	N/A
Jason	Fugleberg	Member	8.333%	Community Stakeholder Representatives	AMG - Southern Tennessee LLC
Sabra	Gentry	Member	8.333%	ACO Participant Representative	Sumner Physician Practices, LLC
Katherine	Hall	Chair	8.333%	ACO Participant Representative	Athens Physician Practices, LLC
Ginger	Hamilton	Member	8.333%	ACO Participant Representative	AMG - Hillside, LLC
Lori	Long	Member	8.333%	ACO Participant Representative	AMG - Crockett, LLC
John	McClain	Member	8.333%	Community Stakeholder Representative	Athens Regional Medical Center, LLC
Cathy	Shelton	Member	8.333%	Medicare Beneficiary Representative	N/A
Vickie	Turnbough	Member	8.333%	ACO Participant Representative	Athens Physician Practices, LLC

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: Rebecca Hall
Medical Director: Katherine Hall, MD
Compliance Officer: Ashlie Heald
Quality Assurance/Improvement Officer: Carol Ann Hudson

Associated Committees and Committee Leadership:

N/A

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
Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2024, $2,350,769
First Agreement Period
- Performance Year 2023, $1,684,973
- Performance Year 2022, $0

Shared Savings Distribution:

Second Agreement Period
- Performance Year 2024
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%

First Agreement Period
- Performance Year 2023
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%

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	48.40	41.62
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	eCQM	47.72	31.79
236	Controlling High Blood Pressure	MIPS CQM	65.15	65.61
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1593	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 for MIPS Survey	84.87	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.17	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.46	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	81.87	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	58.91	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	56.66	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	70.97	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.48	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	93.06	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	32.26	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