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North Carolina ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location     

AdvantagePoint Health Alliance – Western North Carolina, LLC

(D.B.A. AdvantagePoint Health Alliance – North Carolina)

330 Seven Springs Way, Brentwood, TN 37027

 

ACO Primary Contact

  Mitchell Slade

  (615) 920-7000

  mitchell.slade@lpnt.net

 

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

DLP Central Carolina Medical Group LLC

N

DLP Frye Medical Group LLC

N

DLP Frye Regional Medical Center LLC

N

DLP Harris Regional Hospital LLC

N

DLP Hayward Regional Medical Center LLC

N

DLP Maria Parham Physician Practices LLC

N

DLP Person Physician Practices LLC

N

DLP Rutherford Physician Practices LLC

N

DLP Rutherford Regional Health System, LLC

N

DLP Swain County Hospital, LLC

N

DLP Western Carolina Physician Practices, LLC

N

DLP Wilson Physician Practices LLC

N

Mountain Eye Associates PLLC

N

Smoky Mountain Foot Clinic PA

N

Western Carolina Ear Nose and Throat Specialists PLLC

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

Sydney

Broadhead

Member

16.667%

Community Stakeholder Representative

N/A

Amanda

Du Sablon, MD

Member

16.667%

ACO Participant Representative

DLP Frye Medical Group LLC

Stephanie

Estevez

Member

16.667%

ACO Participant Representative

DLP Frye Medical Group LLC

Phillip

Green, MD

Member

16.667%

ACO Participant Representative

DLP Frye Medical Group LLC

Arjun

Ohri, MD

Member

16.666%

ACO Participant Representative

DLP Frye Medical Group LLC

Ailisa

Smith, MD

Chair

16.666%

ACO Participant Representative

DLP Frye Medical Group LLC

TBD

TBD

 

 

Medicare Beneficiary Representative

N/A

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

Key ACO Clinical and Administrative Leadership:

ACO Executive: Mitchell Slade

Medical Director: Phillip Greene, MD

Compliance Officer: Ashlie Heald

Quality Assurance/Improvement Officer: Carol Ann Hudson

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Contracting & Finance

Matt Seagroves, Committee Chair

Quality Performance & Improvement

Carol Ann Hudson, 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

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2024, $ 1,268,012
  • First Agreement Period
    • Performance Year 2023, $0
    • 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
      • N/A
    • Performance Year 2022
      • N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the 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

56.30

41.62

134

Preventive Care and Screening: Screening for Depression and Follow-up Plan

eCQM

65.36

31.79

236

Controlling High Blood Pressure

MIPS CQM

61.51

65.61

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]

Administrative Claims

0.1567

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

86.03

83.70

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

93.15

93.96

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

92.84

92.43

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

72.42

75.76

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

67.24

65.48

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

62.89

62.31

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

76.90

74.14

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

87.48

85.89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

93.11

92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

34.83

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

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