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	12.5%	Community Stakeholder Representative	N/A
Amanda	Du Sablon, MD	Member	18.75%	ACO Participant Representative	DLP Frye Medical Group LLC
Stephanie	Estevez	Member	18.75%	ACO Participant Representative	DLP Frye Medical Group LLC
Phillip	Green, MD	Member	18.75%	ACO Participant Representative	DLP Frye Medical Group LLC
David	Jones	Member	12.5%	Medicare Beneficiary	NA
Arjun	Ohri, MD	Member	18.75%	ACO Participant Representative	DLP Frye Medical Group LLC
Ailisa	Smith, MD	Chair	18.75%	ACO Participant Representative	DLP Frye Medical Group LLC

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