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HealthChoice MSSP ACO

ACO Name and Location
HealthChoice, LLC
1661 International Place Drive, Suite 202
Memphis, TN  38120
 
 
ACO Primary Contact:  
Primary Contact Name: Blayne Burns
Primary Contact Phone Number: 901-821-6739
Primary Contact Email Address: Blayne.Burns@myhealthchoice.com
 
 
Organizational Information:  

        ACO Participants		 ACO Participant in
Joint Venture (Y or N)
Progressive Physicians Practice N
Primary Care Group, LLC N
Mitchell Family Medicine, LLC N

 

ACO Governing Body:
      Member's    
      Voting Power   ACO Participant
------------------ MEMBER ------------------ (expressed as Membership Legal Business Name
   First Name       Last Name Title/Position a percentage) Type or DBA (if applicable)
           
  Arthur   Townsend     MD, HealthChoice
    CEO		 0 % Other      N/A

 
  Cassandra   Howard     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Chuck   Lane      CFO 7.143 % ACO Participant      Primary Care Group, LLC
 
  Arvind   Ankireddypalli     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Michael   Ugwueke     CEO 7.143 % ACO Participant      Primary Care Group, LLC
 
  Wayne   Lipson     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Nora   Maldonado     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Marigay   Miller     VP 7.143 % ACO Participant      Primary Care Group, LLC
 
  Taylor   Bailey     MHA, MetroCare, Inc.
    Executive Director
 		 0 % Other      N/A
 
  Whitney   Slade     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Aaron   Mitchell     MD 7.143 % ACO Participant      Mitchell Family Medicine, LLC
 
  Carter   Towne     MD with
    MetroCare, Inc.		 7.143 % Community
Stakeholder		      N/A

 
  Catherine   Womack     MD with
    MetroCare, Inc.		 7.143 % Community
Stakeholder		      N/A

 
  John   Buttross     MD with
    MetroCare, Inc.		 7.143 % Community
Stakeholder		      N/A

 
  Lee   McCallum     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  Lucy   Bruijn     MD 7.143 % ACO Participant      Primary Care Group, LLC
 
  George   Wortham     MD 0 % 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 Arthur Townsend, MD
Medical Director Arthur Townsend, MD
Compliance Officer Blayne Burns
Quality Assurance/Improvement Officer   Blayne Burns
   

 

 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Quality Enhancement Committee (QEC)      Catherine Womack, MD, Chair  
Credentials Committee (CC)      Gregory Burana, MD, Chair  

 

 
 
Types of ACO participants, or combination of participants, that formed the ACO:
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

 

 
Shared Savings and Losses:
Amount of Shared Savings/Losses  
  • First Agreement Period
    • Performance Year 2023, $1,394,955
    • Performance Year 2022, $0
    • Performance Year 2021, $3,221,757
    • Performance Year 2020, $0
    • Performance Year 2019, $0
    • Performance Year 2018, $0
 
Shared Savings Distribution:  
  • First Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 50% 
      • Proportion of distribution to ACO participants: 40%
    • Performance Year 2022 
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A 
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2021
      • Proportion invested in infrastructure:  15%
      • Proportion invested in redesigned care processes/resources: __ % 
      • Proportion of distribution to ACO participants:  85% 
    • Performance Year 2020 
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A 
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2019 
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A 
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
 
2023 Quality Performance Results:
Measure #   Measure Name Collection
Type

Reported
Performance
Rate		 Current
Year Mean
Performance
Rate
(SSP ACOs)
001   Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] 
 		 CMS Web Interface 5.15 9.84
134   Preventative Care and Screening: Screening for
Depression and Follow-up Plan
 		 CMS Web Interface 86.88 80.97
236   Controlling High Blood Pressure
 		 CMS Web Interface 85.17 77.80
318   Falls: Screening for Future Fall Risk
 		 CMS Web Interface 94.75 89.42
110   Preventative Care and Screening: Influenza
Immunization
 		 CMS Web Interface 77.89 70.76
226   Preventative Care and Screening: 
Tobacco Use: Screening and Cessation Intervention
 		 CMS Web Interface 69.57 79.29
113   Colorectal Cancer Screening
 		 CMS Web Interface 78.60 77.14
112   Breast Cancer Screening
 		 CMS Web Interface 75.17 80.36
438   Statin Therapy for the Prevention and Treatment of
Cardiovascular Disease
 		 CMS Web Interface 88.26 87.05
370   Depression Remission at Twelve Months
 		 CMS Web Interface 14.47 16.58
321   CAHPS for MIPS [3]
 		 CAHPS for MIPS Survey 4.46 6.25
479   Hospital-Wide, 30-Day, All-Cause Unplanned
Readmission (HWR) Rate for MIPS Groups
 		 Admimistrative Claims 0.1655 0.153
484   Clinician and Clinician Group Risk-standardized
Hospital Admission Rates for Patients with Multiple
Chronic Conditions [1]
 		 Admimistrative Claims -- 35.39
CAHPS-1    Getting Timely Care, Appointments, and
Information
 		 CAHPS for MIPS Survey 83.95 83.68
CAHPS-2    How Well Providers Communicate
 		 CAHPS for MIPS Survey 91.47 93.69
CAHPS-3    Patient's Rating of Provider
 		 CAHPS for MIPS Survey 90.18 92.14
CAHPS-4    Access to Specialists
 		 CAHPS for MIPS Survey 81.40 75.97
CAHPS-5    Health Promotion and Education
 		 CAHPS for MIPS Survey 58.02 63.93
CAHPS-6    Shared Decision Making
 		 CAHPS for MIPS Survey 61.04 61.60
CAHPS-7    Health Status and Functional Status
 		 CAHPS for MIPS Survey 71.25 74.12
CAHPS-8    Care Coordination
 		 CAHPS for MIPS Survey 81.94 85.77
CAHPS-9   Courteous and Helpful Office Staff
 		 CAHPS for MIPS Survey 88.83 92.31
 
 
For previous years’ Financial and Quality Performance Results, Please Visit data.cms.gov .