Home MSSP ACO

HealthChoice MSSP ACO

    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
Specialty Physician Group LLC N
Primary Care Group, LLC N
UT Methodist Physicians, LLC N
McKnight Clinic LLC N
Methodist Healthcare – Memphis Hospitals Y
Caballero Family Healthcare Group PLLC N
Family Medicine Partners LLC N
Methodist Healthcare – Olive Branch Hospital N
Mitchell Family Medicine, LLC N

 

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

 
  Howard, MD   Cassandra     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Lane    Chuck     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Dishmon, MD   Dwight     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Ankireddypalli, MD   Arvind     MLH MLH = 1 vote ACO Participant      Primary Care Group, LLC
 
  Dickson, MD   Paxton     MLH MLH = 1 vote ACO Participant      UT Methodist Physicians, LLC
 
  McCallum, MD   Lee     MLH MLH = 1 vote ACO Participant      Primary Care Group, LLC
 
  Ugwueke   Michael     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Paul   Michael     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Bailey, MHA   Taylor     MetroCare 0 MC Executive
Director
     N/A, MetroCare,
     Inc.
 
  Womack, MD   Catherine     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare,
     Inc.
 
  Buttross, MD   John     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Slade, MD   Whitney     MetroCare MC = 1 vote ACO Participant      Primary Care Group, LLC
 
  Sands, MD   Chris     MetroCare MC = 1 vote ACO Participant      Primary Care Group, LLC
 
  Jones, MD    Riley     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Towne, MD   Carter     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Young, MD   Lisa     MetroCare MC = 1 vote ACO Participant      Specialty Physicians Group, LLC
 
  OPEN          MetroCare MC=1 vote ACO Participant        
 
  Shapiro, MD   Marvin     Beneficiary 0 Medicare
Beneficiary
Representative
     N/A
 

 

Key ACO clinical and administrative leadership:
ACO Executive Arthur Townsend, MD
Medical Director Arthur Townsend, MD
Compliance Officer Blayne Burns
Quality Assurance/Improvement Officer   Arthur Townsend, MD
   

 

 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Quality Enhancement Commitee (QEC)      Catherine Womack, MD, Chair  
Credentials Committee (CC)      James Ensor, 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  
  • Second Agreement Period
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2018, $0
 
Shared Savings Distribution:  
  • Second Agreement Period
    • Performance Year 2019, $0 
      • Proportion invested in infrastructure: $0 
      • Proportion invested in redesigned care processes/resources: $0 
      • Proportion of distribution to ACO participants: $0 
  • First Agreement Period
    • Performance Year 2018, $0 
      • Proportion invested in infrastructure: $0 
      • Proportion invested in redesigned care processes/resources: $0 
      • Proportion of distribution to ACO participants: $0 
 
Quality Performance Results:
2020 Quality Performance Results:

ACO#
 
Measure Name

Rate
ACO
Mean
ACO-43   Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) .75 .95
ACO-11   Use of Certified EHR Technology 100.00 98.20
ACO-13   Falls:  Screening for Future Fall Risk 92.37 84.97
ACO-14   Preventive Care and Screening:  Influenza Immunization 70.48 76.03
ACO-17   Preventive Care and Screening:  Tobacco Use: Screening and Cessation Intervention 79.17 81.67
ACO-18   Preventive Care and Screening:  Screening for Clinical Depression and Follow-up Plan 53.78 71.46
ACO-19   Colorectal Cancer Screening 69.08 72.59
ACO-20   Breast Cancer Screening 66.00 74.05
ACO-42   Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.44 83.37
ACO-27   Diabetes Mellitus:  Hemoglobin A1c Poor Control 11.67 14.70
ACO-28   Hypertension (HTN):  Controlling High Blood Pressure 72.94 72.87
 
Please note: The ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.  The Centers for Medicare and Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021.  Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
 
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov .

 

Payment Rule Waivers:
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:  N/A
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 452.612.
  • Waiver for Payment for Telehealth Services:  N/A
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 452.612(f) and 42 CFR § 425.613.