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HealthChoice MSSP ACO

ACO Name and Location

HealthChoice, LLC

1661 International Place Drive, Suite 130

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

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)

Michael	Ugwueke	CEO	16.67 %	ACO Participant / Class A Representative	Methodist Le Bonheur Healthcare
Marigay	Miller	VP	16.67 %	ACO Participant	Methodist Le Bonheur Healthcare
Monica	Wharton	COO	16.67 %	ACO Participant	Methodist Le Bonheur Healthcare
Jimmie	Mancell	MD	16.67 %	Class B Representative	MetroCare Physicians, Inc.
Whitney	Slade	MD	16.67 %	ACO Participant	MetroCare Physicians, Inc.
Arvind	Ankireddypalli	MD	16.67 %	ACO Participant	MetroCare Physicians, Inc.
Carter	Towne	MD	0 %	Medicare 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
Seventh Agreement Period Performance Year 2024, $6,606,389 Sixth Agreement Period Performance Year 2023, $1,394,955 Fifth Agreement Period Performance Year 2022, $0 Fourth Agreement Period Performance Year 2021, $3,221,757 Third Agreement Period Performance Year 2020, $0 Second Agreement Period Performance Year 2019, $0 First Agreement Period Performance Year 2018, $0

Shared Savings Distribution:

Seventh Agreement Period
- Performance Year 2024
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 50%
  - Proportion of distribution to ACO participants: 35%

Sixth 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%

Fifth Agreement Period
- 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

Fourth Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: __ %
  - Proportion of distribution to ACO participants: 85%

Third Agreement Period
- 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

Second Agreement Period
- 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

First Agreement Period
- 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


2024 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	6.45	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	89.66	81.46
236	Controlling High Blood Pressure	CMS Web Interface	76.07	79.49
318	Falls: Screening for Future Fall Risk	CMS Web Interface	98.77	88.99
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	78.81	68.60
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	100.00	79.98
113	Colorectal Cancer Screening	CMS Web Interface	82.48	77.81
112	Breast Cancer Screening	CMS Web Interface	81.56	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	93.59	86.50
370	Depression Remission at Twelve Months	CMS Web Interface	19.48	17.35
321	CAHPS for MIPS	CAHPS for MIPS Survey	2.10	6.67
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1612	0.1517
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	--	37.00
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	75.90	83.70
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	88.62	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	88.04	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.02	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	53.78	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	54.79	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	69.72	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	80.08	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	88.65	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	18.28	26.98

For previous years’ Financial and Quality Performance Results, Please Visit data.cms.gov .