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
Marvin	Shapiro	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 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 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

2022 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	10.48	10.71
134		Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	81.67	76.97
236		Controlling High Blood Pressure	CMS Web Interface	77.91	76.16
318		Falls: Screening for Future Fall Risk	CMS Web Interface	93.15	87.83
110		Preventative Care and Screening: Influenza Immunization	CMS Web Interface	82.19	77.34
226		Preventative Care and Screening:  Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	100	79.27
113		Colorectal Cancer Screening	CMS Web Interface	76.21	75.32
112		Breast Cancer Screening	CMS Web Interface	73.39	78.07
438		Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	89.52	86.37
370		Depression Remission at Twelve Months	CMS Web Interface	17.72	16.03
321		CAHPS for MIPS [3]	CAHPS for MIPS Survey	N/A	N/A
479		Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Admimistrative Claims	0.1538	0.151
484		Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Admimistrative Claims	33.89	30.97
CAHPS-1		Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	86.29	83.96
CAHPS-2		How Well Providers Communicate	CAHPS for MIPS Survey	91.88	93.47
CAHPS-3		Patient's Rating of Provider	CAHPS for MIPS Survey	91.31	92.06
CAHPS-4		Access to Specialists	CAHPS for MIPS Survey	81.41	77.00
CAHPS-5		Health Promotion and Education	CAHPS for MIPS Survey	57.65	62.68
CAHPS-6		Shared Decision Making	CAHPS for MIPS Survey	54.68	60.97
CAHPS-7		Health Status and Functional Status	CAHPS for MIPS Survey	71.10	73.06
CAHPS-8		Care Coordination	CAHPS for MIPS Survey	83.08	85.46
CAHPS-9		Courteous and Helpful Office Staff	CAHPS for MIPS Survey	90.96	91.97
CAHPS-11		Stewardship of Patient Resources	CAHPS for MIPS Survey	22.43	25.62

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