HealthChoice MSSP ACO


ACO Name and Location:
    HealthChoice, LLC  
    Previous Names: N/A  
    1661 International Place Dr, Suite 150  
    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
Germantown Wellness & Preventive Medicine, PLLC N
SPG II, LLC N
UT Methodist Physicians, LLC N
Methodist Inpatient Physicians, LLC N
McKnight Clinic LLC N
Methodist Healthcare – Memphis Hospitals Y
Caballero Family Healthcare Group PLLC N
Otolaryngology Associates of the Mid South N
Family Medicine Partners LLC N
The Green Clinic N
Desoto Family Medical Clinic N
Methodist Healthcare – Olive Branch Hospital 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)
           
  Towne, MD   Carter     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Aguillard, MD   Neal     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Jones, MD    Riley     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Buttross, MD   John     MetroCare MC = 1 vote Community
Stakeholder
     N/A, MetroCare

 
  Ensor, MD   James     MetroCare MC = 1 vote ACO Participant      Germantown
     Wellness &
     Preventative
     Medicine, PLLC
 
  Miller, MD   Mark     MetroCare MC = 1 vote ACO Participant      SPG II, LLC
 
  Womack, MD   Catherine     MetroCare MC = 1 vote ACO Participant      UT Methodist
     Physicians, LLC
 
  Morris, MD   Troy     MetroCare MC = 1 vote ACO Participant      Desoto Family
     Medical Center
 
  Ugwueke   Michael     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      Specialty Physician
     Group, LLC
 
  Howard, MD   Cassandra     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  McCallum, MD   Lee     MLH MLH = 1 vote ACO Participant      Methodist Healthcare –
     Memphis Hospitals
 
  Young, MD   Lisa     MLH MLH = 1 vote ACO Participant      Specialty Physician
     Group, LLC
 
  Dempsey, MD   Kin     MLH MLH = 1 vote ACO Participant      Methodist Inpatient
     Physicians, LLC
 
  Dickson, MD   Paxton     MLH MLH = 1 vote ACO Participant      UT Methodist
     Physicians, LLC
 
  Wortham, MD   George     HC 0 HC CEO      N/A, HealthChoice,
     LLC
 
  Bailey, MHA   Taylor     MC 0 MC Executive
Director
     N/A, MetroCare,
     Inc.
 
  Shapiro, MD   Marvin     Beneficiary 0 Medicare
Beneficiary
Representative
     N/A
 

 

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

 

 
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  
  • First Agreement Period
    • Performance Year 2018, $0

 

 
Shared Savings Distribution:
  • First Agreement Period
    • Performance Year 2018
      1. Proportion invested in infrastructure:  N/A
      2. Proportion invested in redesigned care processes/resources:  N/A
      3. Proportion of distribution to ACO participants:  N/A

 

 
Quality Performance Results:
2018 Quality Performance Results:

ACO#
 
Measure Name

Rate
ACO
Mean
ACO-1   CAHPS:  Getting Timely Care, Appointments, and Information 87.34 86.14
ACO-2   CAHPS:  How Well Your Providers Communicate 93.36 93.93
ACO-3   CAHPS:  Patients’ Rating of Provider 93.06 92.45
ACO-4   CAHPS:  Access to Specialists 86.54 81.50
ACO-5   CAHPS:  Health Promotion and Education 51.60 59.26
ACO-6   CAHPS:  Shared Decision Making 59.57 61.94
ACO-7   CAHPS:  Health Status/Functional Status 73.83 73.35
ACO-34   CAHPS:  Stewardship of Patient Resources 26.14 26.26
ACO-8   Risk Standardized, All Condition Readmission 15.26 14.98
ACO-35   Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.10 18.59
ACO-36   All-Cause Unplanned Admissions for Patients with Diabetes 36.78 37.01
ACO-37   All-Cause Unplanned Admissions for Patients with Heart Failure 76.82 76.75
ACO-38   All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.63 59.00
ACO-43   Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.79 1.98
ACO-11   Use of Certified EHR Technology 100.00 98.20
ACO-12   Medication Reconciliation Post-Discharge 28.66 85.91
ACO-13   Falls:  Screening for Future Fall Risk 78.29 79.73
ACO-44   Use of Imaging Studies for Low Back Pain 51.43 64.36
ACO-14   Preventive Care and Screening:  Influenza Immunization 59.57 72.71
ACO-15   Pneumonia Vaccination Status for Older Adults 52.11 75.97
ACO-16   Preventive Care and Screening:  Body Mass Index (BMI) Screening and Follow Up 50.38 76.83
ACO-17   Preventive Care and Screening:  Tobacco Use: Screening and Cessation Intervention 60.00 72.81
ACO-18   Preventive Care and Screening:  Screening for Clinical Depression and Follow-up Plan 43.82 66.74
ACO-19   Colorectal Cancer Screening 58.39 68.27
ACO-20   Breast Cancer Screening 64.34 71.96
ACO-42   Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.81 81.47
ACO-27   Diabetes Mellitus:  Hemoglobin A1c Poor Control 10.74 15.51
ACO-41   Diabetes:  Eye Exam 34.23 52.42
ACO-28   Hypertension (HTN):  Controlling High Blood Pressure 68.21 73.10
ACO-30   Ischemic Vascular Disease (IVD):  Use of Aspirin or Another Antiplatelet 91.94 88.92
 
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
 
Note: In the Quality Performance Results file(s) above, search for “HealthChoice, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3720 in the public use files on data.cms.gov.
 
Payment Rule Waivers:
  • No, our ACO does not use the SNF 3-Day Rule Waiver.