Medicare Shared Savings

ACO Name and Location

Mission Health Care Network, LLC
2525 deSales Avenue
Chattanooga, TN 37404

ACO Primary Contact

Carol Newton
Interim Executive Director
Carol_Newton@memorial.org

Organizational Information

ACO Participants ACO Participant in Joint Venture
Abdulhafiz Eletr N
Allergycare Of Chattanooga, Pllc N
Associates In Ear, Nose, Throat/Head And Neck N
Beacon Health Alliance Pc N
Chattanooga Allergy Clinic Pllc N
Chattanooga Emergency Medicine Pllc N
Chattanooga Family Practice Associates, P.C. N
Chattanooga Orthopaedic Group Pc N
Chattanooga Skin & Cancer Clinic N
Chattanooga Surgical Oncology And Associates, Pllc N
David M. Huffman, M.D.,P.C. N
David N. Collins, Md Pc N
Dennis C Matzkin Md Pc N
Diagnostic Imaging Consultants Inc N
Diagnostic Pathology Serv Pc N
Family Care Of Northwest Georgia N
Hixson Urology, Pc N
Howard Kraft N
Indravadan Shah N
Kirk Brody Md Pc N
Memorial Health Care System Inc. N
Memorial Health Partners Foundation, Inc N
Nathan Wyatt N
Northgate Neurology, Pllc N
Obgyn Centre Of Excellence N
Phillip Tallent N
Renaissance Health And Surgical Associates, P.C. N
Robert S. Furr, Md Pllc N
Roger Land N
Sharon Farber N
Southeastern Spine Pllc N
Tareck A. Kadrie, M.D., Pllc N
The Plastic Surgery Group, P.C. N
Thomas W Brown Iii Md Pc N
University Surgical Associates, Llc N
Vincent A Viscomi Md Pc N

ACO Governing Body:

Member Last name Member First Name Member Title / Position Member's Voting Power Membership Type: ACO Participant TIN Legal Business Name
Kaplan, D.O. Paul Member 1 vote ACO Participant Representative Diagnostic Pathology Services, P.C.
Sutton Michael Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
McGill Andrew Secretary/ Treasurer 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Carkner, M.D. Lisa Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Friddell, M.D. Anthony Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Arant Charles Member 1 vote Medicare Beneficiary Representative N/A
Cherry, M.D. Collin Member 1 vote ACO Participant Representative Beacon Health Alliance, P.C.
Jump, M.D. Jeffrey Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Heinsohn, M.D. Mark Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Grey, M.D. Marijka Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.

Key ACO Clinical and Administrative Leadership
Carol Newton ACO Executive
Marijka Grey Medical Director
Christi Knox Compliance Officer
Jessica Stanley Quality Assurance/Improvement Officer

ACO Committees and Committee Leadership
Executive Committee Michael Sutton, Chair
Finance Committee Andrew McGill, Chair
Quality Value Committee Mark E. Heinsohn, M.D., Chair
Network Development Committee Anthony Friddell, M.D., Chair, Andrew McGill, Secretary/Treasurer

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2019: $0
    • Performance Year 2018: $0
  • First Agreement Period
    • Performance Year 2017: $0
    • Performance Year 2016: $0
    • Performance Year 2015: $0

Shared Savings Distribution

  • 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
    • 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
  • First Agreement Period
    • Performance Year 2017
      • 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 2016
      • 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 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2019 Quality Performance Results 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 90.78 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.32 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 93.81 92.69
ACO-4 CAHPS: Access to Specialists 83.57 81.54
ACO-5 CAHPS: Health Promotion and Education 58.95 60.44
ACO-6 CAHPS: Shared Decision Making 65.12 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.98 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 32.32 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.31 92.84
ACO-46 CAHPS: Care Coordination 89.96 86.89
ACO-8 Risk Standardized, All Condition Readmission 13.85 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 47.90 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.55 1.87
ACO-13 Falls: Screening for Future Fall Risk 93.10 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 68.62 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100.00 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 63.48 70.40
ACO-19 Colorectal Cancer Screening 80.86 70.76
ACO-20 Breast Cancer Screening 75.09 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.90 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 9.96 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.97 75.04

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:
No, our ACO does not use the SNF 3-Day Rule Waiver..

Waiver for Payment for Telehealth Services:
Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Mission Health Care Network | 2525 de Sales Avenue | Chattanooga, TN 37404 | MissionHealth@memorial.org
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