Medicare Shared Savings

ACO Name and Location

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

ACO Primary Contact

Tod Erickson
VP, Clinical Integration
Tod_Erickson@memorial.org
423-495-7762

ACO Participants
Memorial Health Partners Foundation, Inc
Indravadan Shah (Indravadan Shah, M.D.)
Chattanooga Surgical Oncology and Associates, PLLC
Tareck A. Kadrie, M.D., Pllc (Chattanooga Neurology)
Allergycare Of Chattanooga, PLLC
Chattanooga Family Practice Associates, P.C.
Chattanooga Emergency Medicine PLLC
Matthew Kodsi, M.D. (Chattanooga Neurology)
Phillip Tallent (Chattanooga Neurology)
Abdulhafiz Eletr (Chattanooga Neurology)
Roger Land (Roger Land, M.D.)
Vein Therapies of Chattanooga, PLLC
Family Care Of Northwest Georgia (Bowers Family Medicine)
Robert S. Furr, Md Pllc (Women’s Surgery Center)
Obstetrics & Gynecology Of Hixson, Pllc
Robert Barnett (Southeast Surgical Specialists)
Nathan Wyatt (Chattanooga Neurology)
Kirk Brody, M.D., P.C.
Sharon Farber (Chattanooga Neurology)
Associates In Ear, Nose, Throat/Head And Neck
Memorial Health Care System Inc.
The Plastic Surgery Group, P.C.
Diagnostic Imaging Consultants Inc
Chattanooga Ear Nose & Throat Assoc., P.C.
Chattanooga Orthopaedic Group Pc
Obgyn Centre Of Excellence
Plaza Urology Group PC
Chattanooga Skin & Cancer Clinic
David N. Collins, Md PC
Adele Ackell (Chattanooga Neurology)
Thomas W Brown Iii Md Pc
Vincent A. Viscomi M.D.,P.C.
Diagnostic Pathology Serv Pc
Beacon Health Alliance, P.C.
David M. Huffman, M.D.,P.C. (University Diabetes Endocrine Consultants)
University Surgical Associates
Alan F Shikoh Md Pc (Digestive Disease Consultants)
Northgate Neurology, PLLC
Womens Health Services Chattanooga PC
Advanced Foot Care LLP
Renaissance Health And Surgical Associates, P.C.
Chattanooga Allergy Clinic PLLC
Hixson Urology, PC
Indravadan Shah, M.D.
Dennis C. Matzkin MD PC (Allied Eye)

No participants are involved in a joint venture between ACO professionals and hospitals.  

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.
Hammett Troy 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
Cockerham, M.D. Todd Member 1 vote ACO Participant Representative University Surgical Associates, P.C.
Sanders, M.D. Brett Member 1 vote ACO Participant Representative Chattanooga Orthopedic Group, P.C.
Patel, M.D. Nilesh Member 1 vote Other: Community Provider 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.

Key ACO Clinical and Administrative Leadership
Tod Erickson: ACO Executive
Marijka Grey Medical Director
Cheri Hale Compliance Officer
Sandy Loveless Quality Assurance/Improvement Officer

ACO Committees and Committee Leadership
Executive Committee Troy Hammett, 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

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

Shared Savings Distribution

  • 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

2017 Quality Performance Results 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 83.84 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 94.58 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 92.67 92.31
ACO-4 CAHPS: Access to Specialists 84.54 83.32
ACO-5 CAHPS: Health Promotion and Education 60.73 62.30
ACO-6 CAHPS: Shared Decision Making 75.03 75.85
ACO-7 CAHPS: Health Status/Functional Status 69.24 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 30.44 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.35 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.58 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 47.29 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 67.97 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.88 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.59 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 88.39 75.32
ACO-13 Falls: Screening for Future Fall Risk 83.43 74.38
ACO-44 Imaging Studies for Low Back Pain 65.98 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 73.80 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 75.63 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 82.96 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.58 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 61.41 61.98
ACO-19 Colorectal Cancer Screening 75.77 64.58
ACO-20 Breast Cancer Screening 74.14 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.93 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.98 16.74
ACO-41 Diabetes: Eye Exam 55.90 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 75.90 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.41 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.    

Note: In the Quality Performance Results file(s) above, search for “Mission Health Care Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A07433 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

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