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
423-495-7859

ACO Participants

Abdulhafiz M. Eletr, M.D. (Chatt Neuro) 
Adele B. Ackell, M.D. (Chatt Neuro)
Advanced Foot Care 
Allergy Care of Chattanooga 
Associates in ENT, LLC 
Associates in General Surgery, LLC 
Beacon Health Alliance, P.C. 
Bowers Family Medicine 
Caroline Elias, M.D., P.C. 
Chattanooga Allergy Clinic, PLLC 
Chattanooga Emergency Medicine, PLLC 
Chattanooga ENT Associates, P.C. 
Chattanooga Family Practice Associates, PC
Chattanooga Foot Specialists, PLLC 
Chattanooga Gyn-Oncology 
Chattanooga Kidney Center, LLC 
Chattanooga Orthopaedic Group, PC 
Chattanooga Skin and Cancer Clinic 
Chattanooga Surgical Oncology, PLLC 
Chattanooga Urology Associates, P.C. 
Chattanooga's Program in Women's Oncology 
David N. Collins, M.D. 
Diagnostic Imaging Consultants, Inc. 
Diagnostic Pathology Services, P.C. 
Digestive Disease Consultants, P.C. 
Farber, Sharon N, MD (Chatt Neuro) 
Galen Medical Group 
Hixson Urology 
Indravadan Shaw MD 
Infections Disease Physicians of Chattanooga, PLLC 
John L. Gwin, Jr., M.D. 
Kadrie, Hytham A, MD (Chatt Neuro) 
Kirk Brody, M.D. 
Matthew Kodsi, M.D. (Chatt Neuro) 
MHI, LLC 
MHP Foundation 
Mid-South Surgical Associates, PLLC 
Nathan Wyatt, M.D. (Chatt Neuro) 
Northgate Neurology, PLLC 
OB-GYN Centre of Excellence 
Obstetrics and Gynecology of Hixson, PC 
Physicians Care, P.C. 
Plaza Urology Group, P.C. 
Premier Healthcare 
Ravi Chander, M.D. (Chatt Neuro) 
Regional Obstetrical Consultants, P.C. 
Renaissance Health & Surgical Associates 
Robert M. Barnett, M.D. 
Roger L. Land, M.D. 
Surgical Specialists, P.C. 
Phillip Gabe Tallent, MD (Chatt Neuro) 
Tareck A. Kadrie, M.D. (Chatt Neuro)
The Plastic Surgery Group, P.C. 
Thomas W. Brown, III, M.D. 
University Diabetes & Endocrine Consultants 
University Surgical Associates, P.C. 
Vein Therapies of Chattanooga, PLLC 
Vincent A. Viscomi, M.D., P.C. 
W.I.S.H., PLLC 
Women's Surgery Center

ACO Governing Body:

Member Last name Member First Name Member Title / Position Member's Voting Power Membership Type: ACO Participant TIN Legal Business Name
Greer, M.D. Jack Member 1 vote ACO Participant Representative Chattanooga Ear, Nose and Throat Associates, P.C.
Young, M.D. Will Chair 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Kaplan, D.O. Paul Member 1 vote ACO Participant Representative Diagnostic Pathology Services, P.C.
Parkhurst, M.D. Water Member 1 vote Other: Community Provider N/A
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.
Daniel, M.D. Davey Member 1 vote Other: Community Provider N/A
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.
nders, 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.

Key ACO Clinical and Administrative Leadership

  • Tod Erickson: ACO Executive
  • Helen Kuroki, M.D.: Medical Director
  • Cheri Ballard: Compliance Officer
  • Sandy Loveless: Quality Assurance/Improvement Officer

ACO Committees and Committee Leadership

  • Executive Committee: William M. Young, M.D., Chair 
  • Finance Committee: Andrew McGill, Chair 
  • Quality Committee: Arlene Donowitz, M.D., Chair 
  • Network Development Committee: William M. Young, M.D. & Anthony Friddell, M.D., Co-Chairs, 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

  • Performance Year 2016: $0
  • Performance Year 2015: $0

Shared Savings Distribution

  • First Agreement Period
    • 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

2016 Quality Performance Results 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.85 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 92.97 92.63
ACO-3 CAHPS: Patients' Rating of Provider 92.48 91.93
ACO-4 CAHPS: Access to Specialists 86 83.52
ACO-5 CAHPS: Health Promotion and Education 55.62 60
ACO-6 CAHPS: Shared Decision Making 74.89 75.28
ACO-7 CAHPS: Health Status/Functional Status 71.23 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 38.75 27.52
ACO-8 Risk-Standardized, All Condition Readmission 12.58 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 15.89 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 44.2 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 64.04 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.65 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 6.64 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 12.92 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 69.7 82.72
ACO-39 Documentation of Current Medications in the Medical Record 86.44 87.54
ACO-13 Falls: Screening for Future Fall Risk 52.21 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 65.46 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 65.11 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 84.96 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.01 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 40.73 53.63
ACO-19 Colorectal Cancer Screening 72.55 61.52
ACO-20 Breast Cancer Screening 71.67 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 88.4 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.89 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.88 18.24
ACO-41 Diabetes: Eye Exam 43.6 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.08 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.4 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 97.94 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 91.79 79.67

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.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

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