Medicare Shared Savings

ACO Name and Location

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

ACO Primary Contact

John Redding, MD MBA
(423) 495-4810
John.Redding@commonspirit.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, PC N
Chattanooga Orthopaedic Group PC N
Chattanooga Skin & Cancer Clinic N
Chattanooga Surgical Oncology And Associates, PLLC N
David M. Huffman, MD, PC N
David N. Collins, MD PC N
Dennis C Matzkin MD PC N
Diagnostic Imaging Consultants Inc N
Diagnostic Pathology Services 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, PC 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, PC 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 (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Boxell, MD John Member 1 vote Medicare Beneficiary Representative
Carkner, M.D. Lisa Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Cherry, M.D. Collin Member 1 vote ACO Participant Representative Beacon Health Alliance, P.C.
Cockerham, M.D. Todd Member 1 vote ACO Participant Representative University Surgical Associates, LLC
Friddell, M.D. Anthony 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.
Heinsohn, M.D. Mark Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Jump, M.D. Jeffrey Member 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.
Kodsi, MD Matt 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.
Sutton Michael Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.

Key ACO Clinical and Administrative Leadership
ACO Executive:
John Redding, MD, MBA
Medical Director:
Marijka Grey
Compliance Officer: Christi Knox
Quality Assurance/Improvement Officer:
Jessica Stanley

ACO Committees and Committee Leadership
Executive Committee Michael Sutton, Chair
Finance Committee Andrew McGill, Chair
Quality Value Committee Mark Heinsohn, M.D., Chair
Network Development Committee Andrew McGill, Chair

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 2020, $4,219,284.29
    • 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 2020
      • Proportion invested in infrastructure: 22.38%
      • Proportion invested in redesigned care processes/resources: 22.38%
      • Proportion of distribution to ACO participants: 55.24%
    • 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

2020 Quality Performance Results 

ACO Quality Measure # Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite 0.74 0.95
ACO-13 Falls: Screening for Future Fall Risk 85.80 93.10
ACO-14 Preventative Care and Screening: Influenza Immunization 66.90 68.62
ACO-17 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 91.67 81.67
ACO-18 Preventative Care and Screening: Screening for Depression and Follow-Up Plan 63.47 71.46
ACO-19 Colorectal Cancer Screening 71.38 72.59
ACO-20 Breast Cancer Screening 71.63 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.80 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1C Poor Control 12.93 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 76.58 72.87

“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.”

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

Payment Rule Waivers

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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