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) 495-4665
John.Redding@commonspirit.org

Organizational Information

ACO Participants ACO Participant in Joint Venture
Abdulhafiz Eletr 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
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
Memorial Health Care System Inc.
N
Memorial Health Partners Foundation, Inc
N
Nathan Wyatt
N
Northgate Neurology, PLLC
N
OBGYN Centre of Excellence
N
Renaissance Health And Surgical Associates, PC
N
Robert S. Furr, MD, PLLC
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 First Name Member Last 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
John Boxell, MD Member 1 vote Medicare Beneficiary
Lisa Carkner, MD Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Collin Cherry, MD Member 1 vote ACO Participant Representative Beacon Health Alliance, P.C.
Todd Cockerham, MD Member 1 vote ACO Participant Representative University Surgical Associates, LLC
Marijka Grey, MD Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Mark Heinsohn, MD Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Jeffrey Jump, MD Member 1 vote ACO Participant Representative Memorial Health Partners Foundation, Inc.
Paul Kaplan, DO Member 1 vote ACO Participant Representative Diagnostic Pathology Services, P.C.
Matt Kodsi, MD Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Andrew McGill Secretary/ Treasurer 1 vote ACO Participant Representative Memorial Health Care System, Inc.
Michael Sutton Member 1 vote ACO Participant Representative Memorial Health Care System, Inc.

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

Associated Committees and Committee Leadership
Executive Committee Michael Sutton, Chair
Finance Committee Andrew McGill, Chair
Quality Value Committee Mark Heinsohn, MD, 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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021, $3,209,522.00
    • 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

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 45.04%
      • Proportion invested in redesigned care processes/resources: 16.49%
      • Proportion of distribution to ACO participants: 38.47%
    • Performance Year 2020
      • Proportion invested in infrastructure: 33.13%
      • Proportion invested in redesigned care processes/resources: 20.06%
      • Proportion of distribution to ACO participants: 46.81%
    • 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

2021 Quality Performance Results 
Quality performance results are based on CMS Web Interface

ACO Quality Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 10.00 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 75.61 74.38
236 Controlling High Blood Pressure 79.41 74.87
318 Falls: Screening for Future Fall Risk 93.66 87.03
110 Preventative Care and Screening: Influenza Immunization 84.59 80.52
226 Preventative Care and Screening: Influenza Immunization 84.62 80.97
113 Colorectal Cancer Screening 77.79 73.63
112 Breast Cancer Screening 80.00 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.09 84.24
321 CAHPS for MIPS N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1354 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 28.01 33.99

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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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