ACO Name and Location
Mission Health Partners, Inc.
509 Biltmore Avenue
Asheville, North Carolina 28801


ACO Primary Contact

Primary Contact Name

Amanda Gerlach

Primary Contact Phone Number

828-213-5384

Primary Contact Email Address

amanda.gerlach@msj.org


Organizational Information

ACO Participants:

    ACO Participants

    ACO Participant in Joint Venture (Enter Y or N)

    Steven Cahan

    N

    Charles J. McGraw MD, LTD

    N

    Appalachian Foot & Ankle Associates PA

    N

    Moore Foot & Ankle Specialists, PA

    N

    Apple Valley Family Medicine PA

    N

    Pisgah Family Health

    N

    Chad Smoker MD PC

    N

    Albert B Anderson MD PA

    N

    October Road, Inc.

    N

    Charles J. DePaolo, M.D, P.A.

    N

    ABC Pediatrics of Asheville PA

    N

    Asheville Medicine & Pediatrics Ltd

    N

    Vickery Family Medicine, Pllc

    N

    North Buncombe Family Medicine, P.A.

    N

    STMD LLC

    N

    Wellspring Family Practice, PA

    N

    Albert Anderson

    N

    Carolina Mountain Gastroenterology Endoscopy Center, LLC

    N

    WNC Family Medical Center PLLC

    N

    Mission Medical Associates Inc.

    N


    Blue Sky Pediatrics Asheville PA

    N


    Dry Ridge Family Medicine PLLC

    N


    Chad Smoker

    N


    Hazelwood Family Medicine, PLLC

    N


    UWH of North Carolina, LLP

    N


    Our Family Doctor, PLLC

    N


    John Baker

    N


    Highlands-Cashiers Physician Services Inc

    N


    Cannon Family Health, PLLC

    N


    Trillium Family Medicine, PLLC

    N


    Park Hill Medicine, PA

    N


    Appalachian Mountain Community Health Centers

    N


    Brie Folkner MD PC

    N


    Asheville Gynecology & Wellness Pllc

    N


    Art of Internal Medicine & Pediatrics PA

    N


    Allan Nash

    N


    Highlands-Cashiers Hospital, Inc.

    N


    Mission Hospitals Inc

    N


    Transylvania Community Hospital, Inc.

    N


    The McDowell Hospital Inc.

    N


    Celo Health Education Corporation

    N


    Asheville Radiology Associates, PA

    N


    Carolina Internal Medicine Associates, PA

    N


    Asheville Pediatric Associates

    N


    ALLCARE CLINICAL ASSOCIATES PA

    N


    W.N.C. Ear Nose Throat Head and Neck Surgeons, PA

    N


    Blue Ridge Regional Hospital Inc.

    N


    Mountain Area Health Education Center, Inc.

    N


    Clay Comprehensive Health Services, Inc.

    N


    Bakersville Community Medical Clinic, Incorporated

    N


    Haywood Pediatric and Adolescent Medicine Group, P.A.

    N


    Sylva Family Practice, PA

    N


    Digestive Health Partners Pa

    N


    The Family Health Centers, PA

    N


    Mountain Kidney & Hypertension Associates, P.A.

    N


    Allan Nash

    N


    Mountain Radiation Oncology, P.A.

    N


    Asheville Pulmonary & Critical Care Associates PA

    N


    Weaverville Family Medicine Associates, PA

    N


    Carolina Ophthalmology, PA

    N


    Asheville Plastic Surgery PA

    N


    Asheville Endocrinology Consultants, PA

    N


    Asheville Arthritis and Osteoporosis Center, P.A.

    N


    James J. Caserio, M.D., PA

    N

    Carolina Mountain Dermatology, PA

    N

    Asheville Internal Medicine, P.A.

    N

    Mountain Docs Family Medicine P.A

    N

    Community Family Practice, PA

    N

    Asheville Children's Medical Center PA

    N

    Murphy Medical Center, Inc.

    N

    Western North Carolina Community Health Services, Inc.

    N

    The Pisgah Institute for Psychotherapy & Education PA

    N


    Andrews Internal Medicine PA

    N

    Franklin Family Practice, PA

    N

    Transylvania Physician Services Inc

    N

    Asheville Eye Associates PLLC

    N

    Mountain Area Pediatric Associates, P.A.

    N

    Carolina Mountain Emergency Medicine PA

    N

    Community CarePartners, Inc.

    N

    Steven L Cahan MD PA

    N

    Henderson County Hospital Corporation

    N

    Primary Eye Care Associates, OD, PA

    N

    MOUNTAIN AREA PATHOLOGY PA

    N

    East Asheville Family Health Care P.A.

    N

    WNC INTERNAL MEDICINE, PLLC

    N

    MemoryCare

    N

    Carolina Hand and Sports Medicine, P.A.

    N

    Mountain Diabetes And Endocrine Center PLLC

    N

    Rainbow Pediatrics, P.A.

    N

    Brosnan Eye Associates

    N

    Angel Medical Center, Inc.

    N

    Brie Folkner

    N

    Radiation Therapy Associates Of Western North Carolina, Pa

    N

    Krishna Internal Medicine, P.C.

    N

    Pineiro Family Practice, PLLC

    N

    French Broad Pediatric Associates

    N

    Mission Community Anesthesiology Specialists LLC

    N


    Plastic Surgery of Asheville, PA

    N

     

     ACO Governing Body:

    Member

    Member's Voting Power

    Membership Type

    ACO Participant TIN Legal Business Name/DBA, if Applicable

    Last Name

    First Name

    Title/Position

    Moore

    Robert

    Dir and Chair

    Class I

    ACO Participant Representative

    North Buncombe Family Medicine, P.A.

    Baumgarten

    Alan

    Director

    Class I

    ACO Participant Representative

    The Family Health Centers PA

    Buys

    Beth

    Director

    Class I

    ACO Participant Representative

    Mountain Area Health Education Center, Inc.

    Cook

    Jason

    Director

    Class I

    ACO Participant Representative

    The Family Health Centers PA

    Heck

    Jeffrey

    Director and Vice Chair

    Class I

    ACO Participant Representative

    Mountain Area Health Education Center, Inc.

    Kubitschek

    Kenneth

    Director

    Class I

    ACO Participant Representative

    Carolina Internal Medicine Associates, PA

    Love

    Scott

    Director

    Class I

    ACO Participant Representative

    ABC Pediatrics of Asheville, PA

    Moreadith

    Jeffrey

    Director

    Class I

    ACO Participant Representative

    Mission Medical Associates Inc.

    Pagano

    Nunzio

    Director

    Class I

    ACO Participant Representative

    Asheville Internal Medicine, PA

    Russell

    Amy

    Director

    Class I

    ACO Participant Representative

    Mountain Area Health Education Center, Inc.

    Tomkins

    Calvin

    Director

    Class I

    ACO Participant Representative

    Asheville Pediatric Associates

    Weizman

    Michael

    Director

    Class I

    ACO Participant Representative

    Our Family Doctor, PLLC

    Franklin

    David

    Director

    Class II

    ACO Participant Representative

    Mission Medical Associates Inc.

    Glickman

    David

    Director

    Class II

    ACO Participant Representative

    Henderson County Hospital Corporation

    Hoggard Green

    Jill

    Director

    Class II

    ACO Participant Representative

    Mission Medical Associates Inc.

    Mims

    Susan

    Director

    Class II

    ACO Participant Representative

    Mission Medical Associates Inc.

    Paulus

    Ronald

    Director

    Class II

    ACO Participant Representative

    Mission Hospitals Inc

    Ball

    John

    Director

    Class II

    Medicare Beneficiary Representative

     

    Cecil

    John

    Director

    Class II

    Community Stakeholder Representative

     

    Garrett

    John

    Director

    Class II

    Community Stakeholder Representative

     

    Gerlach

    Amanda

    Ex Officio

    Non Voting Member

    Executive Director

     

    Fields

    Robert

    Ex Officio

    Non Voting Member

    Medical Director

     

     

    ACO Key Clinical and Administrative Leadership

    Amanda Gerlach

    ACO Executive

    Robert Fields

    Medical Director

    Gwen McKinney

    Compliance Officer

    Robert Fields

    Quality Assurance/Improvement Officer

     

    Associated Committees and Committee Leadership

    Committee Name

    Committee Leader Name and Position

    Finance Committee

    Dr. Alan Baumgarten

    Quality Committee

    Dr. Robert Fields

     

    Types of ACO Participants, or Combinations of Participants, that Formed the ACO

    • Partnerships or joint venture arrangements between hospitals and ACO professionals
    • Critical Access Hospitals (CAH) billing under Method II
    • Federally Qualified Health Centers (FQHC)
    • Rural Health Clinic (RHC)

     

    Shared Savings and Losses

    Amount of Shared Savings/Losses

    • First Agreement Period
      • Performance Year 2016, $5,375,365
      • Performance Year 2015, $0

    Shared Savings Distribution

    • First Agreement Period
      • Performance Year 2016
        • Proportion invested in infrastructure: 10%
        • Proportion invested in redesigned care processes/resources: 45%
        • Proportion of distribution to ACO participants: 45%
      • 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

    83.57

    79.9

    ACO-2

    CAHPS: How Well Your Providers Communicate

    93.54

    92.63

    ACO-3

    CAHPS: Patients' Rating of Provider

    91.8

    91.93

    ACO-4

    CAHPS: Access to Specialists

    84

    83.52

    ACO-5

    CAHPS: Health Promotion and Education

    63.08

    60

    ACO-6

    CAHPS: Shared Decision Making

    78.99

    75.28

    ACO-7

    CAHPS: Health Status/Functional Status

    70.33

    71.82

    ACO-34

    CAHPS: Stewardship of Patient Resources

    28.85

    27.52

    ACO-8

    Risk-Standardized, All Condition Readmission

    13.15

    14.7

    ACO-35

    Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)

    16.2

    18.17

    ACO-36

    All-Cause Unplanned Admissions for Patients with Diabetes

    44.08

    53.2

    ACO-37

    All-Cause Unplanned Admissions for Patients with Heart Failure

    64.55

    75.23

    ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    50.97

    59.81

    ACO-9

    Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)

    4.89

    9.27

    ACO-10

    Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 )

    12.28

    14.53

    ACO-11

    Percent of PCPs who Successfully Meet Meaningful Use Requirements

    98.68

    82.72

    ACO-39

    Documentation of Current Medications in the Medical Record

    84.8

    87.54

    ACO-13

    Falls: Screening for Future Fall Risk

    69.54

    64.04

    ACO-14

    Preventive Care and Screening: Influenza Immunization

    76.39

    68.32

    ACO-15

    Pneumonia Vaccination Status for Older Adults

    78.39

    69.21

    ACO-16

    Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

    73.6

    74.45

    ACO-17

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    95.36

    90.98

    ACO-18

    Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

    58.97

    53.63

    ACO-19

    Colorectal Cancer Screening

    68.09

    61.52

    ACO-20

    Breast Cancer Screening

    72.79

    67.61

    ACO-21

    Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented

    84.73

    76.84

    ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    76.28

    77.72

    ACO-27

    Diabetes Mellitus: Hemoglobin A1c Poor Control

    14.38

    18.24

    ACO-41

    Diabetes: Eye Exam  

    55.18

    44.94

    ACO-28

    Hypertension (HTN): Controlling High Blood Pressure

    67.84

    70.52

    ACO-30

    Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

    89.44

    85.05

    ACO-31

    Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

    85.34

    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%)

    73.93

    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 Partners, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A39107 in the public use files on data.cms.gov.

     

    Payment Rule Waivers:

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