Medicare Shared Savings Program

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@HCAHealthcare.com
Organizational Information
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
ABC Pediatrics of Asheville PA N
Allan Nash N
Allan Nash N
ALLCARE CLINICAL ASSOCIATES PA N
Angel Medical Center, Inc. N
Appalachian Foot & Ankle Associates PA N
Appalachian Mountain Community Health Centers N
Appalachian Regional Medical Associates, Inc. N
Asheville Arthritis and Osteoporosis Center, P.A. N
Asheville Children's Medical Center PA N
Asheville Endocrinology Consultants, PA N
Asheville Eye Associates PLLC N
Asheville Gynecology & Wellness Pllc N
Asheville Pediatric Associates N
Asheville Podiatry Associates PA N
Asheville Radiology Associates, PA N
Bakersville Community Medical Clinic, Incorporated N
Blue Ridge Regional Hospital Inc. N
Blue Sky Pediatrics Asheville PA N
Brosnan Eye Associates N
Cannon Family Health, PLLC N
CAREPARTNERS HHA LLLP N
CAREPARTNERS REHABILITATION HOSPITAL, LLLP N
Carolina Hand and Sports Medicine, P.A. N
Carolina Internal Medicine Associates, PA N
Carolina Mountain Emergency Medicine PA N
Carolina Mountain Gastroenterology Endoscopy Center, LLC N
Carolina Ophthalmology, PA N
Charles A. Cannon, Jr., Memorial Hospital, Inc. N
Charles J. DePaolo, M.D, P.A. N
Clay Comprehensive Health Services, Inc. N
Community CarePartners, Inc. N
Community Family Practice, PA N
Digestive Health Partners Pa N
Don Jablonski DO PA N
Dry Ridge Family Medicine PLLC N
East Asheville Family Health Care P.A. N
ENDOSCOPY CENTER OF NORTH CAROLINA N
Forest Dermatology, PA N
Franklin Family Practice, PA N
French Broad Pediatric Associates N
Halvorson Plastic Surgery, PA N
Haywood Pediatric and Adolescent Medicine Group, P.A. N
Hazelwood Family Medicine, PLLC N
Henderson County Hospital Corporation N
Hendersonville Pediatrics, P.A. N
Highlands-Cashiers Hospital, Inc. N
Highlands-Cashiers Physician Services Inc N
James J. Caserio, M.D., PA N
John Baker N
Krishna Internal Medicine, P.C. N
MemoryCare N
MH ANGEL MEDICAL CENTER, LLLP N
MH BLUE RIDGE MEDICAL CENTER, LLLP N
MH Highlands-Cashiers Medical Center, LLLP N
MH MISSION HOSPITAL MCDOWELL, LLLP N
MH MISSION HOSPITAL, LLLP N
MH MISSION IMAGING LLLP N
MH TRANSYLVANIA REGIONAL HOSPITAL, LLLP N
Mission Community Anesthesiology Specialists LLC N
Mission Hospitals Inc N
Mission Medical Associates Inc. N
Moore Foot & Ankle Specialists, PA N
Mountain Area Health Education Center, Inc. N
MOUNTAIN AREA PATHOLOGY PA N
Mountain Area Pediatric Associates, P.A. N
Mountain Diabetes And Endocrine Center PLLC N
Mountain Kidney & Hypertension Associates, P.A. N
Murphy Medical Center, Inc. N
North Buncombe Family Medicine, P.A. N
October Road, Inc. N
Our Family Doctor, PLLC N
Park Hill Medicine, PA N
Pathologists Medical Laboratory, P.A. N
Radiation Therapy Associates Of Western North Carolina, Pa N
STMD LLC N
The Family Health Centers, PA N
The McDowell Hospital Inc. N
The Pisgah Institute for Psychotherapy & Education PA N
Transylvania Community Hospital, Inc. N
Transylvania Physician Services Inc N
W.N.C. Ear Nose Throat Head and Neck Surgeons, PA N
Watauga Medical Center, Inc. N
WNC Birth Center N
WNC INTERNAL MEDICINE, PLLC 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
Buys Elizabeth Director Class I 1 ACO Participant Representative Mountain Area Health Education Center, Inc.
Cannon Lateef Director Class I 1 ACO Participant Representative Henderson County Hospital Corporation
Cramer Rebecca Director Class I 1 ACO Participant Representative Community Family Practice, PA
Goldie Jason Director Class I 1 ACO Participant Representative The Family Health Centers, PA
Heck Jeffery Director Class I and Board Chair 1 ACO Participant Representative Mountain Area Health Education Center, Inc.
Kubitschek Kenneth Director Class I 1 ACO Participant Representative Carolina Internal Medicine Associates, PA
Mahaffey Danielle Director Class I 1 ACO Participant Representative Appalachian Regional Medical Associates, Inc.
Moore Robert Director Class I 1 ACO Participant Representative North Buncombe Family Medicine, P.A.
Tomkins Calvin Director Class I 1 ACO Participant Representative Asheville Pediatric Associates
Weizman Michael Director Class I and Vice Chair 1 ACO Participant Representative Our Family Doctor, PLLC
Wells Ora Director Class I 1 ACO Participant Representative Hendersonville Pediatrics, P.A.
Franklin David Director Class II 1 ACO Participant Representative Mission Medical Associates Inc.
Garrett John Director Class II 1 Medicare Beneficiary Representative N/A
Gwynne Mark Director Class II 1 ACO Participant Representative Henderson County Hospital Corporation
Hathaway William Director Class II 1 ACO Participant Representative Mission Hospitals Inc
Mims Susan Director Class II 1 ACO Participant Representative Mountain Area Health Education Center, Inc.
Patrick Chad Director Class II 1 Community Stakeholder Representative N/A
Van Arkel Terence Director Class II 1 Community Stakeholder Representative N/A
Wysong Mark Director Class II 1 Community Stakeholder Representative N/A
Gerlach Amanda Ex Officio 0 Executive Director N/A
Russell Amy Ex Officio 0 Medical Director N/A
Key ACO Administrative Leadership
Amanda Gerlach ACO Executive        
Amy Russell, M.D. Medical Director        
Gwen McKinney Compliance Officer        
Amy Russell, M.D. Quality Assurance/Improvement Officer        
Associated Committees and Committee Leadership
Committee Name Committee Leader Name and Position
Finance and Compliance Committee Dr. Robert Moore/Chair
Quality Committee Dr. Wendy Coin/Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

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

Shared Savings and Losses

Amount of Shared Savings/Losses
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $5,375,365
    • Performance Year 2015, $0
Shared Savings Distribution
  • Second Agreement Period
    • 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: 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
2019 Quality Performance Results
ACO# Measure Name Rate ACO Mean    
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.69 85.86    
ACO-2 CAHPS: How Well Your Providers Communicate 93.47 94.11    
ACO-3 CAHPS: Patients’ Rating of Provider 92.57 92.69    
ACO-4 CAHPS: Access to Specialists 77.70 81.54    
ACO-5 CAHPS: Health Promotion and Education 63.15 60.44    
ACO-6 CAHPS: Shared Decision Making 63.81 62.78    
ACO-7 CAHPS: Health Status/Functional Status 74.13 73.79    
ACO-34 CAHPS: Stewardship of Patient Resources 30.78 26.17    
ACO-45 CAHPS: Courteous and Helpful Office Staff 91.51 92.84    
ACO-46 CAHPS: Care Coordination 87.30 86.89    
ACO-8 Risk Standardized, All Condition Readmission 13.60 14.86    
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.49 58.15    
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.62 1.87    
ACO-13 Falls: Screening for Future Fall Risk 86.25 84.04    
ACO-14 Preventive Care and Screening: Influenza Immunization 80.95 74.77    
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82.86 78.04    
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 77.07 70.40    
ACO-19 Colorectal Cancer Screening 73.50 70.76    
ACO-20 Breast Cancer Screening 72.80 73.84    
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 72.55 82.17    
ACO-40 Depression Remission at Twelve Months 11.90 13.58    
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 14.37 13.88    
ACO-28 Controlling High Blood Pressure 80.59 75.04    

 

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

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