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)
A  
ABC Pediatrics of Asheville PA N
Appalachian Foot & Ankle Associates PA 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 Family Health Center PA N
Asheville Gynecology & Wellness Pllc N
Asheville Pediatric Associates N
Asheville Podiatry Associates PA N
Asheville Radiology Associates, PA 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
Community Family Practice, PA N
DERMATOLOGY CONSULTANTS OF NORTH ASHEVILLE N
Digestive Health Partners Pa N
Dr. Allan Dale Nash MD N
East Asheville Family Health Care P.A. N
ENDOSCOPY CENTER OF NORTH CAROLINA N
Forest Dermatology, PA N
French Broad Pediatric Associates N
Grave Evins MD PA 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
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 HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC 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
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 Pisgah Institute for Psychotherapy & Education PA N
W.N.C. Ear Nose Throat Head and Neck Surgeons, 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
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
Coin Wendy Director Class I 1 ACO Participant Representative The Family Health Centers, PA
Cramer Rebecca Director Class I 1 ACO Participant Representative Community Family Practice, PA
Frayne Daniel Director Class I 1 ACO Participant Representative Mountain Area Health Education Center, Inc.
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.
Midkiff Paul Director Class I 1 ACO Participant Representative The Family Health Centers, PA
Moore Robert Director Class I 1 ACO Participant Representative North Buncombe Family Medicine
Seneker Timothy Director Class I 1 ACO Participant Representative MH BLUE RIDGE MEDICAL CENTER, LLLP
Tomkins Calvin Director Class I 1 ACO Participant Representative Asheville Pediatric Associates
Wells Ora Director Class I 1 ACO Participant Representative/Medicare Beneficiary Representative Hendersonville Pediatrics, P.A.
Garrett John Director Class II 1 Community Stakeholder 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 MH MISSION HOSPITAL, LLLP
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
Young Matthew Director Class II 1 ACO Participant Representative MH MISSION HOSPITAL, LLLP
Gerlach Amanda Ex Officio 0 Executive Director N/A
Russell Amy Ex Officio 0 Medical Director N/A
Key ACO Administrative Leadership
ACO Executive Amanda Gerlach        
Medical Director Amy Russell, M.D.        
Compliance Officer Trudy Williams        
Quality Assurance/Improvement Officer Amy Russell, M.D.        
Associated Committees and Committee Leadership
Committee Name Committee Leader Name and Position
Finance and Compliance Committee Dr. Jeffery Heck/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 2020, $7,500,198.56
    • 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 2020
      • 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 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-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.80 0.95    
ACO-13 Falls: Screening for Future Fall Risk 79.63 84.97    
ACO-14 Preventive Care and Screening: Influenza Immunization 70.17 76.03    
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 82.50 81.67    
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 62.67 71.46    
ACO-19 Colorectal Cancer Screening 69.44 72.59    
ACO-20 Breast Cancer Screening 773.75 74.05    
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 80.04 83.37    
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 11.53 14.70    
ACO-28 Controlling High Blood Pressure 74.41 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

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