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Commonwealth ACO Public Reporting

ACO Name and Location

AdvantagePoint Health Alliance - Bluegrass, LLC
(D.B.A. AdvantagePoint Health Alliance - Commonwealth)
330 Seven Springs Way
Brentwood, TN 37027

 


ACO Primary Contact

Primary Contact Name David Mastin
Primary Contact Phone Number (810) 919-7026
Primary Contact Email Address david.mastin@lpnt.net

Organizational Information

ACO Participants:

ACO Participant Legal Business Name and DBA, if applicable ACO Participant in Joint Venture (Y or N)
Kentucky Hospital, LLC (Clark Regional Medical Center) N
Bourbon Community Hospital LLC N
Bourbon Physician Practice LLC N
Clark Regional Physician Practices LLC N
Georgetown Community Hospital LLC N
Harold Helton N
Kentucky MSO LLC (Georgetown Physician Practices) N
Lake Cumberland Cardiology Associates, LLC N
Lake Cumberland Regional Hospital LLC N
Logan Family Practice LLC N
Logan Memorial Hospital LLC N
Logan Physician Practice LLC N
Meadowview Physician Practice LLC N
Meadowview Regional Medical Center LLC N
Pinelake Physician Practice, LLC (Jackson Purchase) N
Pinelake Regional Hospital LLC (Jackson Purchase) N
Robert Drake N
Somerset Medical Group, LLC N
Spring View Hospital LLC N
Spring View Physician Practices LLC N

 

ACO Governing Body:

Member First Name Member Last Name Title /Position Members' Voting Power  Membership Type ACO Participant Legal Business Name and DBA, if applicable​
Michelle Carpenter, MD Member 10% ACO Participant Representative Clark Regional Physician Practices LLC
Jack Evans Member 10% Medicare Beneficiary Representative N/A
Patrick Hayden, MD Member 10% ACO Participant Representative Logan Family Practice LLC
Amanda Lane, MD Member 10% ACO Participant Representative Kentucky MSO LLC
Michael McKinney, MD Member 10% ACO Participant Representative Lake Cumberland Physician Practices LLC
Robert Parker Member 10% ACO Participant Representative Lake Cumberland Regional Hospital LLC
Eric Ruby, MD Member 10% ACO Participant Representative Lake Cumberland Physician Practices LLC
Matthew Shea, MD Member 10% ACO Participant Representative Harold Helton
Matt Smith Member 10% ACO Participant Representative Kentucky Hospital, LLC
Kristen Phillips Member 10% Community Stakeholder Representative N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive David Mastin
Medical Director Barry Dixon, MD
Compliance Officer Ashlie Heald
Quality Assurance/Improvement Officer      Carol Ann Hudson

 


ACO Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Contracting and Finance Steve Sloan, Committee Chair
Quality and Performance Improvement       Carol Ann Hudson, Committee Chair
 

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

    • Federally Qualified Health Center (FQHC)
    • ACO Professionals in a group practice arrangement
    • Hospital Employing ACO Professionals
    • Network of individual practices of ACO professionals
    • Rural Health Clinic (RHC)
    • Critical Access Hospital (CAH) billing under Method II

Shared Savings and Losses

Amount of Shared Savings & Losses:

    • First Performance Period
      • Performance Year 2023, $0
      • Performance Year 2022, $0

Shared Savings Distribution:

    • First Performance Period
      • Performance Year 2023
        • N/A
      • Performance Year 2022
        • N/A

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on eCQMs/MIPS CQMs

Measure # Measure Name Collection Type ACO Performance ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] MIPS CQM 49.11 35.18
134 Preventive Care and Screening: Screening for Depression and Follow-up Plan eCQM 29.60 48.99
236 Controlling High Blood Pressure MIPS CQM 60.72 72.35
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] Administrative Claims 0.1757 0.1553
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 35.74 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 82.52 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.05 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 90.39 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 72.64 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 59.55 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 59.60 61.6
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 73.95 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 83.81 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 89.59 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 23.99 26.69

[1] A lower performance rate corresponds to higher quality.

For Previous Years' Financial and Quality Performance Results: please visit data.cms.com.


Payment Rule Waivers

    • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
      • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

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