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) |
| 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 Hospital, LLC (Clark Regional Medical Center) |
N |
| Kentucky MSO LLC (Georgetown Physician Practices) |
N |
| Lake Cumberland Cardiology Associates, LLC |
N |
| Lake Cumberland Regional Hospital 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
- Performance Year 2022
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
