ACO Public Reporting Information

Organizational Information

  • ACO Participants

    ACO Participant in Joint Venture (Y or N)

  • Allergy Asthma Sinus Center

    N

  • Carolina Family Practice PA

    N

  • Florence Ears Nose & Throat, PC

    N

  • Healing Hands Family Practice, PLLC

    N

  • Internal Medicine Specialists of Florence, LLC

    N

  • Lumberton Internal Medicine Group, PA

    N

  • McLeod Health Cheraw

    N

  • McLeod Health Clarendon

    N

  • McLeod Loris Seacoast Hospital

    N

  • McLeod Medical Center-Dillon

    N

  • McLeod Physician Associates II

    N

  • Mcleod Regional Medical Center of The Pee Dee Inc

    N

  • Palmetto Radiation Oncology PA

    N

  • Plastic & Reconstructive Surgery of Sumter, PA

    N

  • W Dean Lorenz, MD PA

    N

ACO Governing Body

  • Member Last Name

    Member First Name

    Member Title/Position

    Member Voting Power

    Membership Type

    ACO Participant Legal Business Name/DBA, if applicable

  • Alexander

    C. Richard

    Chair

    1

    ACO Participant Representative

    McLeod Regional Medical Center

  • Farrell

    Howard

    Voting Member

    1

    ACO Participant Representative

    Florence Ears, Nose, and Throat

  • Jagadeesha

    Vinay

    Voting Member

    1

    ACO Participant Representative

    McLeod Regional Medical Center

  • Johnson

    Matt

    Voting Member

    1

    ACO Participant Representative

    McLeod Health

  • Jones

    Jennifer

    Voting Member

    1

    ACO Participant Representative

    McLeod Physician Associates II

  • Boyd

    William

    Voting Member

    1

    Medicare Beneficiary Respresentative

Key ACO Clinical and Administrative Leadership

  • ACO Executive

    Michelle Dore

  • Medical Director

    Dr. Winston Plunkett

  • Compliance Officer

    Jennifer Kirchner

  • Quality Assurance/Improvement Officer

    Michelle Dore

Associated Committees and Committee Leadership

  • Quality Operations Committee

    Alan Blaker, MD, Chair

  • Payment Transformation & Finance Committee

    William Boulware, MD, Chair

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Network of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2022, $0
    • Performance Year 2023, $0
  • First Agreement Period
    • Performance Year 2018, $4,347,851
    • Performance Year 2019, $4,225,332
    • Performance Year 2020, $0
    • Performance Year 2021, $0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2022
      • 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 2018
      • Proportion invested in infrastructure: 100%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 0%
    • Performance Year 2019
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%
    • 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 2021
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A
2023 Quality Performance Results:

  • Measure #

    Measure Name

    Collection Type

    Performance Rate

    CY Mean Performance Rate (SSP ACOs)

  • Quality ID# 001

    Diabetes: Hemoglobin A1C (HbA1c) Poor Control

    CMS Web Interface

    9.71

    9.84

  • Quality ID# 134

    Preventative Care & Screening: Screening for Depression & Follow-up Plan

    CMS Web Interface

    55.87

    80.97

  • Quality ID# 236

    Controlling High Blood Pressure

    CMS Web Interface

    69.35

    77.80

  • Quality ID# 318

    Falls: Screening for Future Fall Risk

    CMS Web Interface

    82.26

    89.42

  • Quality ID# 110

    Preventative Care & Screening: Influenza Immunization

    CMS Web Interface

    60.57

    70.76

  • Quality ID# 226

    Preventative Care & Screening: Tobacco Use: Screening & Cessation Intervention

    CMS Web Interface

    83.33

    79.29

  • Quality ID# 113

    Colorectal Cancer Screening

    CMS Web Interface

    64.52

    77.14

  • Quality ID# 112

    Breast Cancer Screening

    CMS Web Interface

    86.29

    80.36

  • Quality ID# 438

    Statin Therapy for Prevention & Treatment of Cardiovascular Disease

    CMS Web Interface

    89.75

    87.05

  • Quality ID# 370

    Depression Remission at 12 months

    CMS Web Interface

    2.78

    16.58

  • Quality ID# 321

    CAHPS for MIPS

    CMS Web Interface

    7.17

    6.25

  • Measure # 479

    Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups

    Admin Claims

    0.1588

    0.1553

  • Measure # 484

    Clinician & Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

    Admin Claims

    --

    35.39

  • CAHPS-1

    Getting Timely Care, Appointments & Information

    CMS Web Interface

    85.69

    83.68

  • CAHPS-2

    How Well Prroviders Communicate

    CMS Web Interface

    94.12

    93.69

  • CAHPS-3

    Patient's Rating of Provider

    CMS Web Interface

    94.13

    92.14

  • CAHPS-4

    Access to Specialists

    CMS Web Interface

    74.54

    75.97

  • CAHPS-5

    Health Promotion & Education

    CMS Web Interface

    60.94

    63.93

  • CAHPS-6

    Shared Decision Making

    CMS Web Interface

    66.88

    61.60

  • CAHPS-7

    Health Status & Functional Status

    CMS Web Interface

    72.59

    74.12

  • CAHPS-8

    Care Coordination

    CMS Web Interface

    88.35

    85.77

  • CAHPS-9

    Courteous & Helpful Office Staff

    CMS Web Interface

    91.04

    92.31

  • CAHPS-11

    Stewardship of Patient Resources

    CMS Web Interface

    27.75

    26.69

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.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

  • Parties to the arrangement: ACO Facility Participants, ACO Practice Participants, including Independently owned Physician Practices
  • Date of arrangement: 05/23/2021
  • Items, services, goods, or facility provided: OP-CDI Program Manager; dedicated OP-CDI specialists; technology to support opportunity assessment, workflow development, and monitor program performance
  • Date and nature of any amendments to the arrangement, if applicable: N/A

 

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