CHESS Innovation ACO Information

Accountable Care Organization Public Reporting Guidance
ACO Name and Location
CHESS Innovation
165 Kimel Park Dr, Suite B
Winston-Salem, NC 27103
ACO Primary Contacts
Melissa Pollock, CMS Liaison
mpollock@chesshealthsolutions.com
(336) 821-7095
Organizational Information
ACO Participants | ACO Participant in Joint Venture |
Catawba Valley Medical Group | N |
Wake Forest Health Network, LLC | N |
Wake Forest University Health Sciences | N |
CHESS Innovation Governing Body
Member | Title/Position | Member’s Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA |
Yates Lackey | Voting Member | 10% | ACO Participant | Wake Forest University Health Sciences |
Richard Lord, MD | Voting Member | 10% | ACO Participant | Wake Forest University Health Sciences |
Bradley Clark | Voting Member | 10% | ACO Participant | Wake Forest University Health Sciences |
Scott Polster, MD | Voting Member | 10% | ACO Participant | Catawba Valley Medical Group |
Kimberly Crews | Voting Member | 10% | ACO Participant | Catawba Valley Medical Group |
Heather Spry, MD | Voting Member | 10% | ACO Participant | Wake Forest Health Network, LLC |
Jason Kihneman, MD | Voting Member | 10% | ACO Participant | Catawba Valley Medical Group |
Elisabeth Stambaugh, MD | Chair and Voting Member | 10% | ACO Participant | Wake Forest Health Network, LLC |
Barbara Geddie | Voting Member | 10% | Medicare Beneficiary & Consumer Advocate | |
Robert Dough, MD | Voting Member | 10% | ACO Participant | Wake Forest University Health Sciences |
Key ACO Clinical and Administrative
Leadership
Medical Director:
Elisabeth Stambaugh, MD, Wake Forest Health Network
ACO Executive:
Michael J. Berwanger, CHESS
Compliance Official:
Melissa Pollock, CHESS
Quality Assurance/Improvement Officer:
Yates Lennon, MD, CHESS
Associated Committees and Key Leadership
Personnel
Performance Improvement Committee (Quality):
Chair – Jason Kihneman, MD, Catawba Valley Medical Group
Compliance Committee:
Chair – Yates Lackey, Wake Forest University Health Sciences
Finance Committee:
Chair – Robert Dough, MD, Wake Forest Health Network
Types of ACO Participants, or Combinations of Participants that formed the ACO
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
Shared Savings/Losses
Amount of Shared Savings/Losses:
First Agreement Period:
- Performance Year 1:
Shared Savings Distribution:
First Agreement Period:
Performance Year:
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries:
- Proportion of distribution to ACO Participants and Preferred Providers:
Quality Performance Results
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.
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: CHESS Innovation, LLC and Circulation, Inc.
- Date of arrangement: 04/27/2022
- Items, services, goods, or facility provided: Transportation services (see link below)
- Date and nature of any amendments to the arrangement, if applicable: N/A
TTY users should call 1-877-486-2048.
CHESS Health Solutions Anonymous Reporting Hotline:
844-400-7620 or Click here to “Make a Report” online