CHESS Innovation is administered by Cornerstone Health Enablement Strategic Solutions, LLC (CHESS) (www.chesshealthsolutions.com), a physician-led company owned by North Carolina Baptist Hospital, Cornerstone Health Care, and Laboratory Corporation of America.
CHESS Innovation Participants include the physicians and their teams from Wake Forest Health Network, Wake Forest University Health Sciences, and Catawba Valley Medical Group. A number of Skilled Nursing Facility Affiliates will also help coordinate care as part of the program.
CHESS Innovation has chosen to participate in the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Shavings Program (MSSP) accountable care organization (ACO). CHESS Innovation works with CMS through the shared savings program to provide high quality care in a cost efficient manager with a Medicare beneficiary focused approach.
CHESS Innovation provides the following information regarding its participation as a Medicare Innovation ACO.
Accountable Care Organization Public Reporting Guidance
ACO Name and Location
CHESS Innovation
165 Kimel Park Dr, Suite B
Winston-Salem, NC 27103
Hours: 9 am – 5 pm Monday through Friday
ACO Primary Contacts
Michael J. Berwanger, ACO Executive
CHESSACO_Executive@chesshealthsolutions.com
(336) 802-2661
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:
Jesse James, 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
Aggregate Amount of Shared Savings/Losses
Performance Year 1:
How Shared Savings Are Distributed
- 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.
Public Disclosures
CHESS Innovation Transportation Assistance Program
For more information regarding ACOS
- Talk to your Doctor
- Visit www.cms.gov/ACO
- Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week.
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