ACO Information

CHESS Innovation

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 ParticipantsACO Participant in Joint Venture
Catawba Valley Medical GroupN
Wake Forest Health Network, LLCN
Wake Forest University Health SciencesN

CHESS Innovation Governing Body

MemberTitle/PositionMember’s Voting PowerMembership TypeACO Participant TIN
Legal Business Name/DBA
Yates LackeyVoting Member10%ACO ParticipantWake Forest University Health Sciences
Richard Lord, MDVoting Member10%ACO ParticipantWake Forest University Health Sciences
Bradley ClarkVoting Member10%ACO ParticipantWake Forest University Health Sciences
Scott Polster, MDVoting Member10%ACO ParticipantCatawba Valley Medical Group
Kimberly CrewsVoting Member10%ACO ParticipantCatawba Valley Medical Group
Heather Spry, MDVoting Member10%ACO ParticipantWake Forest Health Network, LLC
Jason Kihneman, MDVoting Member10%ACO ParticipantCatawba Valley Medical Group
Elisabeth Stambaugh, MDChair and Voting Member10%ACO ParticipantWake Forest Health Network, LLC
Barbara GeddieVoting Member10%Medicare Beneficiary & Consumer Advocate
Robert Dough, MDVoting Member 10%ACO ParticipantWake 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