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) 821-7104

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:
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: N/A

Shared Savings Distribution:

First Agreement Period

Performance Year: N/A

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: N/A
  • Proportion of distribution to ACO Participants and Preferred Providers: N/A

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

CHESS Innovation Transportation Assistance Program

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