CHESS Value ACO Information
Shares Savings Program Public Reporting
ACO Name and Location
CHESS Value, LLC
100 Kimel Forest Drive, 4th Floor
Winston-Salem, NC 27103, U.S.A.
ACO Primary Contacts
Primary Contact Name
Nathan Buckwalter
(336) 821-7104
nbuckwalter@chesshealthsolutions.com

Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| Catawba Valley Medical Group Inc | N |
| Fletcher Hospital Inc | N |
| Northern Hospital District of Surry County | N |
ACO Governing Body
| Member | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name, if Applicable |
|---|---|---|---|---|
| Brian Beasley | Voting Member | 12.5% | ACO Participant Representative | Northern Hospital District of Surry County |
| Cindy Conner | Voting Member | 12.5% | ACO Participant Representative | Fletcher Hospital Inc |
| Courtney Scronce | Voting Member | 12.5% | ACO Participant Representative | Catawba Valley Medical Group Inc |
| Deborah Wooten | Voting Member | 12.5% | Medicare Beneficiary Representative | N/A |
| Emily Volk | Voting Member | 12.5% | ACO Participant Representative | Northern Hospital District of Surry County |
| Yates Lennon, MD | Voting Member | 12.5% | Other | N/A |
| Kelley Singer, MD | Voting Member | 12.5% | ACO Participant Representative | Fletcher Hospital Inc |
| Tom Hustead, MD | Voting Member | 12.5% | ACO Participant Representative | Catawba Valley Medical Group Inc |
Key ACO Clinical and Administrative Leadership
| Josh Vire (CHESS) | ACO Executive |
| Kelley Singer, MD (Fletcher Hospital Inc) | Medical Director |
| Melissa Pollock (CHESS) | Compliance Official |
| Yates A. Lennon, MD, MMM (CHESS) | Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| Performance Improvement Committee | Chair- Cindy Conner (Fletcher Hospital Inc) |
| Compliance Committee | Chair – Akshara Olson (Fletcher Hospital Inc) |
| Finance Committee | Chair – Melinda Fullbright (Catawba Valley Medical Group) |
Types of ACO participants, or combinations of participants, that formed the ACO
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
Amount of Shared Savings/Losses
Amount of Shared Savings/Losses – Second Agreement Period
- Performance Year 2024, $1,187,756.69
- Performance Year 2023, $0
- Performance Year 2022, $2,164,872.67
- Performance Year 2021, $0
- Performance Year 2020, $1,838,172.79
Amount of Shared Savings/Losses – First Agreement Period
- Performance Year 2019, $2,369,692.72
- Performance Year 2018, $1,402,453
- Performance Year 2017, $0
Shared Savings Distribution – Second Agreement Period
Performance Year 2024
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2023
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2021
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2020
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Shared Savings Distribution – First Agreement Period
Performance Year 2019
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2018
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

2024 Quality Performance Results
Quality performance results are based on CMS Web Interface collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 8.8 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1533 | 0.1517 |
| 484* | Clinician and Clinician Group Risk-Standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | 27.07 | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 85.84 | 88.99 |
| 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 70.77 | 68.6 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 96.43 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 74.6 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 73.3 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 89.33 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 33.33 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 11.11 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up | CMS Web Interface | 84.68 | 81.46 |
| 234 | Controlling High Blood Pressure | CMS Web Interface | 83.64 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Measures | 84.18 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Measures | 94.06 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Measures | 93.7 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Measures | 80.55 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Measures | 66.97 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Measures | 65.85 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Measures | 73.41 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Measures | 87.4 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Measures | 94.84 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Measures | 30.8 | 26.98 |
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Note: In the Quality Performance Results file(s) above, search for “CHESS Value, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3391 in the public use files on data.cms.gov.
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.
Payment Rule Waivers
Our ACO does not utilize any payment rule waivers.
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
This is NOT a 911 or Emergency Service: Do not contact the ACO to report events presenting an immediate threat to life or property. If you require emergency assistance, please call 911.
