ACO Information

CHESS Value ACO

CHESS Value, LLC (CHESS Value) represents groups health care providers who have come together to give coordinated high quality care to the Medicare Fee-for-Service beneficiaries they serve. Coordinated care helps ensure that Medicare beneficiaries get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors.

The CHESS Value ACO is administered by Cornerstone Health Enablement Strategic Solutions, LLC (www.chesshealthsolutions.com), a physician-led company jointly owned by North Carolina Baptist Hospital, Cornerstone Health Care, LLC and Laboratory Corporation of America. ACO Participants include the physicians of AdventHealth Hendersonville (Fletcher Hospital, Inc.), Hugh Chatham Memorial Hospital, Grace Hematology and Oncology, Parkwood Eye Center, Carolina Ophthalmology, PA., Kintegra Health (Gaston Family Health Services) and Appalachian Regional Healthcare System (Watauga Medical Center, Appalachian Regional Medical Associates and Charles A. Cannon, Jr. Memorial Hospital). Through the ACO, participating providers are focused on improving access to care, enhancing clinical quality, and controlling costs.

In December 2016, CHESS Value chose to participate in the Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS) as an Accountable Care Organization (ACO). CHESS Value works with CMS through the shared savings program to provide high quality care in a cost efficient manner with a Medicare beneficiary focused approach.

CHESS Value provides the following information regarding its participation as a Medicare Shared Savings ACO.

Accountable Care Organization Public Reporting Guidance

ACO Name and Location

CHESS Value, LLC
Previous Names: N/A
165 Kimel Park Drive, Suite B
Winston-Salem, NC 27103

ACO Primary Contacts

Primary Contact Name
Michael Berwanger

Primary Contact Phone Number
336-802-2661

Primary Contact Email Address CHESSACO_Executive@chesshealthsolutions.com

Organizational Information

ACO ParticipantsACO Participant in Joint Venture
Fletcher Hospital, IncN
Carolina Ophthalmology, PAN
Grace Hematology and OncologyN
Hugh Chatham Memorial Hospital, Inc.N
Parkwood Eye Center, PAN
Northern Hospital District of Surry CountyN
Charles A. Cannon, Jr. Memorial Hospital, Inc. N
Appalachian Regional Medical Associates, Inc.N
Watauga Medical Center, Inc.N
Gaston Family Health Services, Inc.N

ACO Governing Body

MemberTitle/PositionMember’s Voting PowerMembership TypeACO Participant TIN
Legal Business Name/DBA
Christy SnellerVoting Member8.33%ACO ParticipantFletcher Hospital, Inc.
Kelley SingerVoting Member8.33%ACO ParticipantFletcher Hospital, Inc.
Paul HammesVoting Member8.33%ACO ParticipantHugh Chatham Memorial Hospital
Ann AshmanVoting Member8.33%Medicare BeneficiaryN/A
Mary BlackburnChair & Voting Member8.33%ACO ParticipantHugh Chatham Memorial Hospital
Russell Howerton, MDVoting Member8.33%OtherCHESS
Danielle Mahaffey, MDVoting Member8.33% ACO ParticipantAppalachian Regional Medical Associates, Inc.
Chris McCracken, MDVoting Member8.33%ACO ParticipantAppalachian Regional Medical Associates, Inc.
Lavondia Alexander, NPVoting Member8.33%ACO ParticipantGaston Family Health Services, Inc.
Robert SpencerVoting Member8.33%ACO ParticipantGaston Family Health Services, Inc.
Lynn LambertVoting Member8.33%ACO ParticipantNorthern Hospital District of Surry County
Donald Gardner, MDVoting Member8.33%ACO ParticipantNorthern Hospital District of Surry County

Key ACO Clinical and Administrative Leadership

Michael BerwangerACO Executive
Kelley Singer, MDMedical Director
Melissa PollockCompliance Official
Jesse James, MDQuality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Performance Improvement CommitteeChair- Dr. Kelley Singer, Fletcher Hospital, Inc
Compliance CommitteeChair- Lynn Lambert, Northern Regional Hospital
Finance CommitteeChair- Ella Stenstrom, Fletcher Hospital, Inc

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 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 2020

    • Proportion invested in infrastruction: 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 infrastruction: 15%
    • Proportion invested in redesigned care processes/resources: 5%
    • Proportion of distribution to ACO participants: 80%


    Performance Year 2018

    • Proportion invested in infrastruction: 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

    2020 Quality Performance Results

    ACO#Measure NameRateMean
    ACO-8Risk Standardized, All Condition Readmission14.8715.07
    ACO-38Risk Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions43.9949.50
    ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91))0.940.95
    ACO-13Falls: Screening for Future Fall Risk87.4584.97
    ACO-14Preventive Care and Screening: Influenza Immunization68.2676.03
    ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention50.0081.67
    ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan55.4271.46
    ACO-19Colorectal Cancer Screening72.6272.59
    ACO-20Breast Cancer Screening70.0074.05
    ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease72.7783.37
    ACO-40Depression Remission at Twelve Months3.5713.99
    ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control11.6514.70
    ACO-28Hypertension (HTN): Controlling High Blood Pressure68.4872.87

    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.

    Payment Rule Waivers

    Our ACO does not utilize any payment rule waivers.

    For More Information Regarding ACOs

    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