CHESS Value ACO Information
Accountable Care Organization Public Reporting Guidance
ACO Name and Location
CHESS Value, LLC
165 Kimel Park Drive, Suite B
Winston-Salem, NC 27103
ACO Primary Contacts
Primary Contact Name
Melissa Pollock
(336) 821-7104
mpollock@chesshealthsolutions.com
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| Hugh Chatham Memorial Hospital, Inc. | N |
| Northern Hospital District of Surry County | N |
| 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
| Member | Title/Position | Member’s Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA |
|---|---|---|---|---|
| Paul Hammes | Voting Member | 10% | ACO Participant | Hugh Chatham Memorial Hospital |
| Ann Ashman | Voting Member | 10% | Medicare Beneficiary | N/A |
| Mary Blackburn | Chair & Voting Member | 10% | ACO Participant | Hugh Chatham Memorial Hospital |
| Russell Howerton, MD | Voting Member | 10% | Other | CHESS |
| LaRaye Rudicile | Voting Member | 10% | ACO Participant | Appalachian Regional Medical Associates, Inc. |
| Chris McCracken, MD | Voting Member | 10% | ACO Participant | Appalachian Regional Medical Associates, Inc. |
| Lavondia Alexander, NP | Voting Member | 10% | ACO Participant | Gaston Family Health Services, Inc. |
| Robert Spencer | Voting Member | 10% | ACO Participant | Gaston Family Health Services, Inc. |
| Lynn Lambert | Voting Member | 10% | ACO Participant | Northern Hospital District of Surry County |
| Richard Herber, MD | Voting Member | 10% | ACO Participant | Northern Hospital District of Surry County |
Key ACO Clinical and Administrative Leadership
| Michael Berwanger (CHESS) | ACO Executive |
| Paul Gulley, MD (Northern Regional) | Medical Director |
| Melissa Pollock (CHESS) | Compliance Official |
| Kimberly Vass-Eudy, DO (CHESS) | Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| Performance Improvement Committee | Chair- Emily Volk, Northern Regional Hospital |
| Compliance Committee | Chair- Lynn Lambert, Northern Regional Hospital |
| Finance Committee | Chair- Kent Thompson, Hugh Chatham Memorial Hospital |
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 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 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
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface
| Measure# | Measure Name | Rate | Mean |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | 12.03 | 12.46 |
| 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 65.86 | 74.38 |
| 236 | Controlling High Blood Pressure | 67.47 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 85.66 | 87.03 |
| 110 | Preventive Care and Screening: Influenza Immunization | 80.50 | 80.52 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 62.50 | 80.97 |
| 113 | Colorectal Cancer Screening | 67.82 | 73.63 |
| 112 | Breast Cancer Screening | 71.60 | 75.11 |
| 438 | Statin therapy for the Prevention and Treatment of Cardiovascular Disease | 83.40 | 84.24 |
| 370 | Depression Remission at Twelve Months | N/A | N/A |
| 321 | CAHPS for MIPS | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1422 | 0.1540 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) | 31.84 | 33.99 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
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.
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 Value, LLC and Circulation, Inc.
Date of arrangement: 05/03/2022
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 Value, LLC 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