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

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

2021 Quality Performance Results

Measure#Measure NameRateMean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control12.0312.46
134Preventive Care and Screening: Screening for Depression and Follow-up Plan65.8674.38
236Controlling High Blood Pressure67.4774.87
318Falls: Screening for Future Fall Risk85.6687.03
110Preventive Care and Screening: Influenza Immunization80.5080.52
226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention62.5080.97
113Colorectal Cancer Screening67.8273.63
112Breast Cancer Screening71.6075.11
438Statin therapy for the Prevention and Treatment of Cardiovascular Disease83.4084.24
370Depression Remission at Twelve Months7.5015.50
321CAHPS for MIPSN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups0.14220.1540
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)31.8433.99

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