ACO Information


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 (, 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

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

Primary Contact Email Address

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 BlackburnVoting Member8.33%ACO ParticipantHugh Chatham Memorial Hospital
Russell HowertonVoting Member8.33%OtherCHESS
Danielle Mahaffey, MDVoting Member8.33% ACO ParticipantAppalachian Regional Health System
Chris McCracken, MDVoting Member8.33%ACO ParticipantAppalachian Regional Health System
Lavondia Alexander, NPVoting Member8.33%ACO ParticipantKintegra Health
Robert SpencerVoting Member8.33%ACO ParticipantKintegra Health
Lynn LambertVoting Member8.33%ACO ParticipantNorthern Regional Hospital
Donald Gardner, MDVoting Member8.33%ACO ParticipantNorthern Regional Hospital

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- Mary Blackburn, Hugh Chatham Memorial 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 – First Agreement Period

  • Performance Year 2019, $2,369,692.72
  • Performance Year 2018, $1,402,453
  • Performance Year 2017, $0

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

2019 Quality Performance Results

ACO#Measure NameRateMean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information86.5285.86
ACO-2CAHPS: How Well Your Providers Communicate94.0094.11
ACO-3CAHPS: Patients’ Rating of Provider92.6492.69
ACO-4CAHPS: Access to Specialists78.3581.54
ACO-5CAHPS: Health Promotion and Education65.8260.44
ACO-6CAHPS: Shared Decision Making66.0662.78
ACO-7CAHPS: Health Status/Functional Status75.8873.79
ACO-34CAHPS: Stewardship of Patient Resources29.6926.17
ACO-45CAHPS: Courteous and Helpful Office Staff93.8992.84
ACO-46CAHPS: Care Coordination87.7086.89
ACO-8Risk Standardized, All Condition Readmission14.8714.86
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions47.2358.15
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91))1.631.87
ACO-13Falls: Screening for Future Fall Risk84.2784.04
ACO-14Preventive Care and Screening: Influenza Immunization58.9274.77
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention60.0078.04
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan55.2070.40
ACO-19Colorectal Cancer Screening73.6070.76
ACO-20Breast Cancer Screening73.9573.84
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular Disease75.7582.17
ACO-40Depression Remission at Twelve Months6.6713.58
ACO-27Diabetes: Hemoglobin A1c Poor Control (>9%)12.3013.88
ACO-28Controlling High Blood Pressure67.3475.04

Please note, the ACO-40 Depression Remission at 12 months quality measure
is not included in public reporting due to low sample size.

For 2018 Quality Performance Results please visit:

For 2017 Quality Performance Results please visit:

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

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

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