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 |
| Gaston Family Health Services, Inc. DBA: Kintegra Health | N |
ACO Governing Body
| Member | Title/Position | Member’s Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA |
|---|---|---|---|---|
| Mary Blackburn | Chair & Voting Member | 12.5% | ACO Participant | Hugh Chatham Memorial Hospital |
| Paul Hammes | Voting Member | 12.5% | ACO Participant | Hugh Chatham Memorial Hospital |
| Kevin May | Voting Member | 12.5% | ACO Participant | Hugh Chatham Memorial Hospital |
| Veronica Feduniec | Voting Member | 12.5% | ACO Participant | Gaston Family Health Services, Inc. |
| Lavondia Alexander, RN, MSN, MBA | Voting Member | 12.5% | ACO Participant | Gaston Family Health Services, Inc. |
| Robert Spencer | Voting Member | 12.5% | ACO Participant | Gaston Family Health Services, Inc. |
| Bill Mariencheck, MD | Voting Member | 12.5% | Other | Wake Forest University Health Sciences |
| Ann Ashman | Voting Member | 12.5% | Medicare Beneficiary | N/A |
Key ACO Clinical and Administrative Leadership
| Josh Vire (CHESS) | ACO Executive |
| Paul Gulley, MD (Hugh Chatham Memorial Hospital) | 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 – Lavondia Alexander, RN, MSN, MBA, Gaston Family Health Services, Inc. DBA: Kintegra Health |
| Compliance Committee | Chair – Lavondia Alexander, RN, MSN, MBA, Gaston Family Health Services, Inc. DBA: Kintegra Health |
| Finance Committee | Chair – Paul Hammes, 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 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 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
2023 Quality Performance Results
Quality performance results are based on CMS Web Interface
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
| Quality ID#: 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] | CMS Web Interface | 9.59 | 9.84 |
| Quality ID#: 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 82.63 | 80.97 |
| Quality ID#: 236 | Controlling High Blood Pressure | CMS Web Interface | 70.59 | 77.80 |
| Quality ID#: 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 92.31 | 89.42 |
| Quality ID#: 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 52.92 | 70.76 |
| Quality ID#: 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 85.71 | 79.29 |
| Quality ID#: 113 | Colorectal Cancer Screening | CMS Web Interface | 70.57 | 77.14 |
| Quality ID#: 112 | Breast Cancer Screening | CMS Web Interface | 75.65 | 80.36 |
| Quality ID#: 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 85.77 | 87.05 |
| Quality ID#: 370 | Depression Remission at Twelve Months | CMS Web Interface | 10.71 | 16.58 |
| Quality ID#: 321 | CAHPS for MIPS [2] | CMS Web Interface | 6.01 | 6.25 |
| Measure # 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | CMS Web Interface | 0.1434 | 0.1553 |
| Measure # 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 33.27 | 35.39 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Measures | 80.77 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Measures | 92.71 | 93.69 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Measures | 91.61 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Measures | 79.94 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Measures | 62.06 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Measures | 60.67 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Measures | 72.93 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Measures | 85.81 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Measures | 93.16 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Measures | 31.48 | 26.69 |
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 seeds protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
For each arrangement, provide the following information:
- 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