ACO Public Reporting

Shared Savings Program Public Reporting

ACO Name and Location

Southeastern Health Partners Medicare ACO, LLC

220 N. Main Street, Suite 500, Greenville, SC, 29601, U.S.A.

ACO Primary Contact

Keith Newnam

(864) 343-1934

info@southeasternhealthpartners.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Abbeville County Memorial Hospital No
AnMed Health No
Cannon Memorial Hospital No
Cherokee Medical Center No
Greenwood Eye Clinic, P.A. No
Palmetto Anesthesia Associates No
Piedmont Neurology No
Self Medical Group No
Self Regional Healthcare No
Self Regional Healthcare Partners No
Spartanburg Medical Center No
Union Medical Center No

 ACO Governing Body:

Member First Name Member Last Name Member Title/ Position Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Bruce Davis Board Member 7.70% ACO Participant Representative Spartanburg Medical Center
Dean Davis, M.D. Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Jim Harber, M.D. Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Camilla Hertwig Board Member 7.69% Medicare Beneficiary Representative N/A
Priya Kumar, M.D. Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Syed Malik, M.D. Board Member 7.69% ACO Participant Representative AnMed Health
Brad Mock, M.D. Board Member 7.70% ACO Participant Representative AnMed Health
Michael Seemuller, M.D. Board Member 7.69% ACO Participant Representative AnMed Health
Chandler Skelly Board Member 7.70% ACO Participant Representative Self Regional Healthcare
Chris Skinner Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Clint Stewart Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Mark Van Swol M.D. Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Suzanne Wilson Board Member 7.69% ACO Participant Representative AnMed Health

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive:  Keith Newnam

Medical Director:  Dean Davis, MD

Compliance Officer: Wendy Smith

Quality Assurance/Improvement Officer:  Michael Seemuller, MD

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance Mike Seemuller, MD , SEHP Clinical Performance Committee Chair
Compliance Wendy Smith, SEHP Compliance Committee Chair
Finance and Contracting Jamie Booth, SEHP Finance and Contracting Committee Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2025, N/A
  • Second Agreement Period
    • Performance Year 2024, $6,384,841.94
    • Performance Year 2023, $5,464,817.95
    • Performance Year 2022, $0.00
    • Performance Year 2021, $5,216,098.79
    • Performance Year 2020, $5,125,937.18
  • First Agreement Period
    • Performance Year 2019, $0.00
    • Performance Year 2018, $0.00
    • Performance Year 2017, N/A

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2025
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants: 100%
    • Performance Year 2023
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2022
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2020
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants: 75%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • 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

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure # Measure Title Collection Type Performance Rate Current Year Mean Performance Rate (Shared Savings Program ACOs)
321 CAHPS for MIPS CAHPS for MIPS Survey 7.57 6.67
479* Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1427 0.1517
484* Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims 34.24 37
318 Falls: Screening for Future Fall Risk CMS Web Interface 93.13 88.99
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 66.04 68.6
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 92.11 79.98
113 Colorectal Cancer Screening CMS Web Interface 87.57 77.81
112 Breast Cancer Screening CMS Web Interface 90.85 80.93
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 87.44 86.5
370 Depression Remission at Twelve Months CMS Web Interface 9.86 17.35
001* Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 6.38 9.44
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 89.79 81.46
236 Controlling High Blood Pressure CMS Web Interface 71.98 79.49
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 88.16 83.7
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.25 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.37 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.72 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 64.33 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 63.05 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.92 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.21 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 95.79 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 25.31 26.98

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.