ACO Name and Location

Southeastern Health Partners Medicare ACO, LLC
220 N. Main Street, Suite 500
Greenville, SC 29601

ACO Primary Contact

Keith Newnam
(804) 572-3669
keith_newnam@southeasternhealthpartners.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Abbeville County Memorial Hospital N
AnMed Health N
Articularis Healthcare Group, Inc. N
Cannon Memorial Hospital N
Cherokee Medical Center N
Galloway Regional Eye Center, PA N
Greenwood Eye Clinic, PA N
Palmetto Anesthesia Associates N
Piedmont Neurology N
Self Medical Group N
Self Regional Healthcare N
Self Regional Healthcare Partners N
Spartanburg Medical Center N
The Surgery Center at Self Memorial Hospital, Inc. N
Turning Point Women’s Center, PA N
Union Medical Center N

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
Dean Davis, MD Board Chair 7.69% ACO Participant Representative Spartanburg Medical Center
R. Phillip Baker, MD Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Paul Butler Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Bruce Davis Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Tim Evans Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Melody Franks, MD Board Member 7.69% ACO Participant Representative AnMed Health
Camilla Hertwig Board Member 7.69% Medicare Beneficiary representative N/A
Priya Kumar, MD Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Syed Malik, MD Board member 7.69% ACO Participant Representative AnMed Health
Michael Seemuller, MD Board Member 7.69% ACO Participant Representative AnMed Health
Nick Ulmer, MD Board Member 7.69% ACO Participant Representative Spartanburg Medical Center
Mark Van Swol, MD Board Member 7.69% ACO Participant Representative Self Regional Healthcare
Suzanne Wilson Board Member 7.69% ACO Participant Representative AnMed Health

Key ACO Clinical and Administrative Leadership:

ACO Executive: Keith Newnam

Medical Director: Dean Davis, M.D.

Compliance Officer: Wendy Smith

Quality Assurance/Improvement Officer: Michael Seemuller, M.D.

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Care Coordination Lu Bowman (Chair)
Compliance Wendy Smith (Chair)
Finance and Contracting Tim Evans (Chair)
Quality Michael Seemuller, M.D. (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:

  • Second Agreement Period
    • Performance Year 2022, $0
    • Performance Year 2021, $5,216,098.79
    • Performance Year 2020, $5,125,937.18
  • First Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0

Shared Savings Distribution:

  • Second Agreement Period
    • 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: N/A
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2020
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: N/A
      • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure # Measure Name Collection Type Rate ACO Mean
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 7.97 10.71
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 81.53 76.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 70.08 76.16
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 90.30 87.83
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 77.26 77.34
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 85.71 79.27
Measure # 113 Colorectal Cancer Screening CMS Web Interface 84.80 75.32
Measure # 112 Breast Cancer Screening CMS Web Interface 86.61 78.07
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 87.94 86.37
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 2.94 16.03
Measure # 321 CAHPS for MIPS CMS Web Interface N/A N/A
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1411 0.1510
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 30.21 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.75 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.77 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.28 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 80.25 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 64.86 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 58.99 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.06 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.96 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.61 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 30.71 25.62

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