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ACO Name and Location

Southeastern Health Partners Medicare ACO, LLC
PO Box 26298
Greenville, SC 29616

ACO Primary Contact

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

 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
AnMed Health N
Articularis Healthcare Group, Inc. N
Cannon Memorial Hospital N
Cherokee Medical Center N
Galloway Regional Eye Center, PA N
Palmetto Anesthesia Associates N
Self Medical Group N
Self Regional Healthcare N
Self Regional Healthcare Partners N
Spartanburg Medical Center N
St. Francis Hospital, Inc. N
St. Francis Physician Services, Inc. N
The Surgery Center at Self Memorial Hospital, Inc. N
Union Medical Center N

 

ACO Governing Body:

Member Last Name Member First Name Member Title/Position Member’s Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Davis, MD Dean Board Chair 5.88% ACO Participant Representative Spartanburg Medical Center
Aycock Mark Board Member 5.88% ACO Participant Representative Spartanburg Medical Center
Baker, MD R. Phillip Board Member 5.88% ACO Participant Representative Self Memorial Regional Health Services
Blackstone, MD Marcus Board Member 5.88% ACO Participant Representative St. Francis Hospital
Butler Paul Board member 5.88% ACO Participant Representative Spartanburg Medical Center
Franks, MD Melody Board Member 5.88% ACO Participant Representative AnMed Health
Evans Tim Board Member 5.88% ACO Participant Representative Self Memorial Regional Health Services
Hertwig Camilla Board Member 5.88% Medicare Beneficiary representative N/A
Logan, MD Matt Board Member 5.88% ACO Participant Representative Self Memorial Regional Health Services
Malik, M.D. Syed Board member 5.88% ACO Participant Representative AnMed Health
Newman, MD Steve Board Member 5.88% ACO Participant Representative St. Francis Hospital
Seemuller, MD Michael Board Member 5.88% ACO Participant Representative AnMed Health
Siegel, MD Robert Board Member 5.88% ACO Participant Representative St. Francis Hospital
Tollefson Jennifer Board Member 5.88% ACO Participant Representative St. Francis Hospital
Ulmer, MD Nick Board Member 5.88% ACO Participant Representative Spartanburg Medical Center
Van Swol, MD Mark Board Member 5.88% ACO Participant Representative Self Memorial Regional Health Services
Wilson Suzanne Board Member 5.88% ACO Participant Representative AnMed Health

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Keith Newnam

Medical Director: Michael Seemuller, M.D.

Compliance Officer: Matthew Potter, J.D.

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

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Care Coordination Suzanne Wilson (Chair)
Compliance Matthew Potter, M.D. (Chair)
Finance and Contracting Paul Butler (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 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 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

2020 Quality Performance Results:

ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-43 [3] Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.06 0.95
ACO-13 Falls: Screening for Future Fall Risk 90.77 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 76.28 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 60.00 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 83.96 71.46
ACO-19 Colorectal Cancer Screening 80.13 72.59
ACO-20 Breast Cancer Screening 83.30 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.17 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.07 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.61 72.87

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov