ACO Public Reporting

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
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

First Name

 Member

Last Name

 Member

Title/Position

 Member’s Voting Power Membership Type ACO Participant Legal Business Name, 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 Regional Healthcare
Butler Paul Board Member 5.88% ACO Participant Representative Spartanburg Medical Center
Evans Tim Board Member 5.88% ACO Participant Representative Self Regional Healthcare
Franks, MD Melody Board Member 5.88% ACO Participant Representative AnMed Health
Gaur, MD Surabhi Board Member 5.88% ACO Participant Representative St. Francis Hospital
Hertwig Camilla Board Member 5.88% Medicare Beneficiary representative N/A
Kumar, MD Priya Board Member 5.88% ACO Participant Representative Self Regional Healthcare
Malik, MD 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 Regional Healthcare
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 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 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 75%
    • Performance Year 2021
      • 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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

 

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 9.26 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 88.33 74.38
236 Controlling High Blood Pressure 68.89 74.87
318 Falls: Screening for Future Fall Risk 91.68 87.03
110 Preventative Care and Screening: Influenza Immunization 80.92 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.59 80.97
113 Colorectal Cancer Screening 76.63 73.63
112 Breast Cancer Screening 84.41 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.79 84.24
370 Depression Remission at Twelve Months N/A N/A
321 CAHPS for MIPS N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1457 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 2 32.27 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 84.99 84.67
CAHPS-2 How Well Providers Communicate 93.34 93.56
CAHPS-3 Patient’s Rating of Provider 91.99 92.19
CAHPS-4 Access to Specialists 82.37 78.80
CAHPS-5 Health Promotion and Education 58.26 61.61
CAHPS-6 Shared Decision Making 62.81 60.89
CAHPS-7 Health Status and Functional Status 71.85 71.78
CAHPS-8 Care Coordination 87.35 85.66
CAHPS-9 Courteous and Helpful Office Staff 94.35 91.88
CAHPS-11 Stewardship of Patient Resources 21.02 24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

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