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
| Michael Berwanger (CHESS) | ACO Executive |
| Paul Gulley, MD (Hugh Chatham Memorial Hospital) | Medical Director |
| Melissa Pollock (CHESS) | Compliance Official |
| Kimberly Vass-Eudy, DO (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 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 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
2022 Quality Performance Results
Quality performance results are based on CMS Web Interface
| Measure# | Measure Name | Rate | Mean |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | 10.98 | 10.71 |
| 134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 80.44 | 76.97 |
| 236 | Controlling High Blood Pressure | 73.31 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | 92.00 | 87.83 |
| 110 | Preventive Care and Screening: Influenza Immunization | 67.39 | 77.34 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 62.16 | 79.27 |
| 113 | Colorectal Cancer Screening | 67.79 | 75.32 |
| 112 | Breast Cancer Screening | 75.00 | 78.07 |
| 438 | Statin therapy for the Prevention and Treatment of Cardiovascular Disease | 83.93 | 86.37 |
| 370 | Depression Remission at Twelve Months | 11.11 | 16.03 |
| 321 | CAHPS for MIPS | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1437 | 0.1510 |
| 484 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) | 28.97 | 30.97 |
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