ACO Report

ACO Name & Location
MUSC Health Alliance, LLC
Previous Names: N/A
1 Poston Road
Suite 320
Charleston, South Carolina 29407

ACO Primary Contact
David S. Louder, M.D., MBA, FAAP
843-792-8779
louder@musc.edu

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Y or N)

University Medical Associates

N

Carolina Family Care Inc

N

Medical University Hospital Authority

N

MUSC Health Partners

N

 

 ACO Governing Body 

Last Name

First Name

Title/Position

Member's Voting Power – Expressed as a percentage of number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Battle

James

Board Member

1

ACO Participant Representative

Medical University Hospital Authority

Sade

Robert

Board Member

1

Medicare Beneficiary Representative

N/A

Louder

David

Executive Director/Medical Director

0

ACO Participant Representative

University Medical Associates

Greenwood

Eva

Treasurer

1

ACO Participant Representative

University Medical Associates

Steyer

Terry

Board Member

1

ACO Participant Representative

University Medical Associates

Cawley Patrick Chair

1

ACO Participant Representative

Medical University Hospital Authority

Hong

Eugene

Vice-Chair/Secretary

1

ACO Participant Representative

University Medical Associates

 Stavrinakis

Michael

Board Member

1

ACO Participant Representative

Medical University Hospital Authority

 Zwerner

Peter

Board Member

1

ACO Participant Representative

University Medical Associates

Key ACO Clinical & Administrative Leadership

  • David Louder, M.D. - ACO Executive
  • David Louder, M.D. - Medical Director
  • Kellie Mendoza - Compliance Officer
  • Danielle Scheurer, M.D. - Quality Assurance/Improvement Officer

Associated Committees & Committee Leadership

  • Clinical Transformation and Quality - David Louder, M.D. & Danielle Scheurer, M.D., Co-Chairs
  • Finance and Contracting - Eva Greenwood & Karyn Rae, Co-Chairs
  • Affiliations and Compliance - Matt Severance & Kellie Mendoze, Co-Chairs
  • IT and Analytics - Adam Hamilty & Amelia Reynoldson, Co-Chairs

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings & Losses 

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2019, $918,132
    • Performance Year 2018, ($269,779)
    • Performance Year 2017, ($291,310)

Shared Savings Distribution

  • First Agreement Per Performance Year 2019
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 60%
    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

 2019 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

87.48

85.86

ACO-2

CAHPS: How Well Your Providers Communicate

94.09

94.11

ACO-3

CAHPS: Patients' Rating of Provider

93.67

92.69

ACO-4

CAHPS: Access to Specialists

84.40

81.54

ACO-5

CAHPS: Health Promotion and Education

62.97

60.44

ACO-6

CAHPS: Shared Decision Making

63.79

62.78

ACO-7

CAHPS: Health Status/Functional Status

75.75

73.79

ACO-34

CAHPS: Stewardship of Patient Resources

23.06

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

93.75

92.84

ACO-46

CAHPS: Care Coordination

88.87

86.89

ACO-8

Risk-Standardized, All Condition Readmission

14.89

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

60.03

58.15

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.63

1.87

ACO-13

Falls: Screening for Future Fall Risk

98.67

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization

96.69

74.77

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

100.00

78.04

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

93.58

70.40

ACO-19

Colorectal Cancer Screening

67.01

70.76

ACO-20

Breast Cancer Screening

77.26

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.94

82.17

 ACO-40 Depression Remission at 12 months 0.00 13.58

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

15.46

13.88

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

69.74

75.04

 

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.