Carolina Medical Home Network Medicare Accountable Care Organization

 

According to § 425.30(b), ACOs are required to report the following information in a standardized format specified by CMS:

• ACO Name and Location

Carolina Medical Home Network ACO, LLC

4309 Emperor Blvd, Suite 430

Durham, NC 27703

 

• ACO Primary Contact

Lauren Lowery, Director of Operations, Carolina Medical Home Network

LoweryL@NCCHCA.org

(984)241-5914

 

• Organizational Information, including all of the following:
  • Identification of ACO participants
    1. Advance Community Health
    2. AppHealthCare
    3. Carolina Family Health Center
    4. CW Williams Community Health Center
    5. First Choice Community Health Center
    6. High Country Community Health Center
    7. MedNorth Health Center
    8. Mountain Community Health Partnership
    9. Person Family Medical Center
    10. Roanoke Chowan Community Health Center
    11. Robeson Health Care Corporation
    12. Western North Carolina Community Health Services

 

• • Identification of participants in joint ventures between ACO professionals and hospitals
    • None

 

• • Identification of the members of the ACO governing body

1. 1. 1. 1. Scot McCray, CEO, Advance Community Health
         2. Dr. Jennifer Greene, CEO, AppHealthCare
         3. Laura Owens, CEO, Carolina Family Health Center
         4. Debra Weeks, CEO, The C.W. Williams Community Health Center
         5. Sheila Simmons, CEO, First Choice Community Health Center
         6. Alice Salthouse, CEO, High Country Community Health
         7. Althea Johnson, CEO, MedNorth Health Center
         8. Tim Evans, CEO, Mountain Community Health Partnership
         9. Glenn Martin, CEO, Person Family Medical Center
         10. Reuben Pettiford, CEO, Roanoke Chowan Community Health Center
         11. Tim Hall, CEO, Robeson Health Care Corporation
         12. Anita Case, CEO, Western North Carolina Community Health Services
         13. Chrystal Shank, CEO, North Carolina Community Health Center Association
         14. Ruthie Johnson, Medicare Patient Representative, High Country Community Health
         15. Tim Gallagher, Community Stakeholder Representative

 

• • Identification of key clinical and administrative leadership
    • ACO Executive: Chris Shank
    • Medical Director: Dr. Rebecca Hayes
    • Compliance Official: Ed Balbuenas
    • Quality Assurance/Improvement Officer: Eva Powell

 

• • Identification of associated committees and committee leadership
    • Executive Committee: TBD
    • Quality Improvement and Performance Committee: TBD
    • Finance Committee: TBD
    • Compliance Committee: TBD

 

• • Identification of the types of ACO participants or combinations of participants that formed the ACO
    • Federally Qualified Health Centers (FQHCs)

 

• Shared Savings and Losses Information, including the following:
  • Amount of Shared Savings/Losses: To be completed after the conclusion of the performance year.
  • Shared Savings Distribution: To be completed after the conclusion of the performance year.

 

• Use of payment rules, specifically the Skilled Nursing Facility (SNF) 3-Day Rule Waiver specified under §425.612
  • No, CMHN ACO does not use the SNF-3-Day Rule Waiver.

 

• The ACO’s performance on all quality measures
  • To be completed after the conclusion of the performance year.