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Triad HealthCare Network (THN) represents a model of healthcare delivery based on a strategy to better align physicians, hospitals and payers in order to provide better access to care, better clinical quality, and control costs.  In July 2012, THN was selected to participate in the Medicare Shared Savings Program through the Centers for Medicare and Medicaid Services (CMS) as an Accountable Care Organization (ACO).  As of January 1, 2016, THN was selected to participate in the Next Generation ACO. This Model builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through this Model, CMS will partner with THN and other ACOs that are experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward. This initiative will provide quality care in a cost efficient manner with a patient-focused approach. THN shares the following information regarding its participation as a Next Generation ACO:

Accountable Care Organization Public Reporting Guidance

General and Organization Information

ACO Name and Location

Triad HealthCare Network
300 E. Wendover Ave, Second Floor
Greensboro, NC 27401
Mailing address: 1200 N. Elm Street, Greensboro NC 27401

Hours of Operation: 8:30 AM – 5:00 PM

ACO Primary Contacts

James Osborne, MD, Chief Clinical Officer, THN
Employed by Eagle Physicians and Associates, P.A.
jim.osborne@conehealth.com
(336) 663-5122

Steve Neorr, Chief Administrative Officer, THN
Employed by Cone Health
Steve.Neorr@conehealth.com
(336) 663-5013

Composition of ACO:

Provider-led partnership between community physicians and Cone Health organized to improve healthcare in Greensboro and the greater Piedmont Triad area.

ACO Participants

  • Alamance Ear Nose and Throat LLP
  • Alamance Eye Care PA
  • Alamance Regional Medical Center Inc
  • Alamance Skin Center PA
  • Alliance Urology Specialists
  • ARMC Physicians Care Inc
  • Asheboro Digestive Disease Clinic PA
  • Ball Dermpath PA
  • Belmont Medical Associates PLLC
  • Bland Clinic PA
  • Carolina Kidney Associates PA
  • Central Carolina Kidney Associates PA
  • Central Carolina Surgery PA
  • Cox Family Practice PC
  • Dayspring Family Medicine Associates PLLC
  • Diagnostic Radiology & Imaging LLC
  • Diagnostic Radiology and Imaging LLC
  • Dr Cody Drake PA
  • Eagle Physicians and Associates PA
  • Edward J Bujold MD
  • Edward Lee Hawkins MD
  • Edwin J Green MD PA
  • Elizabeth Dewey MD
  • Five Points Medical Center Inc
  • Frederick A Lupton III MD PA
  • George R Kilpatrick MD PA
  • Greensboro Adult and Adolescent Internal Medicine
  • Greensboro Dermatology Associates PA
  • Greensboro Endocrinology PLLC
  • Greensboro Medical Associates PA
  • Greensboro Ophthalmology Associates PA
  • Greensboro Orthopaedics PA
  • Greensboro Pathology LLC
  • Greensboro Radiation Oncologists PA
  • Greensboro Radiology PA
  • Groat Eyecare Associates PA
  • Guilford Medical Associates PA
  • Guilford Medical Center PA
  • Hecker Ophthalmology PA
  • Highland Sleep Disorders and Neurology Inc
  • Hodges Family Practice Inc
  • Hospice at Greensboro Inc
  • Meridian Internal Medicine PA
  • Moses Cone Affiliated Physicians Inc
  • Moses Cone Medical Services Inc
  • Moses Cone Physician Services Inc
  • Northern Triad Surgical Associates PLLC
  • Nova Medical Associates LLC
  • Palladium Primary Care Inc
  • Piedmont Cardiovascular PA
  • Piedmont Healthcare for Women PA
  • Premiere Health Care Plus PA
  • Randolph Cancer Center LLC
  • Randolph Specialty Group Practice
  • Rockingham Medical and Kidney Care
  • Roy O Fagan III MD PA
  • Southeastern Orthopaedic Specialists PA
  • Su Wooi Teoh MD PA
  • Summit Family Medicine
  • Surgical Associates of Asheboro PLLC
  • Tesfaye Fanta
  • The Moses H Cone Memorial Hospital Operating Corporation
  • Triad Internal Medicine Associates PA
  • Wendover OB/GYN and Infertility Inc
  • White Oak Family Physicians PA
  • William W Truslow MD PLLC
  • Zack Hall MD PLLC

Triad HealthCare Network ACO Governing Body

  • Dr. Richard Aronson, Voting Member, Employed by Guilford Medical Associates, ACO participant representative
  • Dr. John Campbell, Voting Member and Chair, Employed by Regional Center for Infectious Disease, ACO participant representative
  • Dr. Peter Whitfield, Voting Member, Employed by Greensboro Chamber of Commerce,  ACO participant representative
  • Dr. Haywood Ingram, Voting Member, Employed by Central Carolina Surgery, ACO participant representative
  • Lee McAllister, Voting Member, Employed by Weaver Investment, Consumer Advocate, ACO participant representative
  • Terry Akin, Voting Member, Employed by Cone Health, ACO participant representative
  • Jim Roskelly, Voting Member, Employed by Cone Health, ACO participant representative
  • Craven Williams, Voting Member, Employed by Guilford College, Medicare Beneficiary Advocate

Triad HealthCare Network Committees and Key Leadership Personnel

  • Operating Committee: James Osborne, MD,  Operating Committee Chair; Employed by Eagle Internal Medicine at Tannenbaum
  • Quality Committee: Patrick Wright, MD, Quality Committee Chair; Employed by LeBaeur HealthCare
  • Contracting and Finance Committee Co-Chairs: Robert Reade, MD; Employed by Eagle Family Medicine at Triad; David Grapey, MD, Employed by Alliance Urology Specialists
  • Steve Neorr, Chief Administrative Officer, THN; Employed by Cone Health

Aggregate Amount of Shared Savings/Losses

  • Medicare Shared Savings Program Performance 2013: $21.5 million saved ($10.5 million received)
  • Medicare Shared Savings Program Performance 2014: $3 million saved ($0 received as the Minimum Savings Requirement was not met)
  • Medicare Shared Savings Program Performance 2015: -$105,754 due to CMS ($0 received as the Minimum Savings Requirement was not met)

How Shared Savings Are Distributed

Any earned shared savings will first be allocated to cover 100% of infrastructure costs. Shared Savings figures for the Next Generation ACO Model will be made available in 2017.

Twenty-five percent (25%) of any available margin after infrastructure costs are covered (up to $2M per year) will be paid to Cone Health as a repayment of Cone’s initial investment in the startup of Triad HealthCare Network.  Such allocation will be paid to Cone until its initial investment is recovered.

Seventy-five percent (75%) of any available margin after infrastructure costs are covered will be distributed to ACO Participants (Primary Care Physicians, Specialists and Cone Health) based on performance measures determined by Triad HealthCare Network.

Quality Reporting

Medicare Shared Savings Quality Reporting 2012 – 2014: Click here

2015 Medicare Shared Savings Program Performance Summary Statistics
Performance Measure ACO Performance Rate Mean Performance Rate for All ACOs
Patient Care Experience- CAHPS Survey
Getting Timely Care 85.2 80.61
How well providers communicate 91.83 92.65
Patients Rating of Provider 91.63 91.94
Access to Specialist 81.01 83.61
Health Promotion and Education 59.89 59.06
Shared Decision Making 76 75.17
Health Status/Function 73- Reporting only 75.17
Stewardship of Patients Resources 27 Reporting only 72.3
Care Coordination/Patient Safety
Risk Standardized, All Condition Readmissions 13.82 14.86
Admissions: COPD or Asthma 0.88 1.11
Admissions: HF 1.27 1.04
SNF 30 day all-cause Readmission 17.02- Reporting only 18.07
All-cause Unplanned Admissions for Patients with Diabetes 52.41- Reporting only 54.6
All-Cause Unplanned Admissions for patients with HF 75.76- Reporting only 76.96
All-Cause Unplanned Admissions for Multiple Chronic Conditions 65- Reporting only 62.92
Percent of PCPs who Successfully meet meaningful use requirments 92.24 76.22
Documentation of Current Medication in the Medical Record 78.91- Reporting only 84.07
Screening for future falls risk 63.67 56.46
Preventative Health
Flu Immunization 78.99 62.03
Pneumonia Immunization 85.08 63.73
BMI and follow up 68.29 71.15
Tobacco Use and Cessation Intervention 91.53 90.16
Depression Screening and follow up 54.07 45.25
Colorectal Screening 80.24 60.06
Breast Cancer Screening 77.82 65.67
BP Screening and follow up 68.15 70.04
At Risk Population
Depression Remission at 12 months 19.23- Reporting only 6.11
Diabetes Composite- All or nothing 37.90- Reporting only 35.38
Hemoglobin A1C Poor Control 18.15- Reporting only 20.38
Eye Exam 43.15- Reporting only 41.05
HTN- Controlling High BP 73.39 69.62
IVD- use of ASA or Antithrombotic 82.66 83.82
HF= Beta blocker therapy 88.02 87.22
CAD and ACE/ARB 82.44 77.73

For more information on how to interpret scores on the above quality performance measures, see http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf

For more information regarding ACOs:

  • Talk to your doctor
  • ACO Beneficiary Fact Sheet, Accountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare.
  • Visit www.cms.gov/ACO
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048.