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ACO Information

Triad HealthCare Network represents a new 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 (MSSP) 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 (NGACO). This new model builds on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through the new 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 program will provide quality care in a cost efficient manner with a patient-focused approach. THN shares the following information regarding its participation as a NGACO:

Accountable Care Organization Public Reporting Guidance

General and Organization Information

Next Generation ACO Participation Agreement– Click to review

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

ACO Primary Contacts

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

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

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

  • MSSP Performance Year 1: $21.5 million saved ($10.5 million received)
  • MSSP Performance Year 2: $3 million saved ($0 received as the Minimum Savings Requirement was not met)
  • Performance Year 3: -$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.

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 MSSP 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.