ACO Name and Location

CPSI ACO 3 LLC
7509 NW Tiffany Springs Parkway
Ste. 310
Kansas City, Missouri 64153

ACO Primary Contact

Primary Contact Name Deven Killough
Primary Contact Phone Number 916-542-4582
Primary Contact Email Address dkillough@caravanhealth.com

Organizational Information

ACO participants:
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Moore Orthopedics and Sports Medicine N
CARTERET MEDICAL GROUP LLC N
South Central Clinics, Inc N
Effingham Hospital Inc Y
CARTERET COUNTY GENERAL HOSPITAL CORPORATION Y
Carteret Surgical Associates N
Richard A Bloomfield N
Sea Breeze Family Practice PA N
TAYLOR REGIONAL HOSPITAL Y
Hospital Authority of Liberty Y
Jefferson Medical Associates N
South Central Regional Medical Center Y
Covington County Hospital Y
Noxubee General Critical Access Hospital Y
Alonzo J. Davis, IV, M.D., PHD., PC N
  
ACO governing body:
Member Member’s Voting Power Membership Type ACO Participant TIN
Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
McKay Danny Board Member 1 ACO Participant Representative Noxubee General Critical Access Hospital
Higginbotham Douglas Board Member 1 ACO Participant Representative South Central Regional Medical Center
Brvenik Richard Board Member 1 ACO Participant Representative CARTERET COUNTY GENERAL HOSPITAL CORPORATION
Gibbes Gregg Vice-Chairman 1 ACO Participant Representative Covington County Hospital
McLeod Karen Secretary / Treasurer 1 ACO Participant Representative TAYLOR REGIONAL HOSPITAL
Baker-Witt Fran Chairman 1 ACO Participant Representative Effingham Hospital, Inc.
Hester Michael Board Member 1 ACO Participant Representative Hospital Authority of Liberty
McDannald,
Jr., MD, MHA
Eugene Board Member 1 Medicare Beneficiary
Representative
 
 
 
Key ACO clinical and administrative leadership:
Robert Humphrey ACO Executive
Thomas Dobbs, MD Medical Director
Leeann Hastings Compliance Officer
Rayna Caplan Quality Assurance/Improvement Officer
 
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Information Technology Committee James Patterson, Chairman
Care Coordination & Patient Engagement Committee Nina Brown, Chairman
Evidence-Based Medicine Committee James Medlin, MD, Chairman
Finance Committee Meg Ebert, Chairman
Quality & Performance Improvement Committee Holly Rigdon, Chairman
 
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses
  • N/A
Shared Savings Distribution
  • N/A

Quality Performance Results

Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.