ACO Name and Location

CPSI ACO 3 LLC
dba Myriad Health Alliance
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)
SURGERY CLINIC OF PHILADELPHIA N
OCH PULMONOLOGY N
OCH CENTER FOR PAIN MANAGEMENT N
Richard A Bloomfield N
Alonzo Davis N
MAGNOLIA HOSPITALIST GROUP N
OCH PROFESSIONAL SERVICES N
MAGNOLIA CARDIOVASCULAR AND THORACIC CLINIC N
MAGNOLIA REGIONAL COMMUNITY CARE CLINIC N
OCH FAMILY PRACTICE ACKERMAN N
ST. DOMINIC MEDICAL ASSOCIATES LLC N
OCH GENERAL SURGERY ASSOCIATES N
Moore Orthopedics and Sports Medicine N
MAGNOLIA PHYSICIAN SERVICES, INC. N
ANDERSON PHYSICIAN ALLIANCE INC Y
CARTERET MEDICAL GROUP LLC N
MAGNOLIA CARDIOLOGY ASSOCIATES N
MAGNOLIA SPECIALTY CLINIC N
South Central Clinics, Inc N
KDMC PHYSICIAN CLINICS LLC N
WINSTON MEDICAL CLINIC LLC N
RALEIGH FAMILY HEALTH CLINIC PLLC N
CHOCTAW REGIONAL MEDICAL CENTER N
OCH ORTHOPEDIC CENTER N
MAGNOLIA GENERAL AND VASCULAR SURGERY CLINIC N
Effingham Hospital Inc Y
CARTERET COUNTY GENERAL HOSPITAL CORPORATION Y
Carteret Surgical Associates N
Sea Breeze Family Practice PA N
MAGNOLIA PROFESSIONAL ASSOCIATES N
TAYLOR REGIONAL HOSPITAL Y
SOUTHERN HEALTH CORP OF HOUSTON, INC N
Hospital Authority of Liberty Y
KINGS DAUGHTERS MEDICAL CENTER Y
ANDERSON REGIONAL MEDICAL CENTER Y
JASPER GENERAL HOSPITAL N
YALOBUSHA GENERAL HOSPITAL N
OKTIBBEHA COUNTY HOSPITAL N
DELTA REGIONAL MEDICAL CENTER N
MERIDIAN MEDICAL ASSOCIATES, PA Y
Jefferson Medical Associates N
PEARL RIVER COUNTY HOSPITAL & NURSING HOME N
DELTA MEDICAL GROUP N
NESHOBA COUNTY GENERAL HOSPITAL Y
COPIAH COUNTY MEDICAL CENTER Y
TIPPAH COUNTY HOSPITAL N
FRANKLIN COUNTY MEMORIAL HOSPITAL N
NORTH SUNFLOWER MEDICAL CENTER Y
WAYNE GENERAL HOSPITAL N
South Central Regional Medical Center Y
Covington County Hospital Y
Noxubee General Critical Access Hospital Y
FIELD MEMORIAL COMMUNITY HOSPITAL N
MEMORIAL HOSPITAL AT GULFPORT Y
WINSTON COUNTY MEDICAL FOUNDATION N
TALLAHATCHIE GENERAL HOSPITAL Y
Alonzo J. Davis, IV, M.D., PHD., PC N
NESHOBA PHYSICIAN BILLING SERVICE N
OCH CENTER FOR BREAST HEALTH N
CALHOUN MEDICAL CLINIC LLC Y
MAGNOLIA REGIONAL HEALTH CENTER Y
OCH FAMILY HEALTH CLINIC N
MAGNOLIA EXPRESS CARE N
MAGNOLIA FAMILY CLINIC N
MAGNOLIA WOMEN'S CENTER N
MAGNOLIA ER PROVIDERS N
MAGNOLIA EAR NOSE & THROAT N
MAGNOLIA WOUND & HYPERBARIC CLINIC N
MEA PRIMARY CARE PLUS, LLC N
MAGNOLIA INTERNAL MEDICINE N
MAGNOLIA REGIONAL BEHAVIORAL HEALTH SERVICES N
ST. DOMINIC HOSPITAL MEDICINE LLC Y
MAGNOLIA NEPHROLOGY CLINIC N
PERRY COUNTY GENERAL HOSPITAL Y
MAGNOLIA PROFESSIONAL BILLING N
MAGNOLIA PRIMARY CARE N
MAGNOLIA FAMILY MEDICAL PRACTICE N
MAGNOLIA SURGICAL GROUP N
OCH MEDICAL ASSOCIATES 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.
Arrangements Disclosed
 
The ACO Board of Managers for CPSI ACO 3 LLC (“Board”) has formally determined the following arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (“MSSP”), as required for use of the MSSP ACO Participation Waiver:
 
Participant Support Arrangements
 
Under the applicable Participant Agreements between the ACO and the Participants listed above, certain Participants are designated as Principal Participants and others are Non-Principal Participants.  Under the Service Agreements between each Participant and Caravan Health, Inc., the Principal Participants have agreed to pay for certain ACO-related expenses of the Non-Principal Participants in their respective regions, including management fees owed by each Non-Principal Participant.  In each case, the fees and other expenses paid by the Principal Participants on behalf of the Non-Principal Participants will be set in advance, will not vary based on the volume or value of any referrals between the Principal Participants and Non-Principal Participants (except to the extent such referrals indirectly contribute to the earning of shared savings or shared losses as applicable).
 
Through a formal resolution dated March 27, 2018, the Board determined that these arrangements are reasonably related to the purposes of the Medicare Shared Savings Program because they facilitate the participation of the Non-Principal Participants in the Medicare Shared Savings Program, which: i) promotes the accountability of Non-Principal Participants for the quality, cost, and overall care for a Medicare patient population as described in the Shared Savings Program; ii) promotes the management and coordination of care for Medicare fee-for-service beneficiaries attributed to Non-Principal Participants through an ACO; and iii) encourages investment in infrastructure and redesigned care processes for high quality and efficient service delivery for patients, including Medicare beneficiaries, served by Non-Principal Participants.