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
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
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
Annointed Nephrology & HTN PLLC N
Cardiology Associates of North MS  N
Clay County Medical Corporation  N
Family Care of Ripley  N
Marion Regional Medical Center, INC.  N
North Mississippi Elctrophysiology, LLC N
North Mississippi Medical Clinics INC  N
Pontotoc Health Services, INC.  N
Relias Emergency Medicine Specialists of Tupelo LLC N
Tishomingo Health Services, INC. N
Tupelo Medical Group, LLC N
Webster Health Services INC  N
Surgery Associates PA Y
Surgery Clinic of Tupelo PA N
James White  N
Clyde Phillips N
North Mississippi Faculty Practic Plan LLC N
North Mississippi Gilmore Clinics LLC N
Barry Clark N
North East Orthopaedics PA N
Orthopaedic Institute of North Mississippi, LLC 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 Board Member  1 ACO Participant Representative Covington County Hospital
Green Jonathan  Board Member  1 ACO Participant Representative TAYLOR REGIONAL HOSPITAL
Baker-Witt Fran Board Member 1 ACO Participant Representative Effingham Hospital, Inc.
Anderson  John Treasurer  1 ACO Participant Representative Anderson Physician Alliance Inc.
Dickerson Marie  Board Member 1 Medicare Beneficiary
Representative
 


 
Rogers  Jamie  Board Member ACO Participant Representative  Choctaw Regional Medical Center
Lott Benjamin Board Member 1 ACO Participant Representative Copiah County Medical Center
Christensen Scott Board Member ACO Participant Representative Delta Regional Medical Center
Netterville  Chad Board Member 1 ACO Participant Representative Field Memorial Community Hospital
Boleware Mike Board Member 1 ACO Paricipant Representative Franklin County Memorial Hospital
Jordan Eric Board Member 1 ACO Participant Representative Jasper General Hospital
Hoover  Alvin Chairman  1 ACO Participant Representative Kings Daughter Medical Center 
Nakagawa Marc Board Member 1 ACO Participant Representative Magnolia Regional Health Center 
Nicaud Kent Vice-Chairman  1 ACO Participant Representative Memorial Hosptial at Gulfport
Thomas  Gene Board Member 1 ACO Participant Representative Memorial Hospital at Gulfport
Haarala Casey Board Member 1 ACO Participant Representative Meridian Medical Associates, PA
Gardner Paul Executive Director 1 ACO Participant Representative  Mississippi Hospital Association
McCall Lee Board Member 1 ACO Participant Representative Neshoba County General Hospital
Miller Sam Board Member 1 ACO Participant Representative North Sunflower Medical Center 
Jackson James Board Member 1 ACO Participant Representative Oktibbeha County Hospital
Mitchell Donna Board Member 1 ACO Participant Representativae Pearl River County Hospital & Nursing Home 
Paris  David  Board Member 1 ACO Participant Representative Perry County General Hospital 
Higginbottom Douglas  Secretary  1 ACO Participant Representative South Central Regional Medical Center
Morgan William ACO Medical Director  1 ACO Participant Representative St. Dominic Hospital Medicine LLC
Blackwood Jim Board Member 1 ACO Participant Representative Tallahatchie General Hospital
Chapman  Patrick Board Member 1 ACO Participant Representative Tippah County Hospital 
Staten Gary Board Member 1 ACO Participant Representative Trace Regional Hospital
Waddell Kathy Board Member 1 ACO Participant Representative Wayne General Hospital
Black Paul Board Member 1 ACO Participant Representative Winston County Medical Foundtation
Varner Terry Board Member 1 ACO Participant Representative Yalobusha General Hospital
           
 
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:

  • Critical Access Hospital (CAH) billing under Method II
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)
 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $0
 

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
 

Quality Performance Results

2018 Quality Performance Results:
ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.19 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.95 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.72 92.45
ACO-4 CAHPS: Access to Specialists 82.52 81.50
ACO-5 CAHPS: Health Promotion and Education 56.64 59.26
ACO-6 CAHPS: Shared Decision Making 63.95 61.94
ACO-7 CAHPS: Health Status/Functional Status 69.38 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 29.97 26.26
ACO-8 Risk Standardized, All Condition Readmission 15.57 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.79 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 49.98 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 102.45 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 80.31 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 3.22 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 68.69 85.91
ACO-13 Falls: Screening for Future Fall Risk 52.96 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 59.09 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 74.57 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 66.02 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 49.00 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 70.18 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 21.05 66.74
ACO-19 Colorectal Cancer Screening 57.71 68.27
ACO-20 Breast Cancer Screening 68.55 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.55 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 17.00 15.51
ACO-41 Diabetes: Eye Exam 43.87 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 68.65 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 87.90 88.92
 
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.  
Note: In the Quality Performance Results file(s) above, search for “CPSI ACO 3 LLC” or “Myriad Health Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A3566 in the public use files on data.cms.gov.

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.
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