HH Health System ACO, LLC

ACO Name and Location

HH Health System ACO, LLC
101 Sivley Road
Huntsville, AL 35801

ACO Primary Contact

Primary Contact Name: Sherry Fussell
Primary Contact Phone Number: (256) 265-7766
Primary Contact Email Address: This email address is being protected from spambots. You need JavaScript enabled to view it.

Organizational Information

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Agape Medicine LLC N
Athens Community Care N
Athens Limestone Surgical Clinic N
ALH Hospitalist N
Athens Limestone ER Physicians N
Athens Limestone Health Services N
Athens Limestone Pain Center N
Athens Limestone Sleep Clinic N
Athens Neurological N
Athens and Limestone County Health Care Authority N
Breast Care Center, P.C. N
Clifton Care Inc N
CRNA Services of DGH N
Capshaw Family Care N
Decatur Morgan Emergency Medicine N
Decatur Morgan GI and Nutrition N
Decatur Morgan Infectious Diseases & Travel Medicine N
Decatur Morgan Internal Medicine N
Decatur Morgan Neurology N
Decatur Morgan Primary Care N
Decatur Womens Healthcare N
Decatur Morgan Gastroenterology N
Decatur Morgan Hospitalist Group N
Elkmont Community Care N
Emergency Physicians Group N
Eyecare Associates, Inc. N
Eastside Family Medicine N
Go Medical Corporation, PC N
Growing Together Pediatrics N
Hartselle Family Practice N
Harselle Med-Peds N
Healthpointe N
HH Digestive Disease Center N
HH Health System - Morgan Inc. N
HH Health System - Morgan LLC N
HH Health System - Shoals LLC N
Medicare-Enrolled TIN N
HH Health System - Athens Limestone LLC N
HH Heart Center LLC N
HH Observation Center N
HH Physician Care N
HH Physician Care - Fayetteville Medical Associates N
HH Physicians Network N
HH Physician Care - Elkton Tennessee N
HH Surgical Associates - Robert Lancaster MD N
Huntsville Hospital Spine & Neuro Center N
Hazel Green Pediatrics N
Health Care Authority of The City of Huntsville N
Healthcare Authority of The City of Huntsville N
Healthcare Authority of The City of Huntsville N
Healthcare Authority of The City of Huntsville N
Huntsville Hospital Anesthesia N
Huntsville Hospital Endocrine and Diabetes Clinic N
Huntsville Hospital Internal Medicine N
Huntsville Hospital Lung Center N
Huntsville Hospital Madison Internal Medicine N
Huntsville Hospital Medical Clinic at Hampton Cove N
Huntsville Hospital Palliative Care Services N
Huntsville Hospital Pediatric Neurology N
Huntsville Hospital Surgical Associates of Madison N
IM Clinic LLC N
Iqbal Saeed MD LLC N
Koonce Surgical PC N
Limestone Internal Medicine Center N
Limestone Urology Associates N
Marshall Medical Center South Medical Specialists of North Alabama N
Marshall Primary Care N
Medical Asset Group LLC N
Medical East N
Madison Surgical Associates N
Marshall Medical Center North N
Marshall Medical Center North N
Marshall Medical Center North N
Marshall Medical Center North Medical Centers Behavioral Health Clinic N
Marshall Medical Center South N
Marshall Medical Center South N
Marshall Medical Center South N
Marshall Medical Center South N
Marshall Medical Center South N
Marshall Medical Center South Diamond Hospital Services N
Marshall Medical Center South Manganaris Pulmonology N
Marshall Medical Center South Medical Oncology Services N
Marshall Medical Center South Moore OBGYN Services N
Medwest Clinic N
New Life Family Medicine N
Northeast Alabama Dermatology LLC N
NW Alabama Practice Management, LLC N
Neurology Consultants of Huntsville, P.C. N
Noel General Surgery PC N
Northeast Alabama Vascular and Vein Specialist N
Premier Internal Medicine Associates, PC N
Priceville Primary Care N
Ramann Nallamala MD PC N
Rheumatology Associates of North Alabama, P.C. N
Rogersville Family Care N
Seth D. Rayburn MD PC N
Tennessee Valley Neurological Associates PC N
Tennessee Valley Pain Consultants, PC N
Tejanand Mulpur N
Tennessee Valley Gynecologic Oncology Associates N
The Health Care Authority Of The City Of Huntsville N
The Healthcare Authority Of The City Of Huntsville N
The Healthcare Authority of the City of Huntsville N
The Valley Foundation N
Valley Internal Medicine N
Valley Obstetrics & Womens Pelvic Health Center N
Waddell Center Family Medicine N

 

ACO governing body:

Member First Name Member Last Name Member Title/Position Member's Voting Power   Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable  
 
Jeff Samz Health Care Authority of the City of Huntsville 6.25% Chairman ACO Participant Representative
Robert Chappell, MD Health Care Authority of the City of Huntsville 6.25% Secretary ACO Participant Representative
Clinton Carter Health Care Authority of the City of Huntsville 6.25% Treasurer ACO Participant Representative
Tracy Doughty Health Care Authority of the City of Huntsville 6.25% Vice-Chairman ACO Participant Representative
Rick Corn Health Care Authority of the City of Huntsville 6.25% Board Member ACO Participant Representative
Kyle Buchanan HH Health System - Shoals LLC 6.25% Board Member ACO Participant Representative
Kelli Powers HH Health System - Morgan LLC 6.25% Board Member ACO Participant Representative
Traci Collins HH Health System - Athens Limestone LLC 6.25% Board Member ACO Participant Representative
Amit Arora, MD Health Care Authority of the City of Huntsville 6.25% Board Member ACO Participant Representative
Paul Tabereaux, MD HH Heart Cener LLC 6.25% Board Member ACO Participant Representative
Philip W. Bentley, Jr. Health Care Authority of the City of Huntsville 6.25% Board Member ACO Participant Representative
Chuck Stokes   6.25% Board Member Medicare Beneficiary Representative
Zia Hassan, MD Independent 6.25% Board Member ACO Participant Representative
Roger Smalligan, MD Valley Foundation/UAB 6.25% Board Member ACO Participant Representative
Chris Rush Marshall Medical Center 6.25% Board Member ACO Participant Representative
James Morrison, MD Hampton Cove 6.25% ACO Medical Director ACO Participant Representative

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Josh Hewiett
  • Medical Director: James Morrison Jr., MD 
  • Compliance Officer: Felicia Gruber 
  • Quality Assurance/Improvement Officer: Sherry Fussell

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Critical Access Hospital (CAH) billing under Method II
  • ACO professionals in a group practice arrangement
  • 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

  • Third Agreement Period
    • Performance Year 2021, $4,196,711.20
  • Second Agreement Period
    • Performance Year 2020, $3,876,628.74
  • First Agreement Period
    • Performance Year 2019, $3,107,988.60

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure, care process management and improvement, and downside risk reserve: 50%
      • Proportion of distribution to ACO participants: 50%
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure, care process management and improvement, and downside risk reserve: 50%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure, care process management and improvement, and downside risk reserve: 50%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface

Measure # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 84.35 84.67
ACO-2 CAHPS: How Well Your Providers Communicate 93.65 93.56
ACO-3 CAHPS: Patients’ Rating of Provider 91.43 92.19
ACO-4 CAHPS: Access to Specialists 77.28 78.80
ACO-5 CAHPS: Health Promotion and Education 62.72 61.61
ACO-6 CAHPS: Shared Decision Making 61.32 60.89
ACO-7 CAHPS: Health Status/Functional Status 71.68 71.78
ACO-34 CAHPS: Stewardship of Patient Resources 28.79 24.71
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.12 91.88
ACO-46 CAHPS: Care Coordination 85.34 85.66
ACO-13 Falls: Screening for Future Fall Risk 80.00 87.03
ACO-14 Preventive Care and Screening: Influenza Immunization 76.65 80.52
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 60.61 80.97
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 72.47 74.38
ACO-19 Colorectal Cancer Screening 62.50 73.63
ACO-20 Breast Cancer Screening 66.53 75.11
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.18 84.24
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.52 12.46
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 64.26 74.87

Please note the quality ID#: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size

For previous years' financial and quality performance results, please visit data.cms.gov.

Payment Rule Waivers

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

  • ACO Participation Waiver:
    The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

    • Parties to the arrangement: See above list of participants

    • Date of arrangement: 11/21/2017

    • Items, services, goods, or facility provided: Certain Participants are designated as Principal Participants and others are Non-Principal Participants. Under the Service Agreements between each Participant and Board, the Principal Participants have agreed to pay for certain ACO-related expenses of the Non-Principal Participants and 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 the shared savings or shared losses as applicable)

      Through a formal resolution dated November 21, 2017, 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.