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 governing body:

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

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.