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: Anna McKinnon
Primary Contact Phone Number: (256) 265-8823
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)
Marshall Medical Center North N
Marshall Medical Center South N
Pulmonary And Sleep Associates N
Athens Limestone Health Services N
Tennessee Valley Pediatric Surgery N
Huntsville Hospital Pediatric Neurology N
Seth D. Rayburn MD PC N
Madison Surgical Associates N
Neurology Consultants of Huntsville, P.C. N
The Valley Foundation N
Huntsville Hospital Madison Internal Medicine N
Huntsville Hospital Internal Medicine N
Healthcare Authority of The City of Huntsville N
Noel General Surgery PC N
Athens and Limestone County Health Care Authority N
CRNA Services of DGH N
Athens Limestone Health Services Llc  N
Tennessee Valley Gynecologic Oncology Associates N
NW Alabama Practice Management, LLC N
Huntsville Hospital Medical Clinic at Hampton Cove N
Limestone Internal Medicine Center N
Highlands Internal Medicine, Llc N
HH Observation Center N
Marshall Medical Center South Burson Urology N
Marshall Medical Center North Medical Centers Behavioral Health Clinic N
Marshall Medical Center North Medical Centers Behavioral Health Clinic N
Valley Obstetrics & Women's Pelvic Health Center N
Huntsville Hospital Palliative Care Services N
Athens Limestone ER Physicians N
Huntsville Hospital Surgical Associates of Madison N
HH Health System – Morgan LLC N
Capshaw Family Care N
Tennessee Valley Family Medical N
Rogersville Family Care N
Limestone Urology Associates N
Decatur Morgan Gastroenterology N
Decatur Morgan Infectious Diseases & Travel Medicine N
MedExpress Red Bay LLC N
Athens Neurological N
Hartselle Family Practice N
Hartselle Med-Peds N
Decatur Morgan Primary Care N
Growing Together Pediatrics N
Decatur Women's Healthcare N
HH Digestive Disease Center N
ALH Hospitalist N
Athens-Limestone Sleep Clinic N
Medwest Clinic N
Athens Family Medicine N
HH Health System – Shoals LLC N
Athens Limestone Pain Center N
HH Surgical Associates – Robert Lancaster MD N
HH Physician Care Hazel Green N
Koonce Surgical PC N
Decatur Morgan Neurology N
HH Health System - Athens-Limestone LLC N
Milestone Pediatrics N
HH Health System - Morgan Inc. N
The Healthcare Authority of the City of Huntsville N
Decatur Morgan Internal Medicine N
The Health Care Authority of the City of Huntsville N
Rheumatology Associates of North Alabama N
Tejanand Mulpur N
Hazel Green Pediatrics N
Emergency Physicians Group N
Iqbal Saeed MD LLC N
Rama Nadella N
Marshall Medical Center South Moore Obgyn Services N
Marshall Medical Center South Medical Oncology Services N
Decatur Morgan Hospitalist Group N
Health Care Authority of The City of Huntsville N
Huntsville Hospital Lung Center N
Huntsvile Hospital Anesthesia N
Tennessee Valley Pain Consultants, PC N
Huntsville Hospital Endocrine and Diabetes Clinic N
Huntsville Hospital Spine and Neuro Center N
Valley Internal Medicine N
HH Heart Center LLC N
NASH Physician Billing N
HH Physician Care – Elkton Tennessee N
Eastside Family Medicine N
HH Physician Care - Fayetteville Medical Associates N
Waddell Center Family Medicine N
Marshall Medical Center South Manganaris Pulmonology N
Marshall Medical Center South Diamond Hospital Services N
Northeast Alabama Dermatology LLC N
Elkmont Community Care N
Medical East N
Breast Care Center, P.C. N
Northeast Alabama Vascular and Vein Specialist N
Eyecare Associates, INC. N
William E Holcom, MD & Associates, INC N

 

ACO governing body:

Member  Member Voting Power   Membership Type  ACO Participant TIN Legal Business Name/DBA, if Applicable  
Last Name First Name Title/Position
Samz Jeff Chairman 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Chappell, MD Robert Secretary 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Carter Clinton Treasurer 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Doughty Tracy Vice-Chairman 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Corn Rick Board Member 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Buchanan Kyle Board Member 1 ACO Participant Representative HH Health System - Shoals LLC
Powers Kelli Board Member 1 ACO Participant Representative HH Health System - Morgan LLC
Collins Traci Board Member 1 ACO Participant Representative HH Health System - Athens Limestone LLC
Arora, MD Amit Board Member 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Tabereaux, MD Paul Board Member 1 ACO Participant Representative HH Heart Cener LLC
W. Bentley, Jr. Philip Board Member 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Finch, MD Dick Board Member 1 Medicare Beneficiary Representative  
Spillers David Board Member 1 ACO Participant Representative Health Care Authority of the City of Huntsville
Hassan, MD Zia Board Member 1 ACO Participant Representative Independent
Smalligan, MD Roger Board Member 1 ACO Participant Representative Valley Foundation/UAB
Hayes Cheryl Board Member 1 ACO Participant Representative Marshall Medical Center
Morrison, MD James ACO Medical Director 1 ACO Participant Representative Hampton Cove

Key ACO Clinical and Administrative Leadership:

Chris Rush ACO Executive
James Morrison Jr., MD Medical Director
Felicia Gruber Compliance Officer
Tia Sellevold Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Information Technology Committee Rick Corn, Chairman
Care Coordination & Patient Engagement Committee Tracy Doughty, Chairman
Evidence-Based Medicine Committee Dr. James Morrison, Chairman
Finance Committee Clinton Carter, Chairman
Quality & Performance Improvement Committee Dr. Robert Chappell, Chairman

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

  • First Agreement Period
    • Performance Year 2019, $3,107,988.60
  • Second Agreement Period
    • Performance Year 2020, $3,876,628.74

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%
  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 90%

Quality Performance Results

2020 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.33 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.74 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.97 92.69
ACO-4 CAHPS: Access to Specialists 82.97 81.54
ACO-5 CAHPS: Health Promotion and Education 63.16 60.44
ACO-6 CAHPS: Shared Decision Making 62.97 62.78
ACO-7 CAHPS: Health Status/Functional Status 71.12 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 27.81 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.99 92.84
ACO-46 CAHPS: Care Coordination 87.53 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.12 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 60.78 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.11 0.95
ACO-13 Falls: Screening for Future Fall Risk 77.42 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 57.79 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.25 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 64.88 71.46
ACO-19 Colorectal Cancer Screening 63.89 72.59
ACO-20 Breast Cancer Screening 70.85 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.85 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 27.84 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 62.70 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.
  • Waiver for Payment for Telehealth Services: Include this section only if your ACO provides telehealth services for the performance year using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613. As of January 1, 2020, if at least one clinician in your ACO provides and receives payment for covered telehealth services to prospectively assigned beneficiaries without geographic restriction, then the ACO must publicly report use of telehealth services.

Arrangements Disclosed

The ACO Board of Managers for HH Health System ACO, 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 Board, 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 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.