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)
Affinity Primary Care LLC N
Agape Medicine LLC N
ALH Pre-Admit Testing Clinic 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 Nephrology Associates 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 Internal Medicine N
Decatur Morgan Medical Care N
Decatur Morgan Neurology N
Decatur Morgan Primary Care N
Decatur Womens Healthcare 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
Hartselle Family Practice N
Harselle Med-Peds N
Healthpointe N
HH Digestive Disease Center N
HH Health System - Morgan LLC N
HH Health System - Shoals LLC 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
Huntsville Hospital Spine & Neuro Center N
Hazel Green Pediatrics N
Health Care Authority of The City of Huntsville N
Health Care Authority of The City of Huntsville N
Health Care Authority of The City of Huntsville N
Health Care Authority of The City of Huntsville N
Huntsville Hospital Anesthesia 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 Medical Associates N
Limestone Urology Associates N
Marshall Medical Center South Medical Specialists of North Alabama N
Marshall Primary Care N
Medical Asset Group LLC 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
Neurology of Marshall County 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 Health Care Authority Of The City Of Huntsville N
The Health Care Authority Of The City Of Huntsville N
The Valley Foundation N
Valley Internal Medicine N
Valley Obstetrics & Womens Pelvic Health Center N
West Limestone Community Care 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 ACO Participant Representative 6.25% Chairman Health Care Authority of the City of Huntsville
Robert Chappell, MD ACO Participant Representative 6.25% Secretary Health Care Authority of the City of Huntsville 
Clinton Carter ACO Participant Representative 6.25% Treasurer Health Care Authority of the City of Huntsville  
Tracy Doughty ACO Participant Representative 6.25% Vice-Chairman Health Care Authority of the City of Huntsville   
Rick Corn ACO Participant Representative 6.25% Board Member Health Care Authority of the City of Huntsville   
Kyle Buchanan ACO Participant Representative  6.25% Board Member HH Health System Shoals LLC
Kelli Powers ACO Participant Representative  6.25% Board Member HH Health System Morgan LLC
Traci Collins ACO Participant Representative  6.25% Board Member HH Health System Athens Limestone LLC
Amit Arora, MD ACO Participant Representative  6.25% Board Member Health Care Authority of the City of Huntsville
Paul Tabereaux, MD ACO Participant Representative  6.25% Board Member HH Heart Center LLC
Philip W. Bentley, Jr. ACO Participant Representative  6.25% Board Member Health Care Authority of the City of Huntsville
Chuck Stokes Medicare Beneficiary Representative  6.25% Board Member N/A
Zia Hassan, MD ACO Participant Representative  6.25% Board Member Premier Internal Medicine Associate,PC
Roger Smalligan, MD ACO Participant Representative  6.25% Board Member Valley Foundation/UAB
Chris Rush ACO Participant Representative  6.25% Board Member Marshall Medical Center
James Morrison, MD ACO Participant Representative  6.25% ACO Medical Director HH Physician Care

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Fourth Agreement Period
    • Performance Year 2022, $0.00
  • 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

  • Fourth Agreement Period
    • Performance Year 2022
      • N/A
  • 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

2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface

Measure # Measure Name Collection Type Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c)Poor Control [1] CMS Web Interface 20.56 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 70.68 76.97
236 Controlling High Blood Pressure CMS Web Interface 68.15 76.16
318 Falls: Screening for Future Fall Risk CMS Web Interface 76.19 87.83
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 77.29 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 64.29 79.27
113 Colorectal Cancer Screening CMS Web Interface 70.28 75.32
112 Breast Cancer Screening CMS Web Interface 65.46 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular CMS Web Interface 85.23 86.37
370 Depression Remission at Twelve Months CMS Web Interface 13.33 16.03
479 Hospital-Wide, 30 Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1410 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 30.97 30.97

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

Measure ID Measure Name Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
 CAHPS-1  Getting Timely Care, Appointments, and Information  87.28  83.96
 CAHPS-2  How Well Providers Communicate  93.74  93.47
 CAHPS-3  Patient’s Rating of Provider  92.48  92.06
 CAHPS-4  Access to Specialists  80.79  77.00
 CAHPS-5  Health Promotion and Education  60.90  62.68
 CAHPS-6  Shared Decision Making  63.70  60.97
 CAHPS-7  Health Status and Functional Status  73.27  73.06
 CAHPS-8  Care Coordination  86.79  85.46
 CAHPS-9  Courteous and Helpful Office Staff  92.96  91.97
 CAHPS-11  Stewardship of Patient Resources  18.94  25.62

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.