ACO Leadership & Organization


ACO Name and Location

Carilion Clinic Medicare Shared Savings Company, LLC
213 S. Jefferson St., Suite 1600
Roanoke, VA 24011

 

ACO Primary Contact

Donna M. Littlepage
540-581-0122
dmlittlepage@carilionclinic.org

 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
ACV, Inc. N
Anesthesiology Associates of Radford, Inc. N
Carilion Emergency Services, Inc. N
Carilion Franklin Memorial Hospital N
Carilion Giles Community Hospital N
Carilion Healthcare Corporation Y
Carilion Medical Center Y
Carilion New River Valley Medical Center N
Carilion Professional Services, LLC N
Carilion Rockbridge Community Hospital (previously Carilion Stonewall Jackson Hospital) N
Carilion Tazewell Community Hospital N
Spring Ridge Consultation Services, P.C. (D/B/A Salem Family Medicine) N
Urology Associates, Ltd. N

 

ACO Governing Body:

Member
First Name

Member Last Name

Member Title/Position

Member's Voting Power
(Expressed as a percentage)

Membership Type

ACO Participant Legal
Business Name, if Applicable

Michael 

Jeremiah, M.D.

Chair

8.37%

ACO Participant Representative

Carilion Healthcare Corporation

M. Suzanne 

Kraemer, M.D.

ACO Board Member

8.33%

ACO Participant Representative

Carilion Medical Center

Stephen

Morgan, M.D.

ACO Board Member

8.33%

ACO Participant Representative

Carilion Medical Center

Robert

Trestman, M.D.

ACO Board Member

8.33%

ACO Participant Representative

Carilion Healthcare Corporation

Warner

Bonderman

ACO Board Member

8.33%

Medicare Beneficiary Representative

N/A

Cynthia

Morrow, M.D.

ACO Board Member

8.33%

Community Stakeholder Representative

N/A

Jeanne

Armentrout

ACO Board Member

8.33%

ACO Participant Representative

Carilion Healthcare Corporation

Paul

Davenport

ACO Board Member

8.33%

ACO Participant Representative

ACV, Inc.

William

Flattery

ACO Board Member

8.33%

ACO Participant Representative

Carilion New River Valley Medical Center

Donald

Halliwill

ACO Board Member

8.33%

ACO Participant Representative

Carilion Medical Center

Shirley

Holland

ACO Board Member

8.33%

ACO Participant Representative

Carilion Medical Center

Donna

Littlepage

ACO Board Member

8.33%

ACO Participant Representative

Carilion Healthcare Corporation

       
Key ACO Clinical and Administrative Leadership:
ACO Executive: Michael P. Jeremiah, M.D. 
Medical Director: Michael P. Jeremiah, M.D. 
Compliance Officer: Kristin Meador 
Quality Assurance/Improvement Officer: Jason Semones
 
Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Doctors Connected Specialty Council Trevor M. Owen, M.D., Co-Chair, and
Christopher P. Mertes, M.D., Co-Chair
Doctors Connected ACO Executive Committee Donna M. Littlepage, Interim Chair 


Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
ACO professionals in a group practice arrangement
Networks of individual practices of ACO professionals
Hospital employing ACO professionals
Critical Access Hospital (CAH) billing under Method II
Rural Health Clinic (RHC)

 

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2022, $2,988,804

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 90%
      • Proportion of distribution to ACO participants: 0%
         

Quality Performance Results

2022 Quality Performance Results:

Quality performance results based on CMS Web Interface collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 10.73 10.71
Quality ID# 134 Preventative Care and Screening for Depression and Follow-up Plan CMS Web Interface 52.75 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 65.43 76.16
Quality ID# 318 Falls: Screening for Future Risk CMS Web Interface 75.82 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 79.14 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 45.45 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 71.64 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 72.68 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 84.74 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 2.94 16.03
Quality ID# 321 CAHPS for MIPS CAHPS for MIPS Survey N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1348 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 29.57 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.05 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.82 93.47
CAHPS-3 Patient's Rating of Provider CAHPS for MIPS Survey 92.31 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 74.34 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 60.28 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 57.90 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.67 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.97 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.62 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.66 25.62

For previous years' Financial and Quality Performance Results, please visit Data.cms.gov.

 

Payment Rule Waivers 

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.