Medicare Shared Savings Plan Accountable Care Organization (ACO)

ACO Name and Location

Northeast Georgia Health Partners, LLC

Previous Names: N/A

465 EE Butler Parkway
Gainesville, Georgia 30501

ACO Primary Contact

Primary Contact Name: Wanda Katich

Primary Contact Phone Number: 770 219 6600

Primary Contact Email Address: Wanda.Katich@nghs.com

 

Organizational Information

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Heart Center LLCN
Northeast Georgia Medical Center, Inc.N
Northeast Georgia Physicians Group IncN
The Longstreet Clinic, PCN
NGMC Barrow LLCN

ACO Governing Body

 
Member
Last Name
Member
First Name
Member
Title/Position
Member’s Voting PowerMembership TypeACO Participant Legal Business Name/DBA, if Applicable
Dave’, MDMohakVoting Member1OtherN/A
McNeillySteveMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
CollinsMimiVoting Member1ACO Participant RepresentativeThe Longstreet Clinic, PC
Toth, MDLajosVice Chairperson1ACO Participant RepresentativeThe Longstreet Clinic, PC
SteinesBrianTreasurer1ACO Participant RepresentativeNortheast Georgia Medical Center, Inc.
CovertMichaelVoting Member1ACO Participant RepresentativeNortheast Georgia Medical Center, Inc.
Rios, MDAntonioVoting Member1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
TuffyDanielVoting Member1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
Dalley, MDGaryChairperson1ACO Participant RepresentativeNortheast Georgia Physicians Group, Inc.
Kolakalapudi, MDPavaniVoting Member1ACO Participant RepresentativeHeart Center, LLC
Whitney, MDRyanVoting Member1ACO Participant RepresentativeHeart Center, LLC
LangstonWilliamVoting Member1Medicare Beneficiary RepresentativeN/A
KatichWandaMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
CunninghamChristyMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
NicholsonJenniferMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
Gibbs, MDMartiMember0ACO Participant RepresentativeThe Longstreet Clinic, PC

 

Key ACO Clinical and Administrative Leadership

ACO ExecutiveSteven McNeilly
Medical DirectorGary Dalley
Compliance OfficerSteve Kelly
Quality Assurance/Improvement OfficerJaimie Amin

 

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Northeast Georgia Health Partners Board
dba ACO Board 
Gary Dalley, MD, Chairperson
Clinical Quality CommitteeMarti Gibbs, MD, Chairperson

 

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

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2020, $0
  • Second Agreement Period
    • Performance Year 2019, $0
  • First Agreement Period
    • Performance Year 2018, $0

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Second Agreement Period
      • Performance Year 2019
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A
    • First Agreement Period
      • Performance Year 2018
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A

 

Quality Performance Results

2020 Quality Performance Results:

ACO Quality Measure
Number
Measure NameRateACO Mean
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))1.350.95
ACO-13Falls: Screening for Future Fall Risk95.2284.97
ACO-14Preventive Care and Screening: Influenza Immunization81.9376.03
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention85.0081.67
ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan70.1671.46
ACO-19Colorectal Cancer Screening80.8672.59
ACO-20Breast Cancer Screening83.4074.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease82.4883.37
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control8.4614.70
ACO-28Hypertension (HTN): Controlling High Blood Pressure67.7472.87

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