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 9779
Primary Contact Email Address: Wanda.Katich@nghs.com

 

MSSP-ACO Participants

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 NameFirst NameTitle/PositionMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name/DBA, if Applicable
Dave’, MDMohakVoting Member1OtherN/A
McNeillySteveMember0ACO RepresentativeNortheast Georgia Health Partners, LLC
CollinsMimiVoting Member1ACO Participant RepresentativeThe Longstreet Clinic, PC
LoCicero, MDRichardVoting 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.
Johnson, MDSam,Voting 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.
Callahan, MDMichaelVoting Member1OtherN/A
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

Steven McNeillyACO Executive
Gary DalleyMedical Director
Steve KellyCompliance Officer
Jaimie AminQuality Assurance/Improvement Officer

 

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 MSSP-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

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

Shared Savings Distribution

    • 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
    • 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

 

Quality Performance Results

2019 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information85.6285.86
ACO-2CAHPS: How Well Your Providers Communicate94.9794.11
ACO-3CAHPS: Patients’ Rating of Provider92.7392.69
ACO-4CAHPS: Access to Specialists79.1781.54
ACO-5CAHPS: Health Promotion and Education57.8760.44
ACO-6CAHPS: Shared Decision Making66.7162.78
ACO-7CAHPS: Health Status/Functional Status72.5873.79
ACO-34CAHPS: Stewardship of Patient Resources26.0326.17
ACO-45CAHPS: Courteous and Helpful Office Staff92.4392.84
ACO-46CAHPS: Care Coordination89.0286.89
ACO-8Risk Standardized, All Condition Readmission14.9114.86
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions52.8158.15
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI #91))2.441.87
ACO-13Falls: Screening for Future Fall Risk96.2784.04
ACO-14Preventive Care and Screening: Influenza Immunization80.9874.77
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention76.0078.04
ACO-18Preventive Care and Screening: Screening for Depression and Follow-up Plan78.5770.40
ACO-19Colorectal Cancer Screening72.6970.76
ACO-20Breast Cancer Screening80.5473.84
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.9582.17
ACO-40Depression Remission at Twelve Months6.7613.58
ACO-27Diabetes: Hemoglobin A1c Poor Control (>9%)6.4613.88
ACO-28Controlling High Blood Pressure70.4875.04

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.