Public Reporting
ACO Name and Location:
MHC Accountable Care Organization, LLC
5183 U.S. Route 60 East
Huntington, WV 25705
ACO Primary Contact:
David Campbell, Executive Director
Phone: (304) 399-4691
Email: [email protected]
Organizational Information:
| ACO Participants: | ACO Participant in Joint Venture (Y-Yes; N-No) |
| UNIVERSITY PHYSICIANS & SURGEONS, INC. DBA MARSHALL HEALTH | N |
| ST. MARY'S HIMG, LLC, DBA HUNTINGTON INTERNAL MEDICINE GROUP | N |
| CABELL HUNTINGTON HOSPITAL INC | N |
| ST. MARY’S MEDICAL CENTER, INC. | N |
| ST. MARY’S MEDICAL MANAGEMENT, LLC | N |
Members of the MHC ACO governing body:
| Member | Member's Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA, if Applicable | ||
| Last Name | First Name | Title/Position | |||
| Rellan | Dev | Board Member, Secretary/Treasurer | Voting Member (1) | Medicare Beneficiary Representative | N/A |
| Swearingen | Angie | Board Member | Voting Member (1) | ACO Participant Representative | St. Mary’s Medical Center, Inc. and St. Mary’s Medical Management, LLC |
| Dial | Dr. Larry | Board Member, Chairperson | Voting Member (1) | ACO Participant Representative | Cabell Huntington Hospital, Inc. and St. Mary's Medical Center, Inc. (Mountain Health Network, Inc.) |
| Evans | Dr. Joe | Board Member | Voting Member (1) | ACO Participant Representative | University Physicians and Surgeons, Inc. dba Marshall Health |
| Martin | Tim | Board Member | Voting Member (1) | ACO Participant Representative | Cabell Huntington Hospital, Inc. |
| Morgan | Mark | Board Member, Vice-Chairperson | Voting Member (1) | ACO Participant Representative | St. Mary's HIMG, LLC, dba Huntington Internal Medicine Group |
| Shapiro | Dr. Joseph | Board Member | Voting Member (1) | ACO Participant Representative | University Physicians and Surgeons, Inc. dba Marshall Health |
| Snavely | Dr. Daniel | Board Member | Voting Member (1) | ACO Participant Representative | St. Mary's HIMG, LLC, dba Huntington Internal Medicine Group |
| Ward | Monte | Board Member | Voting Member (1) | ACO Participant Representative | Cabell Huntington Hospital, Inc. |
| Yingling | Dr. Kevin | Board Member | Voting Member (1) | ACO Participant Representative | Cabell Huntington Hospital, Inc. and St. Mary's Medical Center, Inc. (Mountain Health Network, Inc.) |
Key clinical and administrative leadership:
ACO Executive: David Campbell, JD, Executive Director
Medical Director: Larry Dial, MD
Compliance Official: Jennifer Rice, JD
Quality Assurance/Improvement Officer: Larry Dial, MD
ACO committees and committee leadership:
Quality Improvement and Clinical Integration Committee: Larry Dial, MD, Chairperson
Finance, Risk and Compliance Management Committee: Mark Morgan and Monte Ward, Co-Chairpersons
Data and Technology Committee: Dennis Lee, Chairperson
Operations Committee: Beth Hammers, Chairperson.
Types of ACO participants or combinations of participants that formed the ACO:
ACO professionals in a group practice arrangement
Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2018, $0
- Performance Year 2019, $0
- Performance Year 2020, $0
- Performance Year 2021, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2018, 2019, 2020 and 2021:
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2018, 2019, 2020 and 2021:
Quality Performance Results
2021 Quality Performance Results are based on CMS Web Interface:
| Measure # | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 17.11 | 12.46 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 83.27 | 74.38 |
| 236 | Controlling High Blood Pressure | 63.41 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 94.22 | 87.03 |
| 110 | Preventative Care and Screening: Influenza Immunization | 76.77 | 80.52 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 76.00 | 80.97 |
| 113 | Colorectal Cancer Screening | 71.74 | 73.63 |
| 112 | Breast Cancer Screening | 73.33 | 75.11 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 79.58 | 84.24 |
| 370 | Depression Remission at Twelve Months | 2.38 | 15.50 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1628 | 0.1540 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) | 37.64 | 33.99 |
| Measure ID | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| CAHPS-1 | Getting Timely Care, Appointments, and Information | 85.92 | 84.67 |
| CAHPS-2 | How Well Providers Communicate | 94.06 | 93.56 |
| CAHPS-3 | Patient’s Rating of Provider | 91.57 | 92.19 |
| CAHPS-4 | Access to Specialists | 84.28 | 78.80 |
| CAHPS-5 | Health Promotion and Education | 60.09 | 61.61 |
| CAHPS-6 | Shared Decision Making | 53.89 | 60.89 |
| CAHPS-7 | Health Status and Functional Status | 67.77 | 71.78 |
| CAHPS-8 | Care Coordination | 82.85 | 85.66 |
| CAHPS-9 | Courteous and Helpful Office Staff | 93.18 | 91.88 |
| CAHPS-11 | Stewardship of Patient Resources | 26.85 | 24.71 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.