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

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018, 2019 and 2020:
      • 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# Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.62 0.95
ACO-13 Falls: Screening for Future Fall Risk 82.52 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 71.84 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 62.96 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 56.87 71.46
ACO-19 Colorectal Cancer Screening 70.07 72.59
ACO-20 Breast Cancer Screening 77.10 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.17 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.02 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 65.68 72.87

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.