Shared Savings Program Public Reporting Template and Instructions
Overview
This document provides Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (Shared Savings Program) with a public reporting template and instructions on how to complete the template. ACOs participating in the Shared Savings Program are required to publicly
report ACO organizational information and performance results on a designated webpage, per
42 CFR § 425.308.
ACO Name and Location
University Health ACO, LLC
2121 Medical Center Way
STE 200
Knoxville, TN 37920
ACO Primary Contact
Julia Coco
865-251-5800
Jcoco@utmck.edu
Organizational Information
ACO Participants:
ACO Participants | ACO Participant in Joint Venture |
University Health Systems, Inc UT Urgent Care Centers, LLC UHS Ventures Inc. Faculty Internal Medicine The University of Tennessee Livesay Family Medicine, PC |
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 |
Van Nes | Jacyln | MD, Chairman of the Board, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Landsman | Joseph | Chief Executive Officer, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Shamiyeh | James | MD, COO, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Lacey | John | Voting Member | 1 | Medicare Beneficiary Representative | N/A |
Jeter | Julie | MD, Medical Director & Quality Health Care Professional, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Crook II | Jerry | MD, Voting Member | 1 | ACO Participant Representative | University Health System |
Durbin | Shelly | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Daley | Brian | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Huet | Rocio | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Mendez | Eduardo | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Piel | Jennifer | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Hutchings | Jonathan | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Janoyan | JJ | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Cox | Bennett | Chief Council | 0 | ACO Participant Representative | University Health System, Inc |
Cunningham | Ben | CFO | 0 | ACO Participant Representative | University Health System, Inc |
Friar | Kim | CEO, Voting Member | 1 | Other – IPA Representative | N/AACO |
Saad | Michael | CIO | 0 | ACO Participant Representative | University Health System, Inc |
Marlette | Zachary | MD, Voting Member | 1 | ACO Participant Representative | University Health System, Inc |
Coco | Julia | VP, Clinical Integration, Secretary | 0 | ACO Participant Representative | University Health System, Inc |
Schearer | Ryan | Compliance Officer | 0 | ACO Participant Representative | University Health System, Inc |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Joseph Landsman
Medical Director: Julia Jeter
Compliance Officer: Ryan Schearer
Quality Assurance/Improvement Officer: Julie Jeter
Associated Committees and Committee Leadership:
Committee Name | Committee Leader Name and Position |
Information Technology | Shelly Durbin, MD |
Quality and Utilization Review | Julie Jeter, MD |
Finance | Eduardo Mendez, MD |
Compliance | Ryan Schearer |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Partnerships or joint venture arrangements between hospitals and ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- Fourth Agreement Period
- Performance Year 2021, $0
- Third Agreement Period
- Performance Year 2020, $0
- Second Agreement Period
- Performance Year 2019, $1,747,815.17
- First Agreement Period
- Performance Year 2018, $0
Shared Savings Distribution
- Fourth Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- 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: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 65%
- 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
- Performance Year 2018
- Performance Year 2019
- Performance Year 2020
- Performance Year 2021
Quality Performance Results
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface.
Measure # | Measure Name | Rate | ACO Mean |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 8.81
|
12.46
|
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 72.18
|
74.38
|
236 | Controlling High Blood Pressure | 72.91
|
74.87
|
318 | Falls: Screening for Future Fall Risk | 94.76
|
87.03
|
110 | Preventative Care and Screening: Influenza Immunization | 84.06
|
80.52
|
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 76.92
|
80.97
|
113 | Colorectal Cancer Screening | 80.08
|
73.63
|
112 | Breast Cancer Screening | 80.00
|
75.11
|
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85.59
|
84.24
|
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | 0.1571
|
0.1540
|
MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | 35.54
|
33.94
|
Please note, the Quality ID #: 370 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