ACO Name and Location
Roper St. Francis Health Alliance, LLC
Previous Names: N/A
125 Doughty Street
Suite 720
Charleston, SC 29403
ACO Primary Contact
Primary Contact Name
|
Doug Bryan |
Primary Contact Phone Number
|
(843) 724-2414 |
Primary Contact Email Address
|
doug.bryan@rsfh.com |
Organizational Information
ACO participants:
| ACO Participants |
ACO Participant in Joint Venture |
Cardiology Associates of Charleston
Carolina Neurological Clinic, L.L.P.
Charleston OB/GYN, LLC
Charleston Pulmonary Associates PA
Coastal Cardiology, P.A.
Daniel Game
EpiCentre, LLC
Equilibrium Endocrinology, PA
Francis Akom
Newton Family Medicine LLC
Roper St. Francis Physician Network
Southeast Cardiology
Tidewater Neurology
West Ashley OBGYN | N
N
N
N
N
N
N
N
N
N
N
N
N
N
|
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
|
| Keogh, MD |
George |
Board Chairman
|
Voting Member (1)
|
|
Charleston Hematology Oncology Associates, PA |
| Thompson, MD |
Hugh |
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Physician Partners |
| Oliverio, MD |
Robert
|
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Physician Partners |
| Young, MD |
Brett
|
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Physician Partners |
| Black |
Charlie
|
|
Voting Member (1)
|
Medicare Beneficiary |
|
| Rashad, MD |
Muhammad
|
|
Voting Member (1)
|
ACO Participant
|
Charleston Pulmonary Associates, PA
|
| Lewis, MD |
Dan
|
|
Voting Member (1)
|
|
Roper Emergency Physicians |
| Murray, MD |
Patrick
|
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Physician Partners |
McLain, MD
|
Chris
|
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Physician Partners |
| Stith |
Melanie
|
|
Voting Member (1)
|
ACO Participant
|
Roper St. Francis Healthcare |
Hyson, MD
| Aaron | | Voting Member (1)
| ACO Participant
| Roper St. Francis Physician Partners
|
Durrence, MD
| Hugh | | Voting Member (1)
| | Liberty Doctors
|
Woodfield, MD
| Scott | | Voting Member (1)
| ACO Participant
| Coastal Cardiology, PA
|
Bumgartner, MD
| James | | Voting Member (1)
| ACO Participant
| Carolina Neurological Clinic
|
Newton, MD
| Edward | | Voting Member (1) | ACO Participant | Newton Family Medicine
|
Gleaton, MD
| Kenosha | | Voting Member (1) | ACO Participant | EpiCentre, LLC
|
Key ACO clinical and administrative leadership:
Kathleen Guatteri
|
ACO Executive
|
Robert Oliverio, MD
|
Medical Director
|
Thaddeus Kuchinski
|
Compliance Officer |
Robert Oliverio, MD
|
Quality Assurance/Improvement Officer
|
Associated committees and committee leadership:
Committee Name
|
Committee Leader Name and Position |
| Professional Standards and Credentialing Committee |
George Keogh, MD, Chair, Charleston Hematology Oncology Associates, PA |
| Quality Assurance and Performance Improvement Committee |
Chris McLain, MD, Chair, Roper St. Francis Physician Partners |
| Finance Committee |
Ed McNellis, MD, Chair Charleston ENT |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
Shared Savings and Losses:
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2020, $2,447,798
- Performance Year 2019, $4,078,252
- Performance Year 2018, $0
- Performance Year, 2017 $0
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 14%
- Proportion of distribution to ACO participants: 56%
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources:14%
- Proportion of distribution to ACO participants:56%
- 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 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
2020 Quality Performance Results:
| ACO# |
Measure Name |
Rate |
ACO Mean |
| ACO-43 |
Ambulatory Sensitive Conditions Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
|
0.86 |
0.95 |
| ACO-13 |
Falls: Screening for Future Fall Risk
|
89.33 |
84.97 |
| ACO-14 |
Preventive Care and Screening: Influenza Immunization |
79.15 |
76.03 |
| ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
95.25 |
81.67 |
| ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
88.28 |
71.46 |
| ACO-19 |
Colorectal Cancer Screening |
74.38 |
72.59 |
| ACO-20 |
Breast Cancer Screening |
88.10 |
74.05 |
| ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
80.33 |
83.37 |
| ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
13.87 |
14.70 |
| ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
80.83 |
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.
Payment Rule Waivers
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.