Welcome

ACO Name and Location

Coastal Plains Network, LLC
800 W.H. Smith Blvd
PO Box 6028
Greenville, NC 27835

ACO Primary Contact

Primary Contact Name: Ronald Gaskins
Primary Contact Phone Number: 252-816-0899
Primary Contact Email Address: [email protected]

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Outer Banks Professional Services, LLC Y
Vidant Medical Group, LLC N
Roanoke Valley Health Services, Inc N
East Carolina Health-Bertie N
East Carolina Health-Heritage, Inc. N
East Carolina University N
Rural Health Group, Inc. N
ECU Physicians Diagnostic Pathology Services N

ACO governing body:

Member
Last Name First Name Title/Position Voting Power Type Legal Name
Foltz, D.O Jason Voting Member 1 ACO Participant Representative East Carolina University
Pye, M.D Joseph Voting Member 1 ACO Participant Representative Vidant Medical Group, LLC
Firnhaber, MD Jonathon Voting Member 1 ACO Participant Representative East Carolina University
Blair, MD Mott Voting Member 1 ACO Participant Representative Vidant Medical Group, LLC
Peters, MD Brookes Voting Member 1 ACO Participant Representative Vidant Medical Group, LLC
Sloan Ronnie Voting Member 1 ACO Participant Representative Outer Banks Hopsital
Armistead, MD Niti Voting Member 1 ACO Participant Representative Vidant Medical Group, LLC
Hassan, MD Alhosaini Voting Member 1 ACO Participant Representative Vidant Medical Group
Long-Gee Yvonne Voting Member 1 ACO Participant Representative Rural Health Group, Inc.
Mose Tiffany Voting Member 1 ACO Participant Representative Roanoke Valley Health Services, Inc.
Steinbraker Daryl Voting Member 1 Medicare Beneficiary Representative N/A
Johnson, MD Kenneth Voting Member 1  ACO Participant Representative Vidant Medical Group

Key ACO Clinical and administrative leadership:

Ronald Gaskins ACO Executive
Mott Blair, MD Medical Director
Carla McKeithan Compliance Officer
Sherri Bryant Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Executive Committee Niti Armistead, MD (Chair)
Quality Improvement & Performance Committee Mott Blair, MD (Chair)
Finance & Contracting Committee Joseph Pye, MD (Chair)
Compliance & Credentials Committee Vacant

Types of ACO participants, or combinations of participants, that formed the ACO:

Critical Access Hospital (CAH) billing under Method II
Hospital employing ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals
Federally Qualified Health Centers
Rural Health Center

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2020, $0
    • Performance Year 2019, $0
    • Performance Year 2018, $0
  • First Agreement Period
    • Performance Year 2017, $3,916,671
    • Performance Year 2016, $0
    • Performance Year 2015, $3,279,327

Shared Savings Distribution

  • Second 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
    • 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
    • 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
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 0
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2016
      • 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 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: N/0
      • Proportion of distribution to ACO participants: 90%

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) 0.83 0.95
ACO-13 Falls: Screening for Future Fall Risk 90.15 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 79.91 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78.13 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 84.80 71.46
ACO-19 Colorectal Cancer Screening 78.55 72.59
ACO-20 Breast Cancer Screening 83.46 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.95 83.37

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & 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