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: Pam Cowin
Primary Contact Phone Number: 252-229-1318
Primary Contact Email Address: [email protected]
Organizational Information
ACO participants:
ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
---|---|
ECU Physicians Diagnostic Pathology Services | N |
East Carolina Health – Bertie | N |
East Carolina Health – Heritage, Inc. | N |
East Carolina University | N |
Outer Banks Professional Services, LLC | Y |
Roanoke Valley Health Services, Inc. | N |
Vidant Medical Group, LLC | N |
ACO governing body:
Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name |
Jason | Foltz, D.O | Chief Medical Officer | 10% | ACO Participant Representative | East Carolina University |
Joseph | Pye, M.D | VP, Medical Affairs & Population Health | 10% | ACO Participant Representative | Vidant Medical Group, LLC |
Jonathon | Firnhaber, MD | Physician | 10% | ACO Participant Representative | East Carolina University |
Mott | Blair, MD | Physician | 10% | ACO Participant Representative | Vidant Medical Group, LLC |
Brookes | Peters, MD | Physician | 10% | ACO Participant Representative | Vidant Medical Group, LLC |
Niti | Armistead, MD | Chief Medical Officer | 10% | ACO Participant Representative | Vidant Medical Group, LLC |
Yvonne | Long-Gee | CEO | 10% | ACO Participant Representative | Rural Health Group |
Tiffany | Mose | Regional Administrator | 10% | ACO Participant Representative | Roanoke Valley Health Services, Inc. |
Daryl | Steinbraker | Medicare Beneficiary | 10% | Medicare Beneficiary Representative | N/A |
Steven | Powell | Physician | 10% | ACO Participant Representative | East Carolina University |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
Key ACO Clinical and administrative leadership:
Pamela Cowin | ACO Executive |
Mott Blair, MD | Medical Director |
Carla McKeithan | Compliance Officer |
Wendy Vanlandingham | 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 | Joseph Pye, MD (Chair) |
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 |
Rural Health Clinic |
Shared Savings and Losses
Amount of Shared Savings/Losses
- Third Agreement Period
- Performance Year 2023, $2,861,842
- Performance Year 2022, $5,182,303
- Second Agreement Period
- Performance Year 2021, $4,408,022
- 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
- Third Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- Performance Year 2022
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- Performance Year 2023
- Second Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- 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
- Performance Year 2021
- 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%
- Performance Year 2017
Quality Performance Results
2023 Quality Performance Results:
Measure # | Measure Name | Collection Type | Rate | ACO Mean |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] | CMS Web Interface | 10.00 | 9.84 |
318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 93.46 | 89.42 |
236 | Controlling High Blood Pressure | CMS Web Interface | 66.29 | 77.80 |
110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 66.26 | 70.76 |
226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 90.00 | 79.29 |
134 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 92.31 | 80.97 |
113 | Colorectal Cancer Screening | CMS Web Interface | 82.10 | 77.14 |
112 | Breast Cancer Screening | CMS Web Interface | 84.46 | 80.36 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 85.41 | 87.05 |
370 | Depression Remission at Twelve Months | CMS Web Interface | 35.85 | 16.58 |
484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | CMS Web Interface | 35.78 | 35.39 |
321 | CHAPS for MIPS [2] | CMS Web Interface | 6.78 | 6.25 |
479 | Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | Administrative Claims | 0.1583 | 0.1553 |
- For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov
- [1] A lower performance rate corresponds to higher quality.
- [2] CAHPS for MIPS Survey is a composite measure, so numerator and denominator values are not applicable (N/A). The Reported Performance Rate column shows the CAHPS for MIPS Survey composite score. The CAHPS for MIPS Survey composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs). Refer to Table 5 for details on CAHPS for MIPS Survey performance.