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: Ronald.gaskins@vidanthealth.com

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Outer Banks Professional Services, LLCY
Vidant Medical Group, LLCN
Roanoke Chowan Community Health Center, Inc.N
Roanoke Valley Health Services, IncN
East Carolina Health-Bertie N
East Carolina Health-Heritage, Inc.N
East Carolina UniversityN
Rural Health Group, Inc.N
ECU Physicians Diagnostic Pathology Services N

ACO governing body:

Member
Last NameFirst NameTitle/PositionVoting PowerTypeLegal Name
Foltz, D.OJasonVoting Member1ACO Participant RepresentativeEast Carolina University
Pye, M.DJosephVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Firnhaber, MDJonathonVoting Member1ACO Participant RepresentativeEast Carolina University
Blair, MDMottVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Peters, MDBrookesVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Powell, MDSteveVoting Member1ACO Participant RepresentativeEast Carolina University
Armistead, MDNitiVoting Member1ACO Participant RepresentativeVidant Medical Group, LLC
Richardson, M.DClaudiaVoting Member1ACO Participant RepresentativeRoanoke Chowan Community Health Center, Inc.
Long-GeeYvonneVoting Member1ACO Participant RepresentativeRural Health Group, Inc.
MoseTiffanyVoting Member1ACO Participant RepresentativeRoanoke Valley Health Services, Inc.
SteinbrakerDarylVoting Member1Medicare Beneficiary RepresentativeN/A

Key ACO Clinical and administrative leadership:

Ronald GaskinsACO Executive
Mott Blair, MDMedical Director
Carla McKeithanCompliance Officer
Sherri BryantQuality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee NameCommittee Leader Name and Position
Executive CommitteeNiti Armistead, MD (Chair)
Quality Improvement & Performance CommitteeMott Blair, MD (Chair)
Finance & Contracting CommitteeJoseph Pye, MD (Chair)
Compliance & Credentials CommitteeClaudia Richardson, 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
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 NameRateACO Mean
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)0.830.95
ACO-13Falls: Screening for Future Fall Risk90.1584.97
ACO-14Preventive Care and Screening: Influenza Immunization79.9176.03
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention78.1381.67
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan84.8071.46
ACO-19Colorectal Cancer Screening78.5572.59
ACO-20Breast Cancer Screening83.4674.05
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease82.9583.37

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