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: 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%
  • 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
  • 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

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.