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
- Performance Year 2020
- 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
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