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: Pamela Cowin
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 |
ECU Physicians Diagnostic Pathology Services | 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 | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
Joseph | Pye, M.D | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
Jonathon | Firnhaber, MD | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
Mott | Blair, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
Brookes | Peters, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
Ronnie | Sloan | Voting Member | 8.3% | ACO Participant Representative | Outer Banks Professional Services, LLC |
Niti | Armistead, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
Muna | Mian, MD | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
Tiffany | Mose | Voting Member | 8.3% | ACO Participant Representative | Roanoke Valley Health Services, Inc. |
Tom | Doubt | Voting Member | 8.3% | Medicare Beneficiary Representative | N/A |
Kenneth | Johnson, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
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
- Second Agreement Period
- Performance Year 2022, $5,182,303.43
- Performance Year 2021, $4,408,022.85
- 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 2022
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- 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 2022
- 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
2022 Quality Performance Results:
Measure # | Measure Name | Collection Type | Rate | ACO Mean |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 9.81 | 10.71 |
318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 90.27 | 87.83 |
236 | Controlling High Blood Pressure | CMS Web Interface | 63.50 | 76.16 |
110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 78.51 | 77.34 |
226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 87.50 | 79.27 |
134 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | CMS Web Interface | 86.93 | 76.97 |
113 | Colorectal Cancer Screening | CMS Web Interface | 73.88 | 75.32 |
112 | Breast Cancer Screening | CMS Web Interface | 82.31 | 78.07 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 88.49 | 86.37 |
370 | Depression Remission at Twelve Months | CMS Web Interface | 26.83 | 16.03 |
484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 31.56 | 30.97 |
CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 88.96 | 83.96 |
CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.83 | 93.47 |
CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.12 | 92.06 |
CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 79.96 | 77.00 |
CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 60.42 | 62.68 |
CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 54.95 | 60.97 |
CAHPS-7 | Health Status and Function Status | CAHPS for MIPS Survey | 72.47 | 73.06 |
CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.03 | 85.46 |
CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 94.11 | 91.97 |
CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 31.01 | 25.62 |
479 | Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1640 | 0.1510 |
- For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov