NC ACO Public Reporting

ACO name and location:

Novant Health Accountable Care Organization I, LLC
200 Hawthorne Lane, P.O. Box 33549,
Charlotte, NC 28233

ACO primary contacts:

John Howard
704-316-2421
jshoward@novanthealth.org

Organizational information:

ACO participants:

ACO Participants	ACO Participant in Joint Venture
Carolina Medicorp Enterprises, Inc.	No
Forsyth Medical Group, LLC	No
Forsyth Memorial Hospital, Inc.	No
Foundation Health Systems Corp	No
Northwest Family Physicians, P.A.	No
Novant Medical Group, Inc.	No
Presbyterian Medical Care Corp	No
The Presbyterian Hospital	No

ACO participants in joint ventures between ACO professionals and hospitals: None

ACO governing body:

Member Last Name	Member First Name	Member Title/Position	Member's Voting Power	Membership Type	ACO Participant Legal Business Name
Stevens	Shelbourn	Chair	1 vote	Other representative	N/A
Barnabei	Robert	Physician	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Eichenbrenner	Timothy	Physician	1 vote	Medicare Beneficiary Representative	N/A
English	Betsy	Physician	1 vote	ACO Participant Representative	Forsyth Memorial Hospital, Inc.
Hoben	Michael	Physician	1 vote	ACO Participant Representative	Carolina Medicorp Enterprises, Inc.
Laguerre	Jacques	Physician	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Smart	Carl	Physician/Sec-Treasurer	1 vote	ACO Participant Representative	Novant Medical Group, Inc.
Williams	Jerome	Physician/Vice-Chair	1 vote	ACO Participant Representative	Novant Medical Group, Inc.

Key ACO clinical and administrative leadership:

ACO Executive: John Howard
Medical director: Michael Hoben, MD
Compliance officer: Kelly Patterson
Quality Assurance/Improvement Officer: David Priest, MD

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Network Development Committee	Patrick Easterling, Chair
Quality Committee	David Priest, MD, Chair
Finance Committee	Geoff Gardner, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

ACO professionals in a group practice arrangement
Hospital employing ACO professionals

Public Disclosure of Arrangement Conducted Under the MSSP ACO Participation Waiver

The Centers for Medicare and Medicaid Services and the U.S. Department of Health and Human Services’ Office of Inspector General have made available waivers of certain federal fraud and abuse laws in connection with the operation of accountable care organizations (“ACOs”) that have entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”), one of which is called the ACO Participation Waiver.

Novant Health Accountable Care Organization I, LLC (the “Company”) is an ACO participating in the MSSP. Pursuant to the ACO Participation Waiver, on June 22, 2021, after making a bona fide determination that the arrangement is reasonably related to the purposes of the Shared Savings Program, the Company’s Board, as the governing body of the Company, approved an arrangement to distribute a portion of the projected shared savings for the 2020 performance year to qualifying physician participants (primary care and specialists) in three installments.

Amount of Shared Savings and Losses:

Second Agreement Period

Performance Year 2020, $7,343,668.88

First Agreement Period

Performance Year 2019, $0
Performance Year 2018, $0
Performance Year 2017, $0

Shared savings distribution:

Second Agreement Period

Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 80%

First Agreement Period

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 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Quality Performance Results:

2020 Quality Performance Results:

ACO #	Measure Name	Rate	ACO Mean
ACO-8	Risk Standardized, All Condition Readmission	15.24	15.07
ACO-38	Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions	50.02	49.50
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.16	0.95
ACO-13	Falls: Screening for Future Fall Risk	98.18	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	78.93	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	100.00	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	99.08	71.46
ACO-19	Colorectal Cancer Screening	85.00	72.59
ACO-20	Breast Cancer Screening	88.73	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	89.26	83.37
ACO-40	Depression Remission at Twelve Months	14.29	13.99
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	10.14	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	66.67	72.87

Please note, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

For Previous Years' Quality Performance Results please visit: Performance Year Financial and Quality Results - Centers for Medicare & Medicaid Services Data (cms.gov)

Note: In the link above, search for “Novant Health Accountable Care Organization I, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3504 in the public use files on data.cms.gov.