Medicare Reporting

• Greenwood Obstetrics & Gynecology Pa – N
• Carolinas Center for Advanced Management of Pain PA – N
• John Humeniuk – N
• Pathology Associates of Greenville – N
• Baptist Easley Hospital – N
• The Greenwood Endoscopy Center, Inc – N
• The Center for Advanced Eye Care – N
• Upstate Plastic Surgery – N
• Foothills Family Medicine of Westminster PA – N
• Easley Head & Neck Surgery PA – N
• Foot Clinic of South Carolina LLC – N
• Greenwood Eye Clinic, P.A. – N
• The Surgery Center @ Self Memorial Hospital, Llc. – N
• Carolina Pulmonary & Sleep Disorder, LLC – N
• Carolina Pathology Associates, LLP – N
• Greenville Health System – N
• Greenville Kidney Care LLC – N
• Riley Family Practice Associates, Pa – N
• Doctor for Life, LLC – N
• Allergic Disease & Asthma Center Pa – N
• Montgomery & Riddle Eyecare, P.A. – N
• Highlands Center for Women, P.A. – N
• Digestive Disease Group PA – N
• Newberry Family Health Center, PA – N
• Greenwood Urological – N
• Jervey Eye Group, PA – N
• Upstate Podiatry Group PA – N
• Greenwood Ear Nose And Throat Assoc Pa – N
• Regenesis Organization Community Health – N
• Upstate Medical Associates PA – N
• Abbeville County Memorial Hospital – N
• Carolina Integrative Medicine, PA – N
• Palmetto Bone & Joint, PA – N
• Oakview Medical Associates LLC – N
• Parkside Pediatrics, P.A. – N
• Gastroenterology Associates, PA – N
• Greenville Dermatology LLC – N
• Palmetto Internal Medicine & Primary Care – N

• Oconee Surgery, PA – N
• Jervey Eye Center, LLC – N
• Brio Medical, PC – N
• Carolina Nephrology PA – N
• Hillcrest Eyecare, PA – N
• Greenwood Center for Gynecology, LLC – N
• Newberry Internal Medicine LLC – N
• Turning Point Women’s Center, PA – N
• Carolina Surgery – N
• HHD Enterprises LLC – N
• Self Regional Healthcare – N
• Primary Care Associates, PC – N
• Apex Allergy & Immunology, P.C. – N
• The Surgery And Laser Center At Professional Park – N
• Golden Corner Family Prac – N
• Self Medical Group – N
• Piedmont Retina Assoc Pa – N
• Partners In Health – Rural Health – N
• Piedmont Neurology – N
• Greenville Endoscopy Center – N
• Piedmont Pulmonary Medicine, LLC – N
• Dermatology Associates, P.A. – N
• Palmetto Surgery Associates, PA – N
• Zachary Seymour – N
• Bruce A Marshall MD PA – N
• Pathology Consultants, Inc. – N
• John Humeniuk – N
• Pelham Family Practice, LLC – N
• Newberry County Memorial Hospital – N
• GHS Partners in Health, Inc. – N
• Anderson Heart P C – N
• New Haven Medical Services, PA – N
• Upper Savannah Radiological Associates, PA – N
• Carolina Lung & Sleep Center Llc – N
• Clemson Eye, PA – N
• Oconee Kidney Center LLC – N
• Anesthesiology of Greenwood PA – N
• Upstate Affiliate Organization – N

• Kim Roberts – ACO Executive
• William Gerard, MD – Medical Director
• Scott Pietras, JD – Compliance Officer
• Scott Hultstrand – Quality Assurance/Improvement Officer

• Compliance Committee: Scott Pietras, JD, Chair
• Finance Committee: Daniel Grover, MD,  Chair
• Network Participation Committee: Pat Crawford, MD Chair
• Primary Care Committee: Rebecca Smith, MD Chair
• Quality and Care Delivery Committee: Peter Tilkemeier, MD Chair

• Federally Qualified Health Centers (FQHC)
• Hospitals employing ACO professionals
• Partnerships or joint venture arrangements between hospitals and ACO professionals
• Network individual practices of ACO professionals
• Rural Health Clinics (RHC)

• Second Agreement Period
  • Performance Year 2019, $0
  • Performance Year 2018, $0
• First Agreement Period
  • Performance Year 2017, $7,863,011
  • Performance Year 2016, $9,657,590
  • Performance Year 2015, $8,474,728

• Second 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
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2016
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2015
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 80%

2019 Quality Performance Results

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  • Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.