Medicare Reporting

• Foot Clinic of South Carolina LLC – N
• New Haven Medical Services, PA – N
• The Surgery And Laser Center At Professional Park – N
• Parkside Pediatrics, P.A. – N
• John Humeniuk – N
• Zachary Seymour – N
• Upstate Medical Associates PA – N
• Carolina Pulmonary & Sleep Disorder, LLC – N
• Carolina Lung & Sleep Center Llc – N
• Self Medical Group – N
• Palmetto Internal Medicine & Primary Care – N
• Highlands Center for Women, P.A. – N
• Baptist Easley Hospital – N
• John Humeniuk – N
• Carolina Surgery – N
• Carolina Integrative Medicine, PA – N
• Greenville Kidney Care LLC – N
• Oconee Kidney Center LLC – N
• Piedmont Neurology – N
• Brio Medical, PC – N
• Greenwood Urological – N
• Upstate Plastic Surgery – N
• Newberry County Memorial Hospital – N
• Self Regional Healthcare – N
• Greenwood Obstetrics & Gynecology Pa – N
• Dermatology Associates, P.A. – N
• Greenwood Ear Nose And Throat Assoc Pa – N
• Greenwood Eye Clinic, P.A. – N
• Upper Savannah Radiological Associates, PA – N
• Gastroenterology Associates, PA – N
• Allergic Disease & Asthma Center Pa – N
• Bruce A Marshall MD PA – N
• Newberry Internal Medicine LLC – N
• Carolina Pathology Associates, LLP – N
• Piedmont Retina Assoc Pa – N
• Oconee Surgery, PA – N
• Digestive Disease Group PA – N

• The Greenwood Endoscopy Center, Inc – N
• New Horizon Family Health Services, Inc. – N
• Palmetto Bone & Joint, PA – N
• Riley Family Practice Associates, Pa – N
• Anesthesiology of Greenwood PA – N
• Greenville Endoscopy Center – N
• Carolina Nephrology PA – N
• Jervey Eye Group, PA – N
• Foothills Family Medicine of Westminster PA – N
• GHS Partners in Health, Inc. – N
• Primary Care Associates, PC – N
• Carolinas Center for Advanced Management of Pain PA – N
• Palmetto Surgery Associates, PA – N
• Palmetto Family Medicine – N
• Greenwood Center for Gynecology, LLC – N
• Regenesis Organization Community Health – N
• The Surgery Center @ Self Memorial Hospital, Llc. – N
• Simpsonville Family Medicine, P.A. – N
• Golden Corner Family Prac – N
• Greenville Dermatology LLC – N
• Montgomery & Riddle Eyecare, P.A. – N
• Pathology Associates of Greenville – N
• Pathology Consultants, Inc. – N
• Turning Point Women’s Center, PA – N
• Abbeville County Memorial Hospital – N
• Greenville Health System – N
• Clemson Eye, PA – N
• Partners In Health – Rural Health – N
• Jervey Eye Center, LLC – N
• Newberry Family Health Center, PA – N
• The Center for Advanced Eye Care – N
• Pelham Family Practice, LLC – N
• HHD Enterprises LLC – N
• Oakview Medical Associates LLC – N
• Doctor for Life, LLC – N
• Upstate Affiliate Organization – N

• Dr. Angelo Sinopoli—Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Mr. Jim Pfeiffer—Vice-Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Self Regional Healthcare
• Mr. Greg Rusnak—Secretary, Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. J. Drew Goldsmith—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. Vincent Green—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. George Haddad—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. Greg Mappin—Voting Member, Voting Member Power – 1, ACO Participant Representative, Self Regional Healthcare
• Mr. S.T. Peden—Voting Member, Voting Member Power – 1, Medicare Beneficiary Representative, Community Stakeholder
• Dr. Conrad Shuler—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. Joanne Skaggs—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. William Springhart—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
• Dr. Donald Wiper III—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System

• ACO Executive: Angelo Sinopoli, MD
• Medical Director: Peter Tilkmeier, MD
• Compliance Officer: Scott Pietras
• Quality Assurance Improvement Manager: Scott Hultstrand

• Compliance Committee: Michelle Scherer, Chair
• Finance Committee: Terri Newsom, Chair
• Network Committee: Greg Mappin, MD Chair
• Primary Care Committee: Joanne Skaggs, MD Chair
• Quality and Care Model Committee: Peter Tilkemeier, MD Chair

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

• First Agreement Period
  • Agreement period beginning 2015, Performance Year 2016: $9,657,590
  • Agreement period beginning 2015, Performance Year 2015: $8,474,728

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

2016 Quality Performance Results

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

• For 2016 Quality Performance Results please visit: Medical Shared Savings 2016
• For 2015 Quality Performance Results please visit: Medical Shared Savings 2015

Note: In the Quality Performance Results file(s) above, search for “MyHealth First Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A95812 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

The Centers for Medicare & Medicaid Services (CMS) has made available certain waivers of federal fraud and abuse laws in connection with the operation of an Accountable Care Organization (ACO) that has entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”). In accordance with the public disclosure requirements of the ACO Participation Waiver, the following describes arrangements between MyHealth First Network, LLC (MyHFN) and its participants.

The ACO has an arrangement in which it offers a technology platform for population health and clinical integration (“MyHFN PH/CI System”) that gathers, analyzes and reports on data regarding patient needs, the delivery of care, quality indicators, population health in local communities, and patient outcomes to its members including its physician members. MyHFN member hospitals support the costs of such system in the proportions that their communities represent in comparison to the entire service area population served by MyHFN.

The ACO has an arrangement in which it provides incentive compensation (the “Physician Performance Payment System”) that will compensate MyHFN physicians for their work in quality improvement and care coordination for MSSP Patients and other patients; and the Physician Performance Payment System will be funded by a portion of any MSSP shared savings payments.

MyHFN Board of Managers determined that the Physician Performance Payment System and the Population Health and Clinical Integration Support Arrangement are reasonably related to the purposes of the Medicare Shared Savings Program.  Furthermore, the MyHFN Board of Managers approved the Physician Performance Payment System and the Population Health and Clinical Integration Support Arrangement. The program commenced on January 1, 2015 and continues to be in effect.

Approved by MyHFN Board of Managers November 15, 2017.