What is AnewCare?

AnewCare is an accountable care organization (ACO), which is a Medicare care coordination program of physicians, hospitals and other health care providers who share responsibility in providing patient-centered care. ACO members cooperate by sharing information, helping you receive the services you need when you need them.

AnewCare is not a health maintenance organization (HMO). You are not restricted to a provider network, and you are free to choose from any doctor who accepts Medicare. There are absolutely no costs to you. Physicians are care coordinators, responsible for providing you with improved health care options. There is no one prescribing what care and procedures you are eligible to receive. Your Medicare benefits will not change.

General and organizational information

ACO Name and Location:

AnewCare Collaborative, LLC
509 Med Tech Parkway, Suite 100
Johnson City, TN 37604

ACO Primary Contact:

E. Paige Younkin
elizabeth.younkin@ishnonline.com

423-952-2137

Organizational Information:

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
William Mark Handy MD, PC N
Unaka Internal Medicine LLC N
Abingdon Physician Partners Y
Norton Community Physician Services LLC Y
May Clinic PLLC N
Samina Yousuf MD, PC N
Mountain States Health Alliance Y
Blue Ridge Medical Management Corporation Y
Gray Family Clinic PLC N
Dickenson Community Hospital Inc Y

ACO governing body:

Member
Last Name First Name Title/Position Member’s Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Patterson, MD John Chair/Physician 1 ACO Participant Blue Ridge Medical Management Corporation
Dulebohn, MD Scott Physician 1 ACO Participant Blue Ridge Medical Management Corporation
Handy, MD William Physician 1 ACO Participant William Mark Handy, MD PLLC
Keck Tony SVP, Chief Development Officer 1 ACO Participant Mountain States Health Alliance
Kilgore Steve SVP, President/CEO 1 ACO Participant Blue Ridge Medical Management Corporation
Rajoo, MD Shari Physician 1 ACO Participant Blue Ridge Medical Management Corporation
Seligman, MD Morris EVP, Chief Medical Officer 1 ACO Participant Mountain States Health Alliance
White Lindy VP, CEO, Franklin Woods Community Hospital 1 ACO Participant Mountain States Health Alliance
Williams, MD Robert Retired 1 Medicare Beneficiary Representative

Key ACO clinical and administrative leadership:

  • ACO Executive: E. Paige Younkin
  • Medical Director: Dr. Shari Rajoo
  • Compliance Officer: Dee Warrington
  • Quality Assurance/Improvement Officer: E. Paige Younkin

Associated committees and committee leadership:

  • Finance Committee: David Sensibaugh, Chair
  • Clinical Committee: E. Paige Younkin, Chair
  • Compliance Committee: Dee Warrington, Chair

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

  • Partnership or joint venture arrangement between hospitals and ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $2,664,222
  • First Agreement Period
    • Performance Year 2015, $7,114,296
    • Performance Year 2014, $3,485,421
    • Performance Year 2013, $6,896,579

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2016
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesign care processes/resources: 30%
    • Proportion of distribution to ACO participants: 35%
  • First Agreement Period
    • Performance Year 2015
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesign care processes/resources: 30%
    • Proportion of distribution to ACO participants: 35%
  • Performance Year 2014
    • Proportion invested in infrastructure: 16%
    • Proportion invested in redesign care processes/resources: 68%
    • Proportion of distribution to ACO participants: 16%
  • Performance Year 2013
    • Proportion invested in infrastructure: 31%
    • Proportion invested in redesign care processes/resources: 38%
    • Proportion of distribution to ACO participants: 31%

Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 79.47 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 93.29 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 91.31 91.93
ACO-4 CAHPS: Access to Specialists 83.84 83.52
ACO-5 CAHPS: Health Promotion and Education 56.79 60
ACO-6 CAHPS: Shared Decision Making 79.79 75.28
ACO-7 CAHPS: Health Status/Functional Status 69.19 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 32.63 27.52
ACO-8 Risk-Standardized, All Condition Readmission 14.74 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.82 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 60.65 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 87.71 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.17 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.43 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 16.19 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 94.39 82.72
ACO-39 Documentation of Current Medications in the Medical Record 83.36 87.54
ACO-13 Falls: Screening for Future Fall Risk 72.25 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 72.61 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 72.25 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 74.47 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.13 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 55.8 53.63
ACO-19 Colorectal Cancer Screening 57.52 61.52
ACO-20 Breast Cancer Screening 72.91 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 86.8 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.6 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 18.68 18.24
ACO-41 Diabetes: Eye Exam 65.37 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 64.99 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.04 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 96.15 88.67
ACO-33 Angiostensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 85.46 79.67

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

Note: In the Quality Performance Results file(s) above, search for “AnewCare Collaborative, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A79251 in the public use files on data.cms.gov


Payment Rule Waivers

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

Last updated on December 18, 2017