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.

ACO Name and Location:

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

ACO Primary Contact:

Paula Claytore
423-431-6147
paula.claytore@balladhealth.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Abingdon Internal Medicine PC	N
Abingdon Physician Partners	N
Blue Ridge Medical Management Corporation	N
Gray Family Clinic PLC	N
May Clinic PLLC	N
Medical Education Assistance Corporation University Physicians Practice	N
Nolichuckey Management Services Inc	N
Norton Community Physician Services LLC	N
Samina Yousuf MD, PC	N
Unaka Internal Medicine LLC	N
Wellmont Cardiology Services	N
Wellmont Medical Associates Inc	N
William M Handy MD PC	N
WPS Providers Inc	N

ACO Governing Body:


Member Last Name	Member First Name	Member Title/Position	Member’s Voting Power	Membership Type	ACO Participant TIN Legal Business Name/DBA*
Combs, MD	Stephen	Chair/CMO	1	ACO Participant	Blue Ridge Medical Management Corporation
Handy, MD	William	Vice Chair/Physician	1	ACO Participant	William Mark Handy, MD PC
Hackett, MD	Ryan	Physician	1	ACO Participant	Blue Ridge Medical Management Corporation
Holmes, MD	Sheri	Physician	1	ACO Participant	Medical Education Assistance Corporation University Physicians Practice
Luff, MD	Matt	Physician	1	ACO Participant	Wellmont Cardiology Services
Miller, MD	Charles	Physician	1	ACO Participant	Unaka Internal Medicine, LLC
Newberry, MD	Brian	Physician	1	ACO Participant	Norton Community Physician Services
Smith, MD	BJ	Physician	1	ACO Participant	Integrated Health Transitions PLLC
Sutherland, MD	Clint	Physician	1	ACO Participant	Wellmont Medical Associates
Kilgore	Steve	SVP, Retail, Corporate Programs, & Business Development	1	ACO Participant	Blue Ridge Medical Management Corporation
Rogers	Allison	AVP, Strategy & Value-Based Care Services	1	Health System	Ballad Health
Spicer	Lewis	Retired	1	Medicare Beneficiary

*if applicable

Key ACO Clinical and Administrative Leadership:

ACO Executive: Paula Claytore
Medical Director: Shari Rajoo, MD
Compliance Officer: Dee Warrington
Quality Assurance/Improvement Officer: Joel Reagan

Associated Committees and Committee Leadership:

Clinical Committee: Megan Johnson, MD, Chair
Finance Committee: Chase Wilson, Chair
Governance Committee: Dee Warrington, Chair

Types of ACO Participants or Combinations of Participants that Formed the ACO:

ACO professionals in individual practices
ACO professionals in group practice arrangements

Shared Savings and Losses

Amount of Shared Savings/Losses:

Third Agreement Period
- Performance Year 2020, $0
- Performance Year 2019, $2,075,879
Second Agreement Period
- Performance Year 2019: $2,075,879
- Performance Year 2018: $3,324,805
- Performance Year 2017: $1,632,905
- 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

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution:

Third Agreement Period
- Performance Year 2020: N/A
- Performance Year 2019
  - Proportion invested in infrastructure: 35%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 35%
Second Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: 35%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 35%
- Performance Year 2018
  - Proportion invested in infrastructure: 35%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 35%
- Performance Year 2017
  - Proportion invested in infrastructure: 35%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 35%
- Performance Year 2016
  - Proportion invested in infrastructure: 35%
  - Proportion invested in redesigned 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 redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 35%
- Performance Year 2014
  - Proportion invested in infrastructure: 16%
  - Proportion invested in redesigned care processes/resources: 68%
  - Proportion of distribution to ACO participants: 16%
- Performance Year 2013
  - Proportion invested in infrastructure: 31%
  - Proportion invested in redesigned care processes/resources: 38%
  - Proportion of distribution to ACO participants: 31%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shard savings reported for Performance Year 2019 therefore represents the distribution of the net shard savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2020 Quality Performance Results:

ACO #	Measure Name	Rate	ACO Mean
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Condition	55.75	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	94.62	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	78.07	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	60.53	81.67
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	39.92	71.46
ACO-19	Colorectal Cancer Screening	67.16	72.59
ACO-20	Breast Cancer Screening	72.09	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.72	83.37
ACO-40	Depression Remission at Twelve Months	20.45	13.99
ACO-27	Diabetes Mellitus Hemoglobin A1c Poor Control	12.06	14.07
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	66.67	75.04

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

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs to field a CAHPS for ACOs survey for PY2020 through the Physician Fee Schedule Final Rule for Calenar Year 2021. Additionally, CMS reverted CO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: Yes

Waiver for Payment for Telehealth Services: Yes