ACO Public Reporting Information

Organizational Information

  • ACO Participants

    ACO Participant in Joint Venture (Y or N)

  • Allergy Asthma Sinus Center

    N

  • Carolina Family Practice PA

    N

  • Family Medicine of SayeBrook, LLC

    N

  • Florence Ears Nose & Throat, PC

    N

  • Florence Neurosurgery and Spine, PC

    N

  • Hartsville Medical Associates LLC

    N

  • Internal Medicine Associates of Florence, LLC

    N

  • John McLeod

    N

  • Lumberton Internal Medicine Group, PA

    N

  • McLeod Health Cheraw

    N

  • McLeod Health Clarendon

    N

  • McLeod Loris Seacoast Hospital

    N

  • McLeod Medical Center-Dillon

    N

  • McLeod Physician Associates

    N

  • Mcleod Regional Medical Center of The Pee Dee Inc

    N

  • Palmetto Family Medicine of Chesterfield County, LLC

    N

  • Plastic & Reconstructive Surgery of Sumter, PA

    N

  • Strand Physician Specialists PA (Carolina Health Specialists)

    N

  • Trucare Family Practice PLLC

    N

  • W Dean Lorenz, MD PA

    N

ACO Governing Body

  • Member Last Name

    Member First Name

    Member Title/Position

    Member Voting Power

    Membership Type

    ACO Participant Legal Business Name/DBA, if applicable

  • Alexander

    C. Richard

    Chair

    1

    ACO Participant Representative

    McLeod Physician Associates II

  • Boulware

    William N.

    Vice-Chair

    1

    ACO Participant Representative

    Internal Medicine Specialists of Florence, LLC

  • Blaker

    Alan M.

    Secretary

    1

    ACO Participant Representative

    McLeod Physician Associates II

  • Bornfreund

    Jon

    Voting Member

    1

    ACO Participant Representative

    Family Medicine of SayeBrook, LLC

  • Cole

    Brad

    Voting Member

    1

    ACO Participant Representative

    McLeod Physician Associates II

  • Eagerton

    Donald

    Voting Member

    1

    ACO Participant Representative

    Strand Physician Specialists, PA dba Carolina Health Specialists

  • Eagerton Jr.

    Robert S.

    Voting Member

    1

    ACO Participant Representative

    McLeod Physician Associates II

  • Harless

    Michael E.

    Voting Member

    1

    ACO Participant Representative

    Hartsville Medical Associates, PA

  • Isgett

    Donna

    Voting Member

    1

    ACO Participant Representative Representative

    McLeod Health

  • Jagadeesha

    Vinay

    Voting Member

    1

    ACO Participant Representative

    McLeod Regional Medical Center

  • Jordan

    Charles M.

    Voting Member

    1

    Medicare Beneficiary Representative

    NA

Key ACO Clinical and Administrative Leadership

  • ACO Executive

    Michelle Dore

  • Medical Director

    Dr. Dale Lusk

  • Compliance Officer

    Thomas Richardson

  • Quality Assurance/Improvement Officer

    Michelle Dore

Associated Committees and Committee Leadership

  • Quality Operations Committee

    Alan Blaker, MD, Chair

  • Payment Transformation & Finance Committee

    Fulton Ervin, CFO, Chair

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


  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Network of individual practices of ACO professionals

Shared Savings and Losses


Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018, $4,347,851
    • Performance Year 2019, $4,225,332
    • Performance Year 2020, $0

Shared Savings Distribution


  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 100%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 0%
    • Performance Year 2019
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 85%
    • Performance Year 2020
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
2020 Quality Performance Results

  • ACO#

    Measure Name

    Rate

    ACO Mean

  • ACO-13

    Falls: Screening for Future Fall Risk

    84.86

    84.97

  • ACO-14

    Preventive Care and Screening: Influenza Immunization

    80.36

    76.03

  • ACO-17

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    75.00

    81.67

  • ACO-18

    Preventive Care and Screening: Screening for Depression and Follow-up Plan

    68.15

    71.46

  • ACO-19

    Colorectal Cancer Screening

    57.03

    72.59

  • ACO-20

    Breast Cancer Screening

    70.28

    74.05

  • ACO-27

    Diabetes: Hemoglobin A1c Poor Control (>9%)

    15.54

    14.70

  • ACO-28

    Controlling High Blood Pressure

    63.60

    72.87

  • ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    85.23

    83.37

  • ACO-43

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    1.17

    0.95


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) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-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.

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