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

  • Dr. Lindaberry at Carolina Forest, PC

    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 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 PC

    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

  • Michelle Dore

    ACO Executive

  • Dr. Dale Lusk

    Medical Director

  • Thomas Richardson

    Compliance Officer

  • Michelle Dore

    Quality Assurance/Improvement Officer

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

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%
2019 Quality Performance Results

  • ACO#

    Measure Name

    Rate

    ACO Mean

  • ACO-1

    CAHPS: Getting Timely Care, Appointments, and Information

    81.44

    85.86

  • ACO-2

    CAHPS: How Well Your Providers Communicate

    92.58

    94.11

  • ACO-3

    CAHPS: Patients’ Rating of Provider

    90.84

    92.69

  • ACO-4

    CAHPS: Access to Specialists

    81.44

    81.54

  • ACO-5

    CAHPS: Health Promotion and Education

    51.30

    60.44

  • ACO-6

    CAHPS: Shared Decision Making

    57.65

    62.78

  • ACO-7

    CAHPS: Health Status/Functional Status

    74.19

    73.79

  • ACO-8

    Risk Standardized, All Condition Readmission

    14.73

    14.86

  • ACO-13

    Falls: Screening for Future Fall Risk

    85.89

    84.04

  • ACO-14

    Preventive Care and Screening: Influenza Immunization

    75.93

    74.77

  • ACO-17

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

    80.00

    78.04

  • ACO-18

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

    81.53

    70.40

  • ACO-19

    Colorectal Cancer Screening

    77.42

    70.76

  • ACO-20

    Breast Cancer Screening

    78.63

    73.84

  • ACO-27

    Diabetes: Hemoglobin A1c Poor Control (>9%)

    11.86

    13.88

  • ACO-28

    Controlling High Blood Pressure

    68.92

    75.04

  • ACO-34

    CAHPS: Stewardship of Patient Resources

    29.57

    26.17

  • ACO-38

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    62.60

    58.15

  • ACO-42

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    85.54

    82.17

  • ACO-43

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

    2.15

    1.87

  • ACO-45

    CAHPS: Courteous and Helpful Office Staff

    91.69

    92.84

  • ACO-46

    CAHPS: Care Coordination

    85.24

    86.89


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

Payment Rule Waivers

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.