ACO Name and Location

A2 ACO LLC
Previous Names: N/A
10825 Financial Centre Parkway
Little Rock, AR 72211

ACO Primary Contact

Primary Contact Name	Morie Mehyou
Primary Contact Phone Number	501 202 2636
Primary Contact Email Address	Morie.mehyou@baptist-health.org

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture
Neurosurgery Arkansas Pllc	N
Baptist Health Extended Care Hospital-Little Rock, Inc.	N
Conway Community Services	N
Baptist Health Hospitals	N
Baptist Health	N
Baptist MedCare Inc.	N
Arkansas Health Group	N
University Of Arkansas For Medical Sciences	N
Cowherd Family Medical Center P.A.	N

ACO governing body:

Last Name	First Name	Title/Position	Member's Voting Power – Expressed as a percentage or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
George, CPA	Amanda	Board member/Voting Member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Sorsby, MD	Stephen	Board member/Voting member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Mette, MD	Stephen	Board member/Voting member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Krause, MD	Michelle	Board Chair/Voting member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Beaulieu, CPA	Brent	Board member/Voting member	11.11	ACO Participant Representative	Baptist Health
Tyler, MD	Richard	Board member/Voting member	11.11	ACO Participant Representative	Arkansas Health Group
Hawkins, MD	William	Board member/Voting member	11.11	ACO Participant Representative	Arkansas Health Group
Hahn, MD	Herbert	Board member/Voting member	11.11	ACO Participant Representative	Baptist health
Baugh	Jerry	Board member/Voting member	11.11	Beneficiary Representative	N/A

Key ACO clinical and administrative leadership:

Morie Mehyou	ACO Executive
Herbert Hahn	Medical Director
Dana Williams	Compliance Officer
Brittney Marshall	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Clinical Committee	Herbert Hahn, MD – Medical Director
Finance Committee	Brent Beaulieu, CPA – BH CFO
Quality Committee	Michelle Krause, MD – professor UAMS

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

• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

• Performance Year 2018, $0
• Performance Year 2019, $0
• Performance Year 2020, $6,541,586.53

Shared Savings Distribution

First Agreement Period

Performance Year 2018

• Proportion invested in infrastructure: N/A
• Proportion invested in redesigned care processes/resources: N/A
• Proportion of distribution to ACO participants: N/A

Performance Year 2019

• Proportion invested in infrastructure: N/A
• Proportion invested in redesigned care processes/resources: N/A
• Proportion of distribution to ACO participants: N/A

Performance Year 2020

• Proportion invested in infrastructure: 60%
• Proportion invested in redesigned care processes/resources: 40%
• Proportion of distribution to ACO participants: 10%

Quality Performance Results

2020 Quality Performance Results

Measure Number	Measure Name	ACO Performance Rate*	Current Year Mean Performance Rate (SSP ACOs)
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	86.43	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	94.3	94.11
ACO-3	CAHPS: Patients Rating of Provider	93.6	92.69
ACO-4	CAHPS: Access to Specialists	87.38	81.54
ACO-5	CAHPS: Health Promotion and Education	53.97	60.44
ACO-6	CAHPS: Shared Decision Making	59.58	62.78
ACO-7	CAHPS: Health Status/Functional Status	69.49	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	18.56	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	92.9	92.84
ACO-46	CAHPS: Care Coordination	86.46	86.89
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	2.06	1.87
ACO-13	Falls: Screening for Future Fall Risk	67.07	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	80.16	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	42.86	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	61.8	71.46
ACO-19	Colorectal Cancer Screening	69.76	72.59
ACO-20	Breast Cancer Screening	80.71	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	100	99.72
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	11.45	14.7
ACO-28	Controlling High Blood Pressure	61.97	72.87

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.

The quality performance results data is available via the following sources:

• ACO-MS Data Hub: To access the Quality Performance Report, navigate to the Data Hub tab in ACO-MS, select the Program Year in which the data was released, and click on the “Reports” button. For example, for the PY 2020 Quality Performance Report, select “2021” under Program Year. The report is included within the Financial Reconciliation Package. In the Quality Performance Report, refer to the “Tables 2-5 – Measure Results” tab, which includes the “Measure Name,” “Your ACO Performance Rate,” and “Current Year Mean Performance Rate.” List measures in the same order as presented in the report.
• Public Use Files: Visit data.cms.gov to view the “Performance Year Financial and Quality Results” dataset.  Inthis file, you will find the information to enter for “Rate” by searching for your ACO Name or ACO ID and navigating to the columns titled “ACO#.” Please refer to the Quality Performance Report in the ACO-MS Data Hub for information to enter for “ACO Mean.” 

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

Note: In the Quality Performance Results file(s) above, search for “A2 ACO LLC” or “Baptist Health/UAMS Accountable Care Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A3633 in the public use files on data.cms.gov.

Payment Rule Waivers

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  • Our ACO did not uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
• 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.

Beneficiary Incentive Program

Our ACO did not uses the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c). Information on our use of the BIP for each performance year is outlined below.

Performance Year 2020

• Total number of beneficiaries who received an incentive payment: 0
• Total number of incentive payments furnished: 0
• Healthcare Common Procedure Coding System (HCPCS) codes associated with any qualifying service for which an incentive payment was furnished: 0,
• Total value of all incentive payments furnished: $0
• Total of each type of incentive payment (for example, check or debit card) furnished: None