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
Arkansas Health Group	N
Baptist Health	N
Baptist Health Extended Care Hospital-Little Rock, Inc.	N
Baptist Health Hospitals	N
Baptist Health Regional Hospitals	N
Baptist Health Services	N
Baptist MedCare Inc.	N
Conway Community Services	N
University Of Arkansas For Medical Sciences	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
Seupaul, MD	Rawle	Board member/Voting member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Mette, MD	Stephen	Board Chair/Voting member	11.11	ACO Participant Representative	University of Arkansas for Medical Sciences
Krause, MD	Michelle	Board member/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:

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

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: 55%
• Proportion invested in redesigned care processes/resources: 45%
• Proportion of distribution to ACO participants: 0%

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. For 2018 Quality Performance Results please visit data.cms.gov.

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:
• 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.