Public Reporting

ACO Name and Location:
MHC Accountable Care Organization, LLC
5183 U.S. Route 60 East
Huntington, WV 25705

ACO Primary Contact:
David Campbell, Executive Director
Phone: (304) 399-4691
Email: [email protected]

Organizational Information:

ACO Participants: ACO Participant in Joint Venture (Y-Yes; N-No)
UNIVERSITY PHYSICIANS & SURGEONS, INC.  DBA MARSHALL HEALTH N
ST. MARY'S HIMG, LLC, DBA HUNTINGTON INTERNAL MEDICINE GROUP N
CABELL HUNTINGTON HOSPITAL INC N
ST. MARY’S MEDICAL CENTER, INC. N
ST. MARY’S MEDICAL MANAGEMENT, LLC N

Members of the MHC ACO governing body:

Member Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Rellan Dev Board Member, Secretary/Treasurer Voting Member (1) Medicare Beneficiary Representative N/A
Swearingen Angie Board Member Voting Member (1) ACO Participant Representative St. Mary’s Medical Center, Inc. and St. Mary’s Medical Management, LLC
Dial Dr. Larry Board Member, Chairperson Voting Member (1) ACO Participant Representative Cabell Huntington Hospital, Inc. and St. Mary's Medical Center, Inc. (Mountain Health Network, Inc.)
Evans Dr. Joe Board Member Voting Member (1) ACO Participant Representative University Physicians and Surgeons, Inc. dba Marshall Health
Martin Tim Board Member Voting Member (1) ACO Participant Representative Cabell Huntington Hospital, Inc.
Morgan Mark Board Member, Vice-Chairperson Voting Member (1) ACO Participant Representative St. Mary's HIMG, LLC, dba Huntington Internal Medicine Group
Shapiro Dr. Joseph Board Member Voting Member (1) ACO Participant Representative University Physicians and Surgeons, Inc. dba Marshall Health
Snavely Dr. Daniel Board Member Voting Member (1) ACO Participant Representative St. Mary's HIMG, LLC, dba Huntington Internal Medicine Group
Ward Monte Board Member Voting Member (1) ACO Participant Representative Cabell Huntington Hospital, Inc.
Yingling Dr. Kevin Board Member Voting Member (1) ACO Participant Representative Cabell Huntington Hospital, Inc. and St. Mary's Medical Center, Inc. (Mountain Health Network, Inc.)

Key clinical and administrative leadership:

ACO Executive: David Campbell, JD, Executive Director
Medical Director: Larry Dial, MD
Compliance Official: Jennifer Rice, JD
Quality Assurance/Improvement Officer: Larry Dial, MD

ACO committees and committee leadership:
Quality Improvement and Clinical Integration Committee: Larry Dial, MD, Chairperson
Finance, Risk and Compliance Management Committee: Mark Morgan and Monte Ward, Co-Chairpersons
Data and Technology Committee: Dennis Lee, Chairperson
Operations Committee: Beth Hammers, Chairperson.

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

ACO professionals in a group practice arrangement
Hospital employing 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, $0
    • Performance Year 2021, $0

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2018, 2019, 2020 and 2021:
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2021 Quality Performance Results are based on CMS Web Interface:

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 17.11 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 83.27 74.38
236 Controlling High Blood Pressure 63.41 74.87
318 Falls: Screening for Future Fall Risk 94.22 87.03
110 Preventative Care and Screening: Influenza Immunization 76.77 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.00 80.97
113 Colorectal Cancer Screening 71.74 73.63
112 Breast Cancer Screening 73.33 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.58 84.24
370 Depression Remission at Twelve Months 2.38 15.50
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1628 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 37.64 33.99
Measure ID Measure Name Rate ACO Mean
CAHPS-1 Getting Timely Care, Appointments, and Information 85.92 84.67
CAHPS-2 How Well Providers Communicate 94.06 93.56
CAHPS-3 Patient’s Rating of Provider 91.57 92.19
CAHPS-4 Access to Specialists 84.28 78.80
CAHPS-5 Health Promotion and Education 60.09 61.61
CAHPS-6 Shared Decision Making 53.89 60.89
CAHPS-7 Health Status and Functional Status 67.77 71.78
CAHPS-8 Care Coordination 82.85 85.66
CAHPS-9 Courteous and Helpful Office Staff 93.18 91.88
CAHPS-11 Stewardship of Patient Resources 26.85 24.71

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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