ACO Name and Location
Coastal Plains Network, LLC
800 W.H. Smith Blvd
PO Box 6028
Greenville, NC 27835
ACO Primary Contact
Primary Contact Name: Pamela Cowin
Primary Contact Phone Number: 252-816-0899
Primary Contact Email Address: [email protected]
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| Outer Banks Professional Services, LLC | Y |
| Vidant Medical Group, LLC | N |
| Roanoke Valley Health Services, Inc | N |
| East Carolina Health-Bertie | N |
| East Carolina Health-Heritage, Inc. | N |
| East Carolina University | N |
| ECU Physicians Diagnostic Pathology Services | N |
ACO governing body:
| Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name |
| Jason | Foltz, D.O | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
| Joseph | Pye, M.D | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
| Jonathon | Firnhaber, MD | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
| Mott | Blair, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
| Brookes | Peters, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
| Ronnie | Sloan | Voting Member | 8.3% | ACO Participant Representative | Outer Banks Professional Services, LLC |
| Niti | Armistead, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
| Muna | Mian, MD | Voting Member | 8.3% | ACO Participant Representative | East Carolina University |
| Tiffany | Mose | Voting Member | 8.3% | ACO Participant Representative | Roanoke Valley Health Services, Inc. |
| Tom | Doubt | Voting Member | 8.3% | Medicare Beneficiary Representative | N/A |
| Kenneth | Johnson, MD | Voting Member | 8.3% | ACO Participant Representative | Vidant Medical Group, LLC |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
Key ACO Clinical and administrative leadership:
| Pamela Cowin | ACO Executive |
| Mott Blair, MD | Medical Director |
| Carla McKeithan | Compliance Officer |
| Wendy Vanlandingham | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
|---|---|
| Executive Committee | Niti Armistead, MD (Chair) |
| Quality Improvement & Performance Committee | Mott Blair, MD (Chair) |
| Finance & Contracting Committee | Joseph Pye, MD (Chair) |
| Compliance & Credentials Committee | Joseph Pye, MD (Chair) |
Types of ACO participants, or combinations of participants, that formed the ACO:
| Critical Access Hospital (CAH) billing under Method II |
| Hospital employing ACO professionals |
| Partnerships or joint venture arrangements between hospitals and ACO professionals |
| Rural Health Clinic |
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2022, $5,182,303.43
- Performance Year 2021, $4,408,022.85
- Performance Year 2020, $0
- Performance Year 2019, $0
- Performance Year 2018, $0
- First Agreement Period
- Performance Year 2017, $3,916,671
- Performance Year 2016, $0
- Performance Year 2015, $3,279,327
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- Performance Year 2021
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- 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
- 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 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 2022
- First Agreement Period
- Performance Year 2017
- Proportion invested in infrastructure: 40%
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 60%
- Performance Year 2016
- 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 2015
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: N/0
- Proportion of distribution to ACO participants: 90%
- Performance Year 2017
Quality Performance Results
2022 Quality Performance Results:
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 9.81 | 10.71 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 90.27 | 87.83 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 63.50 | 76.16 |
| 110 | Preventive Care and Screening: Influenza Immunization | CMS Web Interface | 78.51 | 77.34 |
| 226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 87.50 | 79.27 |
| 134 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | CMS Web Interface | 86.93 | 76.97 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 73.88 | 75.32 |
| 112 | Breast Cancer Screening | CMS Web Interface | 82.31 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 88.49 | 86.37 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 26.83 | 16.03 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 31.56 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 88.96 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.83 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.12 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 79.96 | 77.00 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 60.42 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 54.95 | 60.97 |
| CAHPS-7 | Health Status and Function Status | CAHPS for MIPS Survey | 72.47 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 87.03 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 94.11 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 31.01 | 25.62 |
| 479 | Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1640 | 0.1510 |
- For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov