Shared Savings Program Public Reporting Template
ACO Name and Location
Cumberland Center
for Healthcare Innovation, LLC
Trade Name/DBA:
Cumberland Center for Healthcare Innovation 1135 S Walnut Avenue,
Cookeville, TN, 38501, U.S.A.
ACO Primary Contact
Amanda Randolph 931-400-0011
amanda.randolph@cchi-tn.com
Organizational Information
ACO Participants:
|
ACO Participants
|
ACO Participant in Joint Venture
|
|
493 INTERNAL MEDICINE PLLC
|
No
|
|
Armadillo
Medical Services PC
|
No
|
|
Brett Ferrell
|
No
|
|
BROWNSVILLE FAMILY
MEDICINE, PA
|
No
|
|
C.S. Sewell, MD, PC
|
No
|
|
CALLIE
MEDICAL GROUP LLC
|
No
|
|
CANNON COUNTY
HEALTHCARE PC/DBA: WOODBURY
MEDICAL CENTER
|
No
|
|
Christopher
P Dill Md Pllc
|
No
|
|
Cornerstone Family Medicine LLC
|
No
|
|
Cumberland
Adult Medicine PLLC
|
No
|
|
Cumberland Family Care, PC
|
No
|
|
Dannie
Glover
|
No
|
|
Family Medical PC
|
No
|
|
Family Practice Center of Tullahoma LLC
|
Yes
|
|
Frix-Jennings Clinic PC
|
Yes
|
|
GIGI
DAVIS
|
No
|
|
INNOVATIVE FAMILY CARE, PLLC
|
No
|
|
James R Spurlock III
DO/DBA: MOUNTAIN VIEW MEDICAL
|
No
|
|
John R Clough
|
No
|
|
Johnson
Family Medicine Llc
|
No
|
|
Larry Barnes
|
No
|
|
Livingston
Family Healthcare LLC
|
No
|
|
LIVINGSTON FAMILY PRACTICE PLLC
|
No
|
|
Lynchburg Medical Clinic LLC
|
No
|
|
McMinnville Medical Associates Pllc
|
No
|
|
Mutigen
LLC
|
No
|
|
PROVIDENCE FAMILY MEDICINE
|
No
|
|
Seasons
Family Medicine PLLC
|
No
|
|
Sequatchie Valley Primary Care
|
No
|
|
SPECTRUM
MEDICAL ASSOCIATES
|
No
|
|
STACEY
B. CARLTON, M.D.,
P.C.
|
No
|
|
Staton
Southern Medical PLLC
|
No
|
|
Tullahoma Immediate Care PC
|
No
|
|
TWIN OAKS
PRIMARY CARE, INC.
|
No
|
|
WOMANS CLINIC
A PROFESSIONAL ASSOCIATION
|
No
|
ACO
Governing Body:
|
Member First Name
|
Member Last Name
|
Member Title/
Position
|
Member's
Voting Power (Expressed as a
percentage)
|
Membership Type
|
ACO Participant Legal Business Name, if applicable
|
|
Bill
|
Robertson
|
Voting Member
|
12.5%
|
ACO Participant Representative
|
Family
Medical PC
|
|
Brent
|
Staton
|
CEO/Voting
Member
|
12.5%
|
ACO Participant Representative
|
Staton Southern Medical PLLC
|
|
Brett
|
Ferrell
|
Voting Member
|
12.5%
|
ACO Participant Representative
|
Brett Ferrell
|
|
James
|
Spurlock
|
Chairman
|
12.5%
|
ACO Participant Representative
|
James R Spurlock III DO/
DBA: MOUNTAIN VIEW MEDICAL
|
|
Jim
|
Stafne
|
Voting Member
|
12.5%
|
Medicare Beneficiary Representative
|
N/A
|
|
Karin
|
Boeck
|
Voting Member
|
12.5%
|
ACO Participant Representative
|
Sequatchie Valley
Primary Care
|
|
Kenneth
|
Beaty
|
Voting Member
|
12.5%
|
ACO Participant Representative
|
Livingston Family
Healthcare LLC
|
|
Ty
|
Webb
|
CMO/Voting
Member
|
12.5%
|
ACO Participant Representative
|
Cumberland Family
Care, PC
|
Member's voting
power may have been rounded to reflect a total voting power of 100 percent.
Key ACO Clinical and
Administrative Leadership:
ACO Executive:
Brent Staton MD Medical Director:
Ty Webb MD Compliance Officer:
Brent Staton MD
Quality
Assurance/Improvement Officer:
Ty Webb MD
Associated Committees
and Committee Leadership:
|
Committee Name
|
Committee
Leader Name and Position
|
|
Clinical Transformation Committee
|
Ty Webb,
MD- Chairman
|
|
Compliance
Committee
|
Brent
Staton, MD- Chairman
|
|
Finance
Committee
|
James
Spurlock III, DO- Chairman
|
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Networks of individual practices of ACO professionals Rural Health Clinic (RHC)
Shared
Savings and Losses Amount of Shared Savings/Losses: Fourth
Agreement Period
Performance Year 2025, N/A 
Third Agreement Period
Performance Year 2024, N/A
Performance Year 2023, $7,818,301.35 Performance Year 2022, $8,634,908.00 Performance Year 2021, $7,274,084.04 Performance Year 2020, $8,073,515.51 Performance Year 2019, $6,093,148.43
Second
Agreement Period
Performance Year 2019, $6,093,148.43 Performance Year 2018, $2,869,967.67 Performance Year 2017, $3,169,815.69 Performance Year 2016, N/A
First
Agreement Period
Performance Year 2015, $1,863,290.00 Performance Year 2014, $326,464.53
Performance Year 2013, N/A Performance Year 2012, N/A
Note:
Our ACO participated in multiple performance years during Calendar Year 2019.
The shared savings/losses amount reported for Performance Year 2019 therefore
represents net shared savings or losses across all performance years
in 2019 and is shown
under all agreement periods in which
the ACO operated during
Calendar Year 2019.
Shared Savings Distribution:
Fourth Agreement Period Performance Year 2025
- Proportion
invested in infrastructure: N/A
-
Proportion invested in redesigned care
processes/resources: N/A
-
Proportion of distribution to ACO participants: N/A Third
Agreement Period
Performance Year 2024
- 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 2023
- Proportion
invested in infrastructure: 4%
-
Proportion invested in redesigned care
processes/resources: 20%
-
Proportion of distribution to ACO participants: 76%
Performance Year 2022
- Proportion
invested in infrastructure: 9%
- Proportion
invested in redesigned care processes/resources: 10%
-
Proportion of distribution to ACO participants: 81%
Performance Year 2021
- Proportion
invested in infrastructure: 8%
-
Proportion invested in redesigned care
processes/resources: 10%
- Proportion
of distribution to ACO participants: 82%
Performance Year 2020
- Proportion
invested in infrastructure: 4%
-
Proportion invested in redesigned care
processes/resources: 9%
-
Proportion of distribution to ACO participants: 87%
Performance Year 2019
- Proportion
invested in infrastructure: 8%
- Proportion
invested in redesigned care processes/resources: 18%
-
Proportion of distribution to ACO participants: 74% Second Agreement Period
Performance Year 2019
- Proportion
invested in infrastructure: 8%
-
Proportion invested in redesigned care
processes/resources: 18%
-
Proportion of distribution to ACO participants: 74%
Performance Year 2018
- Proportion
invested in infrastructure: 21%
- Proportion
invested in redesigned care processes/resources: 27%
-
Proportion of distribution to ACO participants: 52%
Performance Year 2017
- Proportion
invested in infrastructure: 24%
-
Proportion invested in redesigned care
processes/resources: 57%
- Proportion
of distribution to ACO participants: 19%
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 First Agreement Period
Performance Year 2015
- Proportion
invested in infrastructure: 20%
-
Proportion invested in redesigned care
processes/resources: 25%
-
Proportion of distribution to ACO participants: 55%
Performance Year 2014
- Proportion
invested in infrastructure: 8%
-
Proportion invested in redesigned care
processes/resources: 4%
-
Proportion of distribution to ACO participants: 0%
Performance Year 2013
- 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 2012
-
Proportion invested in infrastructure: N/A
- Proportion
invested in redesigned care processes/resources: N/A
-
Proportion of distribution to ACO participants: N/A
Note: Our ACO participated in multiple performance years during Calendar
Year 2019. The distribution of shared savings reported for
Performance Year 2019 therefore represents the distribution of the net shared
savings across all performance years in 2019 and is shown under all agreement
periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2023 Quality
Performance Results:
Quality performance results are based on the CMS Web Interface
collection type.
|
Measure #
|
Measure Name
|
Collection Type
|
Reported Performance Rate
|
Current
Year Mean Performance Rate (SSP ACOs)
|
|
110
|
Preventative Care and Screening: Influenza Immunization
|
CMS Web Interface
|
90.13
|
70.76
|
|
112
|
Breast Cancer Screening
|
CMS Web Interface
|
83.22
|
80.36
|
|
113
|
Colorectal Cancer Screening
|
CMS Web Interface
|
81.2
|
77.14
|
|
134
|
Preventative
Care and Screening: Screening for Depression and Follow-up Plan
|
CMS Web Interface
|
90.36
|
80.97
|
|
226
|
Preventative Care and Screening: Tobacco Use:
Screening and Cessation Intervention
|
CMS Web Interface
|
91.3
|
79.29
|
|
236
|
Controlling High Blood Pressure
|
CMS Web Interface
|
84.56
|
77.8
|
|
318
|
Falls: Screening for Future Fall Risk
|
CMS Web Interface
|
92.72
|
89.42
|
|
370
|
Depression Remission at Twelve Months
|
CMS Web Interface
|
15.15
|
16.58
|
|
438
|
Statin Therapy
for the Prevention and Treatment of Cardiovascular Disease
|
CMS Web Interface
|
92.93
|
87.05
|
|
479
|
Hospital-Wide,
30-Day, All-Cause Unplanned Readmission (HWR)
Rate for MIPS Groups
|
Administrative
Claims
|
0.14
|
0.16
|
|
001
|
Diabetes: Hemoglobin A1c (HbA1c) Poor Control
|
CMS Web Interface
|
6.2
|
9.84
|
For
previous years Financial and
Quality Performance Results, please visit: Data.cms.gov