ACO name and location:
Atrium Health ACO, LLC
1000 Blythe Blvd.
Charlotte, NC 28203

ACO primary contact:
Primary Contact Name: Leah Maul, Lead Executive, Network Integration
Primary Contact Phone Number: 704-446-3116
Primary Contact Email Address: leah.maul@carolinasphysicianalliance.org 

Organizational Information:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Arboretum Urgent Care Center

N

Aswad Surgical Group, PC

N

Barnett Family Practice

N

Blue Ridge Healthcare Medical Group, Inc.

N

Bradford K Faulkenberry M.D.

N

Cabarrus Gastroenterology Associates Pllc

N

Cabarrus Pathology Associates, P.A.

N

Carmel Family Physicians

N

Carolina Bone & Joint, P.A.

N

Carolinas Ambulatory Surgery, Inc

N

Carolinas Emergency Physicians, P.A.

N

Carolinas Imaging Services, LLC

Y

Carolinas Medical Center

N

Carolinas Medical Center At Home, LLC

N

Carolinas Palliative Care And Hospice Network, Inc.

N

Carolinas Pathology Group, Pa

N

Carolinas Physicians Network Inc.

N

Carolinas Rehabilitation

N

Carolinas-Anson Healthcare, Inc.

N

Charlotte Eye Ear Nose & Throat Associates, P.A.

N

Charlotte Medical Clinic, Inc.

N

Charlotte Obstetric And Gynecological Associates

N

Christopherson Family Medicine, LLC

N

Cleveland Ambulatory Services, LLC

N

Columbus Regional Health Network

N

Cotswold Family Medicine

N

Cox Road Urgent Care

N

Davidson Clinic

N

Eastland Urgent Care

N

Eastover Obstetrics And Gynecology Associates

N

Eastover University Obstetrics & Gynecology Associates

N

Eastridge Family Medicine

N

Ent Carolina, P.A.

N

Harrisburg Family Physicians

N

Hospice Of Cabarrus County, Inc.

N

Huntersville Oaks

N

Lakemont Family Medicine

N

Lincoln Family Practice

N

Mecklenburg Medical Group

N

Medical Associates Of Rock Hill

N

Mercy Hospital, Inc.

N

Northcross Family Physicians

N

Northcross Obstetric And Gynecologic Associates

N

Northeast Anesthesia & Pain Specialists, P.A.

N

OrthoCarolina, P.A.

N

Paragon Surgical Specialists, P.A.

N

Piedmont Gynecological And Obstetrical Associates

N

Pulmonary Clinic Of The Carolinas, P.C.

N

Randolph Internal Medicine Associates

N

Riverbend Family Physicians

N

Sandra Lee McCormack

N

Sardis Oaks

N

Scotland Regional Health Network

N

Scotland Memorial Hospital Inc.

N

Shiland Family Medicine

N

South Charlotte Primary Care

N

Southeast Radiation Oncology Group, P.A.

N

Steele Creek Urgent Care

N

St. Luke's Physician Network, Inc.

N

St. Luke's Hospital, Inc.

N

Surgical Specialists of Charlotte, P.A.

N

The Charlotte-Mecklenburg Hospital Authority

N

Urology Specialists of The Carolinas

N

West Primary Care, Inc.

N


ACO governing body:

Member

 

 

 

First Name

Last Name

Title/Position

Member’s Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if applicable

Ruth

Krystopolski

Co-Chair

Voting Member (1)

ACO Participant Representative

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Jennifer

Brady, MD

Co-Chair

Voting Member (1)

ACO Participant Representative

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Collin

Lane

Member

Voting Member (1)

ACO Participant Representative

CAROLINAS MEDICAL CENTER AT HOME, LLC

Chris

Hummer

Member

Voting Member (1)

ACO Participant Representative

MERCY HOSPITAL, INC.

Al

Hudson, MD

Member

Voting Member (1)

ACO Participant Representative

CAROLINAS PHYSICIAN NETWORK, INC.

Scott

Rissmiller, MD

Member

Voting Member (1)

ACO Participant Representative

CAROLINAS PHYSICIAN NETWORK, INC.

Britney

Broyhill, DNP, ACNP-BC, NP

Member

Voting Member (1)

ACO Participant Representative

CAROLINAS PHYSICIAN NETWORK, INC.

Adam

Ravin, MD

Member

Voting Member (1)

ACO Participant Representative

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Matt

Hanley, MD

Member

Voting Member (1)

ACO Participant Representative

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

Louis

Zbinden, MD

Member

Voting Member (1)

ACO Participant Representative

SURGICAL SPECIALISTS OF CHARLOTTE, P.A.

Robert

Mittl, MD

Member

Voting Member (1)

ACO Participant Representative

CHARLOTTE RADIOLOGY, P.A.

Mark

Aldous, MD

Member

Voting Member (1)

ACO Participant Representative

CABARRUS GASTROENTEROLOGY ASSOCIATES, LLC

Bruce

Cohen, MD

Member

Voting Member (1)

ACO Participant Representative

ORTHOCAROLINA, P.A.

Ellen

Sheppard

Member

Voting Member (1)

Medicare Beneficiary Representative

N/A

 

Key ACO clinical and administrative leadership:

Ruth Krystopolski  ACO Executive
Brian Kersten, M.D Chief Medical Officer
Sara Mikus Chief Compliance Officer
Elizabeth Handy Quality Assurance/Improvement Officer


Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Network Development Committee

Leah Maul, Chair

Clinical Effectiveness Committee

Zeev Neuwirth, MD, Co-Chair

Louis Zbinden, MD, Co-Chair

Finance Committee

Adam Ravin, MD, Co-Chair

Operations Committee

Al Hudson, MD, Chair

Nominating Committee

Jennifer H. Brady, MD, Co-Chair

Ruth Krystopolski, Co-Chair


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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangement between hospitals and ACO professionals

Shared Savings and losses:

  • Amount of shared savings/losses:  N/A
  • Shared savings distribution: N/A

Quality performance results


Our ACO did not participate in the ACO Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

Payment rule waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Accountable Care Organization (ACO) & Medicare Shared Savings Program Frequently Asked Questions

What is an Accountable Care Organization (ACO)?

An accountable care organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to improve quality, cost, and coordination of care you receive in the healthcare setting.

  • An ACO does not change your Medicare benefits.
  • An ACO is not a Health Maintenance Organization (HMO), managed care, or an insurance plan. An ACO can’t tell you which healthcare providers to see or hospital to visit, and can’t limit your Medicare benefits.
  • You still have the right to choose any hospital or doctor that accepts Medicare, at any time, even if that hospital or doctor isn’t a part of an ACO. Your doctor or healthcare provider may make recommendations, but it is always your choice on what doctors or hospitals you use.

How do I know if my doctor participates in an ACO?

Doctors and healthcare providers that participate in an ACO must display a poster that notifies you of your doctor’s participation in an ACO.

For general information about ACOs, call 1-800-MEDICARE.

How will an ACO help my doctor coordinate my care?

  • Your doctors will have a more complete picture of your health through talking with your other healthcare providers.
  • Medicare will share certain health information with us about the care you receive from your doctors and other healthcare providers unless you ask Medicare not to share it. Medicare may also share your health information with other ACOs in which your doctors or healthcare providers participate.

What can you expect if your doctor is in an ACO?

With an ACO you are the center of care, and your satisfaction is one of the goals. Over time, you may notice that:

  • You don’t have to fill out as many medical forms with the same information
  • The doctors and healthcare providers that you see all know what’s going on with your health because they communicate with each other
  • You don’t need to repeat medical tests because your results are shared among your doctors and healthcare providers

What do you need to do?

  • If you want Medicare to share information about the healthcare you received with Atrium Health ACO, LLC or with other ACOs in which your doctors or healthcare providers participate, there's nothing more you need to do.
  • If you do not want Medicare to share your health care information, you need to call 1-800 MEDICARE (1-800-633-4227) and tell the representative that your doctor is part of an ACO and you don't want Medicare to share your health information. TTY user should call 1-877-486-2048.
  • If you change your mind in the future, you can call 1-800-MEDICARE and tell the representative what you have decided. We can't communicate with Medicare on your behalf.
  • Even if you decline to share your healthcare information, Medicare will still use your information for some purposes, like assessing the financial and quality of care performance of the providers participating in ACOs. Also, Medicare may share some of your healthcare information with ACOs when measuring the quality of care given by healthcare providers participating in those ACOs.
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