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ACO Name and Location:

Carolinas HealthCare System ACO, LLC
1000 Blythe Blvd.
Charlotte, NC 28203

ACO Primary Contact:

Abbie Gruseth
605-610-5966
Abbie.Gruseth@AtriumHealth.org

View the Medicare Beneficiary Notification

Key ACO Clinical and Administrative Leadership

ACO Executive: Jennifer Brady, MD
Medical Director: Brian Kersten, MD
Compliance Officer: Yates Lackey
Quality Assurance/Improvement Officer: Sarah Davis

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Clinical Effectiveness Committee Dave Cosenza, MD, Chair
Finance Committee Daniel Senft, MD, Co-Chair
Stuart Burri, MD, Co-Chair
Network Development Committee Cara Pearsall, Chair
Nominating Committee Jennifer H. Brady, MD, Co-Chair
Matthew Anderson, Co-Chair
Operations Committee Gary Little, MD, 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:

  • Fifth Agreement Period
    • Performance Year 2023, $0
  • Fourth Agreement Period
    • Performance Year 2022, $0
  • Third Agreement Period
    • Performance Year 2021, $14,928,446
  • Second Agreement Period
    • Performance Year 2020, $0
  • First Agreement Period
    • Performance Year 2019, $0

Shared Savings Distribution

Fifth Agreement Period

  • Performance Year 2023
    • Proportion invested in infrastructure: N/A%
    • Proportion invested in redesigned care processes/resources: N/A%
    • Proportion of distribution to ACO participants: N/A%

Fourth Agreement Period

  • Performance Year 2022
    • 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 2021
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 28.5%
    • Proportion of distribution to ACO participants: 31.5%

Second Agreement Period

  • 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%

First Agreement Period

  • 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%

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • 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.

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

[For each arrangement, provide the following information]:

  • Parties to the arrangement: N/A
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A
  • Date and nature of any amendments to the arrangement, if applicable: N/A

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

[For each arrangement, provide the following information]:

  • Parties to the arrangement: N/A
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A
  • Date and nature of any amendments to the arrangement, if applicable: N/A
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