Novant Health Accountable Care Organization (ACO)

Novant Health participates in the CMS Medicare Shared Savings Program (MSSP) through an Accountable Care Organization (ACO) in North Carolina. This approach supports coordinated, high-quality care focused on improving your health, your experience and the value you receive.


See how your Medicare Shared Savings Program is working for you

ACOs bring doctors and healthcare providers together to coordinate care, improve quality and help make healthcare more affordable. Choose the ACO that provides your care to learn more and see its performance.

Learn about the ACO

Novant Health participates in the Medicare Shared Savings Program through an Accountable Care Organization (ACO). This value-based care model brings doctors and other health care providers together to support coordinated, high-quality care, improve health outcomes and help lower the cost of care.

Learn more about your ACO

Information and resources for providers
If you have questions about ACOs, Medicare Shared Savings Program, participation or how ACOs support value-based care, email us.

Where patients get answers about your ACO
If you have questions or concerns, or want to learn more about ACOs, talk to your doctor or call us at 844-266-8268 (Monday-Friday, 8 a.m.- 5 p.m. EST). You can also visit medicare.gov or call 1-800-MEDICARE (TTY users should call 1-877-486-2048).

Several team members are surrounding a nurses station. Most team members are typing computers, while one is on the phone.

¿Quiere más información?

Pregúntele a nuestra recepción o llámenos al 844-266-8268. También puede visitor Medicare.gov o llamar para informar una inquietud o queja relacionada con Medicare al 1-800-MEDICARE (1-800-633-4227). Los usuarios de TTY pueden llamar al 1-877-486-2048.

Novant Health ACO Public Reporting

ACO name and location:

Novant Health Accountable Care Organization I, LLC
200 Hawthorne Lane, P.O. Box 33549,
Charlotte, NC 28233

ACO primary contact:

Michael Hoben, MD
704-996-6275
mshoben@novanthealth.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Forsyth Memorial Hospital, Inc. N
Novant Health Matthews Medical Center LLC N
Novant Health Medical Group, LLC N
Novant Health Triangle Medical Group LLC N

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 ACO Participant DBA, if applicable
Jacques Laguerre Voting Member, Chair 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
John Crawford Voting Member, Treasurer 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
Michael Hoben Voting Member, ACO Executive, ACO Medical Director 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
Ashley Perrott Voting Member 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
Lynn Bergman Voting Member, Beneficiary 12.5% Medicare Beneficiary Representative N/A N/A
Chad Weston Voting Member 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
Sumit Kalra Voting Member, Vice-Chair 12.5% ACO Participant Representative Novant Health Medical Group, LLC N/A
Christine Derisse Voting Member 12.5% ACO Participant Representative N/A N/A

*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: Michael Hoben, MD
Medical Director: Michael Hoben, MD
Compliance Officer: Kelly Patterson
Quality Assurance/Improvement Officer: Ashley Perrott, MD

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Finance Committee Sarah Gorski, Chair
Physician Network Compliance Committee Kelly Patterson, Chair
Quality Committee David Priest, MD, Chair
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

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collective type.

Measure # Measure Title Collection Type  Performance Rate* Current Year Mean Performance Rate (Shared Savings Program ACOs)
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 5.30 9.44
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 97.68 81.46
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 79.29 79.49
Measure #: 318 Falls: Screening for Future Fall Risk  CMS Web Interface 99.84 88.99
Measure #: 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 71.48 68.60
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 97.14 79.98
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 86.31 77.81
Measure #: 112 Breast Cancer Screening CMS Web Interface 90.20 80.93
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 90.55 86.50
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 18.48 17.35
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.52 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.11 93.96
CAHPS-3 Patient's Rating of Providers CAHPS for MIPS Survey 92.32 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 77.47 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 71.28 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 59.37 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 77.03 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.81 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.78 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 33.24 26.98
Measure #: 321 CAHPS for MIPS Survey CAHPS for MIPS Survey 7.98 6.67
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups Administrative Claims 0.14 0.15
Measure #: 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) Administrative Claims -- 37.00

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

For previous years' Financial and Quality Performance Results, please visit: Data.cms.gov

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.

Fraud and Abuse Waivers

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. 

  • Parties to the arrangement: Our ACO and qualifying physician participants
  • Date of arrangement: June 22, 2021
  • Items, services, goods, or facility provided: A portion of the projected shared savings for 2020 to be paid in 3 installments
  • Date and nature of any amendments to the arrangement, if applicable: N/A