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.
Novant Health ACO MSSP
Physician Quality Partners MSSP
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).
¿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