ACO Name and Location

Southcoast Accountable Care Organization, LLC
101 Page Street
New Bedford, MA 02740

ACO Primary Contact

Primary Contact Name	Lauren Melby Nieder
Primary Contact Phone Number	508-973-2950
Primary Contact Email Address	melbyl@southcoast.org

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture
Advanced Eye Centers Inc	N
Geriatric Internal Medicine Specialists, LLC	N
Obstetrical Associates, Inc.	N
Pulmonary & Sleep Medicine Associates, Inc.	N
Southcoast Cardiology LLC	N
Southcoast Physicians Group, Inc.	N
Southcoast Woman’s Care PC	N
Surgical & Cosmetic Dermatology Of Rhode Island, LLC.	N
Truesdale Obstetrics & Gynecology, PC	N
Wiegandt and Associates, PC	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/DBA, if applicable
Sami	Assad	MD/Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Michael	Bushell	Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Patricia	Buiocchi	Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Stephen	Canessa	Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Renee	Clark	Chief Operating Officer Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Mark	Dumas	Voting Member	5.883%	ACO Participant Representative	Southcoast Physician’s Group
Stephen	Finney	MD/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Jorge	Huaco	MD/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Brett	Hurteau	DO/Voting Member & Vice Chair	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Patrick	Gagnon	MD/Secretary/ Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Marcia	Liggin	Voting Member	5.882%	ACO Participant Medicare Beneficiary Representative	N/A
David	McCready	President/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Robert	McGowen	MD/Voting Member & Chair	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Jonelle	Raphael	MD/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Jason	Salter	DO/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group
Efrain	Torres	MD/Voting Member	5.882%	ACO Participant Representative	Geriatric Internal Medicine Specialists, LLC
James	Witkowski	MD/Voting Member	5.882%	ACO Participant Representative	Southcoast Physician’s Group

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	Lauren Melby Nieder
Medical Director	Brett Hurteau, DO
Compliance Officer	Anjali Mulchandani-West
Quality Assurance/Improvement Officer	Jennifer Schachter

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
ACO Executive Committee	Robert McGowen, MD, Chair
ACO Finance, Contracting & Funds	Robert McGowen, MD, Chair
Network Management Committee	Renee Clark, Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

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: 25%
    • Proportion invested in redesigned care processes/resources:25%
    • Proportion of distribution to ACO participants:50%
  • Performance Year 2022
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2021
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2020
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2019
    • oportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%

• Second Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2018
    • 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 2017
    • 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 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: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2014
    • 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 2013
    • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

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	63.37	70.76
112	Breast Cancer Screening	CMS Web Interface	89.77	80.36
113	Colorectal Cancer Screening	CMS Web Interface	82.41	77.14
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	74	80.97
226	Preventative Care and Screening Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	88	79.29
236	Controlling High Blood Pressure	CMS Web Interface	75.10	77.80
318	Falls: Screening for Future Fall Risk	CMS Web Interface	92.91	89.42
370	Depression Remission at Twelve Months	CMS Web Interface	12.33	16.58
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	86.38	87.05
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.15	0.16
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	6.85	9.84

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.

• 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.