About Us CoxHealth Accountable Care CoxHealth Accountable CareAccountable Care Organizations (ACO) are groups of doctors, hospitals, and other health care providers that come together to provide coordinated, high quality care to patients. This coordinated care helps patients, especially those who are chronically ill or hospitalized, get the right care at the right time.ACO Participants & Preferred Provider Joint Ventures There are no joint ventures between or among the ACO and its Participants and/or Preferred Providers. Key Clinical & Administrative Leadership David Raney, VP CoxHealth Network and Business Development Tracy Mitchell, MSHS, RN, CPHQ System Administrative Director, Population Health Timothy Jones, MD, President Cox Medical Group Julia Flax, MD, Medical Director CoxHealth Accountable Care ACO Governing BodyBryan Finke, MD, CoxHealthTim Jones, DO, CoxHealthJulia Flax, MD, CoxHealthShawn Usery, MD, CoxHealthFrank Romero, MD, CoxHealthNorm Mechlin, MD, CoxHealthPiper Schulte, Springfield Neurological Institute, LLCJake McWay, CoxHealthDavid Raney, CoxHealthMax Buetow, CoxHealthRobert Ferguson, CoxHealthJerry Jared, Community Member Shared Savings & LossesThe proportion of shared savings invested in infrastructure, redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries The proportion of shared savings to be invested in infrastructure depends on the amount of shared savings received. Currently, the distribution policy covers operating expenses for the ACO including participant incentives for engagement and coordination of care before any shared savings are distributed to providers. The proportion of shared savings distributed to Next Generation Participants and Preferred ProvidersAfter covering the costs noted above, any remaining shared savings are split between CoxHealth Accountable Care and Participating Providers at a rate of 60% and 40%, respectively. Preferred Providers do not share in savings or loss associated with the Next Generation ACO. Aggregate Amount of Shared Savings/Losses Aggregate Amount of Shared Savings/Losses Shared savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs of beneficiaries: Aggregate Amount of Shared Savings/Losses Performance Year 1 (2018) $2,161,053 Aggregate Amount of Shared Savings/Losses Performance Year 2 (2019) ($1,064,636) Aggregate Amount of Shared Savings/Losses Performance Year 3 (2020) $894,712 Quality Performance Results Measure Description 2018 Results 2019 Results 2020 Results Measure ACO-1 Description CAHPS: Getting Timely Care, Appointments, and Information 2018 Results 86.41 2019 Results 87.74 2020 Results 87.74 Measure ACO-2 Description CAHPS: How Well Your Providers Communicate 2018 Results 91.83 2019 Results 95.35 2020 Results 95.35 Measure ACO-3 Description CAHPS: Patients’ Rating of Provider 2018 Results 91.20 2019 Results 94.56 2020 Results 94.56 Measure ACO-4 Description CAHPS: Access to Specialists 2018 Results 78.05 2019 Results 82.55 2020 Results 82.55 Measure ACO-5 Description CAHPS: Health Promotion and Education 2018 Results 61.46 2019 Results 58.52 2020 Results 58.52 Measure ACO-6 Description CAHPS: Shared Decision Making 2018 Results 68.53 2019 Results 69.01 2020 Results 69.01 Measure ACO-7 Description CAHPS: Health Status/Functional Status 2018 Results 76.23 2019 Results 74.12 2020 Results 74.12 Measure ACO-8 Description Risk-Standardized, All Condition Readmission 2018 Results 15.37 2019 Results 14.85 2020 Results 14.85 Measure ACO-12 Description Medication Reconciliation Post-Discharge 2018 Results 84.01 2019 Results N/A 2020 Results N/A Measure ACO-13 Description Falls: Screening for Future Fall Risk 2018 Results 92.03 2019 Results 90.66 2020 Results 90.66 Measure ACO-14 Description Preventive Care and Screening: Influenza Immunization 2018 Results 63.70 2019 Results 74.27 2020 Results 74.27 Measure ACO-15 Description Pneumonia Vaccination Status for Older Adults 2018 Results 90.80 2019 Results N/A 2020 Results N/A Measure ACO-16 Description Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 2018 Results 61.47 2019 Results N/A 2020 Results N/A Measure ACO-17 Description Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 2018 Results 53.85 2019 Results 67.92 2020 Results 67.92 Measure ACO-18 Description Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 2018 Results 82.07 2019 Results 76.92 2020 Results 76.92 Measure ACO-19 Description Colorectal Cancer Screening 2018 Results 72.40 2019 Results 75.82 2020 Results 75.82 Measure ACO-20 Description Breast Cancer Screening 2018 Results 71.54 2019 Results 72.32 2020 Results 72.32 Measure Diabetes Composite ACO-27 and- 41 Description ACO-27: Hemoglobin A1c Poor Control ACO-41: Diabetes—Eye Exam 2018 Results ACO-27: 12.40 ACO-41: 49.60 2019 Results ACO-27: 9.82 2020 Results ACO-27: 9.82 Measure ACO-28 Description Hypertension (HTN): Controlling High Blood Pressure 2018 Results 70.80 2019 Results 71.24 2020 Results 71.24 Measure ACO-30 Description Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 2018 Results 93.15 2019 Results N/A 2020 Results N/A Measure ACO-34 Description CAHPS: Stewardship of Patient Resources 2018 Results 23.97 2019 Results 26.88 2020 Results 26.88 Measure ACO-35 Description Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 2018 Results 19.77 2019 Results N/A 2020 Results N/A Measure ACO-36 Description All-Cause Unplanned Admissions for Patients with Diabetes 2018 Results 36.29 2019 Results N/A 2020 Results N/A Measure ACO-37 Description All-Cause Unplanned Admissions for Patients with Heart Failure 2018 Results 77.68 2019 Results N/A 2020 Results N/A Measure ACO-38 Description Chronic Conditions 2018 Results 58.29 2019 Results 55.84 2020 Results 55.84 Measure ACO-40 Description Depression Remission at Twelve Months 2018 Results 0 2019 Results 5.56 2020 Results 5.56 Measure ACO-42 Description Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 2018 Results 75.71 2019 Results 75.19 2020 Results 75.19 Measure ACO-43 Description Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2018 Results 1.95 2019 Results 1.80 2020 Results 1.80 Measure ACO-44 Description Use of Imaging Studies for Low Back Pain 2018 Results 61.11 2019 Results N/A 2020 Results N/A Measure ACO-45 Description CAHPS: Courteous and Helpful Office Staff 2018 Results N/A 2019 Results 95.83 2020 Results 95.83 Measure ACO-46 Description CAHPS: Care Coordination 2018 Results N/A 2019 Results 90.11 2020 Results 90.11 ACO Voluntary Termination NoticeEffective 12/31/2020, CoxHealth Accountable Care will be voluntarily terminating participation in the Next Generation ACO (NGACO) Model. There are no changes to benefits for beneficiaries.Beneficiaries:Can still go to any doctor, hospital or other provider that accepts Medicare. Nobody can restrict which providers they see.Are still in Original Medicare.Are still entitled to all the same Medicare services, benefits and protections.Actively working with a Nurse Care Manager from Population Health Services will continue to receive the same level of committed support.If there are any questions, we ask that you please contact our ACO inbox at CoxHealthAccountableCare@CoxHealth.com.