ACO Name and Location
KentuckyOne Health Partners, LLC
Previous Names: N/A
1401 Harrodsburg Road, Suite B-395
Lexington, KY 40504
ACO Primary Contact
Primary Contact Name | Dorothy Lockhart |
Primary Contact Phone Number | 859.313.2390 |
Primary Contact Email Address | Dorothy.Lockhart@CHISaintJosephHealth.org |
Organizational Information
ACO participants:
ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
KENTUCKY CARDIOLOGY, PLLC | N |
EMMANUEL YUMANG, MD, PLLC | N |
TAYLOR REGIONAL MEDICAL GROUP, LLC | N |
THOMAS P. VON UNRUG MD INC | N |
DOUGLAS NESBITT | N |
TAYLOR COUNTY HOSPITAL DISTRICT HEALTH FACILITIES CORPORATION | N |
SAINT JOSEPH HEALTH SYSTEM, INC. | N |
FLAGET HEALTHCARE INC | N |
KENTUCKYONE HEALTH MEDICAL GROUP INC | N |
ACO governing body:
MEMBER | Member’s Voting Power |
Membership Type |
ACO Participant Legal Business Name/DBA if Applicable |
||
Last Name | First Name | Title/Position | |||
Houston | Anthony | FACHE/CEO | 1 Vote | ACO Participant Representative | Saint Joseph Health System Inc. |
Salley | Robert | MD | 1 Vote | ACO Participant Representative | CHI Saint Joseph Medical Group Inc. |
Coburn | Thomas | MD | 1 Vote | ACO Participant Representative | CHI Saint Joseph Medical Group Inc. |
Waldridge, II | Ron | MD (Chair) | 1 Vote | ACO Participant Representative | Independent Provider |
Qazi | Mubashir | MD | 1 Vote | ACO Participant Representative | Kentucky Cardiology |
Goulson | Daniel | MD/CMO | 1 Vote | ACO Participant Representative | Saint Joseph Health System Inc. |
Spitser | Christy | Treasurer | 0 Vote | Other | Saint Joseph Health System Inc. |
Knox | Christi | CRO | 0 Vote | Other | Saint Joseph Health System Inc. |
George | William | Secretary | 0 Vote | Other | Saint Joseph Health System Inc. |
Ewen | Julianne | DNP, APRN, FAANP | 1 Vote | ACO Participant Representative | CHI Saint Joseph Medical Group Inc. |
Von Unrug | Thomas | MD | 1 Vote | ACO Participant Representative | Independent Provider |
Rexroat | Rose | Voting Member | 1 Vote | Medicare Beneficiary Representative |
Key ACO clinical and administrative leadership:
Dorothy Lockhart, MBA, MSN, RN | ACO Executive |
James Duncan, MD | Medical Director |
Christi Knox | Compliance Officer |
Thomas Coburn, MD | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
Committee Name |
Committee Leader Name and Position |
Executive Committee | Ron Waldridge, II, MD, Chair |
Governance Committee | James Duncan, MD, Chair |
Quality & Value Committee | Thomas Coburn, MD, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
- Hospital employing ACO professionals
Shared Savings and Losses Shared Savings Distribution
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2020, $3,298,000
- First Agreement Period
- Performance Year 2019, $12,029.38
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 28%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 42%
- Performance Year 2020
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 80%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: N/A
2020 Quality Performance Results
- Performance Year 2019
ACO # | Measure Name | Rate | ACO Mean |
ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | * | * |
ACO-2 | CAHPS: How Well Your Providers Communicate | * | * |
ACO-3 | CAHPS: Patients’ Rating of Provider | * | * |
ACO-4 | CAHPS: Access to Specialist | * | * |
ACO-5 | CAHPS: Health Promotion and Education | * | * |
ACO-6 | CAHPS: Shared Decision Making | * | * |
ACO-7 | CAHPS: Health Status/Functional Status | * | * |
ACO-34 | CAHPS: Stewardship of Patient Resources | * | * |
ACO-45 | CAHPS: Courteous and Helpful Office Staff | * | * |
ACO-46 | CAHPS: Care Coordination | * | * |
ACO-14 | Preventative Care and Screening: Influenza Immunization | 66.73 | 76.03 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 61.43 | 81.67 |
ACO-19 | Colorectal Cancer Screen | 66.67 | 72.59 |
ACO-20 | Breast Cancer Screening | 66.67 | 74.05 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 76.69 | 83.37 |
ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 18.51 | 12.31 |
ACO-28 | Controlling High Blood Pressure | 73.67 | 74.70 |
*CMS waived the CAHPS for ACOs reporting requirement for Performance Year 2020 and will assign all ACOs automatic credit for each of the CAHPS survey measures within the patient/caregiver experience domain (85 FR 84472). Additionally, the measures in the PCE domain are not eligible to earn Quality Improvement award points for Performance Year 2020.
*The extreme and uncontrollable circumstances policy was determined to apply to all counties in the United States during the quality reporting period for Performance Year 2020 (85 FR 84472). Accordingly, Shared Savings Program ACOs will receive the higher of the mean quality score across all ACOs or the ACO’s own quality score for Performance Year 2020; if an ACO does not report, it will receive the mean quality score. |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Year’s 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 do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.
- Beneficiary Incentive Program (BIP):
- Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).
- Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).