Mission Health Care Network

ACO Name and Location

Mission Health Care Network, LLC
2525 deSales Avenue, Chattanooga, TN 37404

ACO Primary Contact

John Redding, MD MBA
(423) 495-4665
[email protected]

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Beacon Health Alliance PC N
Chattanooga Allergy Clinic PLLC N
Chattanooga Emergency Medicine PLLC N
Chattanooga Family Practice Associates, PC N
Chattanooga Skin & Cancer Clinic N
Chattanooga Surgical Oncology And Associates, PLLC N
David M. Huffman, MD, PC N
Dennis C. Matzkin MD PC N
Diagnostic Imaging Consultants Inc N
Diagnostic Pathology Services PC N
Family Care of Northwest Georgia N
Hixson Urology, PC N
Indravadan Shah N
Memorial Health Care System Inc. N
Memorial Health Partners Foundation, Inc N
Northgate Neurology, PLLC N
Renaissance Health And Surgical Associates, PC N
Southeastern Spine PLLC N
The Plastic Surgery Group, PC N
Thomas W. Brown III MD PC N
University Surgical Associates, LLC N
Vincent A. Viscomi MD PC N

ACO Governing Body:

Member First Name Member Last Name Member Title / Position Member's Voting Power (Expressed as a percentage or number) Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Ted Bowers Member 11.1% ACO Participant Representative Family Care of Northwest Georgia
John  Boxwell Member 11.2% Medicare Beneficiary  
Lisa Carkner Member 11.1% ACO Participant Representative  Memorial Health Care System, Inc.
Collin Cherry  Member 11.1% ACO Participant Representative Beacon Health Alliance, P.C.
Mark Heinsohn, MD  Member 11.1% ACO Participant Representative Memorial Health Partners Foundation, Inc.
Jeffrey Jump, MD  Medical Director 11.1%   ACO Participant Representative Memorial Health Partners Foundation, Inc.
Matt Kodsi, MD Member 11.1% ACO Participant Representative  Memorial Health Care System, Inc.
Craig Nielsen Member  11.1% ACO Participant Representative  Memorial Health Care System, Inc.
Glyn Hughes  President 11.1% ACO Participant Representative Memorial Health Care System, Inc.

Key ACO Clinical and Administrative Leadership:

ACO Executive: John Redding, MD MBA

Medical Director: Jeffrey Jump, MD

Compliance Officer: David Walsh

Quality Assurance/Improvement Officer: Jessica Stanley

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Executive Committee Glyn Hughes, Chair
Finance Committee Craig Nielsen, Chair
Quality Value Committee Mark Heinsohn, MD, Chair
Network Development Committee John Redding, Chair

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

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period

  • Performance Year 2022, $0
  • Performance Year 2021, $3,209,522.00
  • Performance Year 2020, $4,219,284.29
  • Performance Year 2019: $0
  • Performance Year 2018: $0

First Agreement Period

  • Performance Year 2017: $0
  • Performance Year 2016: $0

Shared Savings Distribution

Second Agreement Period

Performance Year 2022

  • Proportion invested in infrastructure: NA
  • Proportion invested in redesigned care processes/resources: NA
  • Proportion of distribution to ACO participants: NA

Performance Year 2021

  • Proportion invested in infrastructure: 45.04%
  • Proportion invested in redesigned care processes/resources: 16.49%
  • Proportion of distribution to ACO participants: 38.47%

Performance Year 2020

  • Proportion invested in infrastructure: 33.13%
  • Proportion invested in redesigned care processes/resources: 20.06%
  • Proportion of distribution to ACO participants: 46.81%

Performance Year 2019

  • 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 2018

  • 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 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

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

Quality Performance Results

2022 Quality Performance Results:

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

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001 Hemoglobin A1c (HbA1c)Poor Control  CMS Web Interface 7.91 10.71
Quality ID# 134  Preventative Care and Screening: Screening for Depression and Follow-up Plan   CMS Web Interface  70.26 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 88.28 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 94.23 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 84.87 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use:Screening and Cessation Intervention CMS Web Interface 86.67 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 80.54 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 74.32 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 91.29 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 2.70 16.03
Quality ID# 321 CHAPS for MIPS CMS Web Interface N/A  N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Group  CMS Web Interface 0.1375 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 25.4541 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 87.72 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 93.32 93.47
CAHPS-3 Patients Rating of Provider CAHPS for MIPS 93.12 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 76.19 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS 59.56 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 62.37 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 70.58 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 88.08 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 91.73 91.97
CAHPS-11 Stewardship of Patient Services CAHPS for MIPS 36.73 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit Data.cms.gov.

Payment Rule Waivers

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.