Public Reporting

ACO Name and Location

UNC Senior Alliance
2000 Perimeter Park Drive, Suite 140
Morrisville, NC 27560

ACO Primary Contact

Brian Ellison
(984) 974-2120
HealthAlliance@unchealth.unc.edu

Organization Information

ACO Participant

Participant

ACO Participant in Joint Venture

Benson Area Medical Center, Inc. (DBA Benson Health)

No

Caldwell Memorial Hospital, Inc.

No

Carrboro Pediatrics & Internal Medicine, PA

No

Chatham Hospital, Inc. (DBA Chatham Professional Group and DBA Chatham Rehab of Pittsboro)

No

Cornerstone Internal Medicine, PLLC

No

Garlick & Murray Family Medicine, PA

No

Gloria Patricia Herrera, MD, PA

No

Internal Medicine of Wakefield, PA

No

Johnston County Health Department

No

Johnston Family Medicine, PA

No

NeighborHealth Center, Inc.

No

Premier Health Center, PLLC

No

Preston Medical Associates, PA

No

Raleigh Associated Medical Specialists, Inc.

No

Rex Hospital, Inc.

No

Spectrum Family Medicine, PLLC

No

UNC Physicians Network Group Practices, LLC

No

UNC Physicians Network, LLC

No

University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice

No

University of North Carolina Hospitals at Chapel Hill

No

Wellness Family Practice, PA

No

Western Wake Internal Medicine, PA (Capital Primary Care, PA)

No

ACO Governing Body

Member Last Name

Member First Name

Title / Position

Member’s Voting Power

Membership Type

ACO Participant Legal Business Name

Biese, MD, MAT

Kevin James

Board Vice Chairman

1

ACO Participant Representative

University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice

Bovio, MBA

Ernie

1

ACO Participant Representative

Rex Hospital, Inc.

Callaway, MD

Hadley

1

Non-ACO Participant Representative

Raleigh Orthopaedic Clinic, PA

Clarkson, MD

Mark William

1

Non-ACO Participant Representative

Raleigh Capitol Ear, Nose, & Throat, Corp.

Cook, MD

Charles Alvin

1

ACO Participant Representative

Raleigh Associated Medical Specialists, Inc.

DeWalt, MD

Darren Andrew

Board Chairman

1

ACO Participant Representative

University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice

Ennis, MD

Erin Katherine

1

ACO Participant Representative

UNC Physicians Network Group Practices, LLC

Ewend, MD

Matthew Glaize

1

ACO Participant Representative

University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice

Fiscus, MD, MPH

Lynne Christine

1

ACO Participant Representative

UNC Physicians Network, LLC

Hadar, MSN, MBA

Janet

1

ACO Participant Representative

University of North Carolina Hospitals at Chapel Hill

Herrera, MD

Gloria Patricia

1

ACO Participant Representative

Gloria Patricia Herrera, MD, PA

Isley, PhD, FACHE

Larry Lee

1

Non-ACO Participant Representative

UNC Nash

Lehmann

Charles

1

Medicare Beneficiary & Community Stakeholder Representative

Retired

Lewis, MBA

John

1

Non-ACO Participant Representative

UNC Health

Maynard, MD

Eugene Harold

1

ACO Participant Representative

Benson Area Medical Center, Inc. (DBA Benson Health)

Moore, MD, MPH

Susan Gibbs

1

ACO Participant Representative

Rex Hospital, Inc.

Newell, MD

Howard Wilson

1

ACO Participant Representative

UNC Physicians Network Group Practices, LLC

Powell, MD

John David

1

ACO Participant Representative

Caldwell Memorial Hospital, Inc.

Steiner, MD

Michael Joseph

1

ACO Participant Representative

University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice

Watson, MD

Renee

1

ACO Participant Representative

Johnston Family Medicine, PA

Wehbie, MD

Robert Sam

1

ACO Participant Representative

Rex Hospital, Inc.

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Mark Gwynne, DO
  • Medical Director: Mark Gwynne, DO
  • Compliance Officer: Robin Shuping
  • Quality Assurance / Improvement Officer: Robb Malone, PharmD

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Performance Metrics & Quality

Erin Katherine Ennis, MD – Chair

Payer Strategy & Finance

John Lewis, MBA – Chair

Network Development, Professional Standards & Compliance

Hadley Callaway, 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
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2022: N/A

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2022
      • 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

  • First Agreement Period
    • Performance Year 2022 Quality Results: N/A

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.

Beneficiary Incentive Program (BIP):

  • Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).

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