Our ACO
UNC Senior Alliance is a Next Generation Accountable Care Organization (ACO). A Next Generation ACO is a group of doctors, hospitals and other health care providers working together with Medicare to provide patients high-quality, coordinated service and care.
If your primary care physician is a member of UNC Senior Alliance, your current benefits do not change and you can still choose any doctor or hospital that accepts Medicare, at any time.
If you have general questions or would like more information about accountable care organizations, please visit: https://innovation.cms.gov/initiatives/Next-Generation-ACO-Model/ or call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)).
Name & Mailing Address
UNC Senior Alliance
2000 Perimeter Park Dr., Suite 140
Morrisville, NC 27560
Primary Contact
Becky Riester
(984) 215-4224
HealthAlliance@unchealth.unc.edu
Key Clinical and Administrative Leaders
- Mark Gwynne, DO, Interim President/Executive Medical Director, UNC Senior Alliance, UNC Health Care
- Maraya Thorland, Interim Chief Operating Officer, UNC Senior Alliance, UNC Health Care
- Jeri Williams, Chief Compliance Officer, UNC Health Care
Governance Body
Board of Managers:
- Kevin Biese, MD, UNC Faculty Physicians
- Hadley Callaway, MD, Raleigh Orthopaedic Clinic
- Allen Daugird, MD, UNC Health Care
- Darren DeWalt, MD, UNC Faculty Physicians
- Chris Ellington, MBA, UNC Health Care
- Erin Ennis, MD, UNC Physicians Network
- Matthew Ewend, MD, UNC Health Care
- Lynne Fiscus, MD, UNC Physicians Network
- Robert Gianforcaro, DO, UNC Health Care
- Mark Gwynne, DO, UNC Faculty Physicians
- Janet Hadar, MSN, MBA, UNC Health Care
- Don Holzworth, Medicare Beneficiary/Consumer Advocate
- Kenneth Michau, MD, REX Emergency Medicine Associates
- Howard Newell, MD, UNC Physicians Network
- Rig Patel, MD, UNC REX Healthcare
- John Powell, MD, UNC Caldwell, Southfork Medical Park
- Raj Pruthi, MD, UNC Faculty Physicians
- Bob Ricker, UNC REX Healthcare
- Jerry Stirman, MD, UNC REX Heatlhcare
- Tom Warcup, DO, UNC Physicians Network
- Robert Wehbie, MD, UNC REX Healthcare
- Michael Zarzar, MD, Zarzar Psychiatric Associates
Supporting Committees:
- Performance Metrics & Quality
- Payer Strategy & Finance
- Care Transformation
- Professional Standards & Compliance
We are partnering with the following Skilled Nursing Facilities (SNFs):
- UNC REX Rehabilitation and Nursing Care Center of Apex
- UNC REX Rehabilitation and Nursing Care Center of Raleigh
- Brookshire Senior Living
- Brian Center Southpoint
There are no joint ventures.
Shared Savings and Losses
Agreement Period beginning 2017
Performance Year 2017: To be updated in 2018
Shared Savings Distributions and Investments
To be updated in 2018
Quality Measures Results
To be updated in 2018
Next Generation ACO Participation Waiver Disclosures
The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that otherwise limit innovation by ACOs participating in the Next Generation ACO Model (see HHS, Notice of Amended Waivers of Certain Fraud and Abuse Laws in Connection with the Next Generation ACO Model, published December 29, 2016). Pursuant to that notice, UNC Senior Alliance seeks protection under the Next Generation ACO Participation Waiver for the following arrangements set forth below:
- UNCSA will provide financial support to the UNC School of Medicine Department of Family Medicine in order to support and sustain the REACH Program from January 1, 2017 through June 30, 2018. The Program provides enhanced home-based primary care and other necessary services to medically complex patients living in Assisted Living Facilities or at home, including a significant number of Medicare beneficiaries who are attributed to UNCSA. This arrangement supports UNCSA’s objectives related to improving care coordination and ensuring care is provided to Next Generation beneficiaries in the most efficient, cost-effective and medically appropriate setting.
- Effective February 27, 2017, UNCSA provides all ACO Participants and Preferred Providers with access to HealthLink PM, an after-hours call coverage and nurse-based triage service for assisting Next Generation beneficiaries with their care needs. The phone service is an important tool in our efforts to improve the quality and lower the total cost of care provided to our Next Generation beneficiaries.
