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

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

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

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

No

ACO Governing Body

Member First Name

Member Last Name

Title / Position

Member’s Voting Power

Membership Type

ACO Participant Legal Business Name

Kevin James

Biese, MD, MAT

Board Vice Chairman

1

ACO Participant Representative

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

Ernie

Bovio, MBA

1

ACO Participant Representative

Rex Hospital, Inc.

Hadley

Callaway, MD

1

Non-ACO Participant Representative

Raleigh Orthopaedic Clinic, PA

Mark William

Clarkson, MD

1

Non-ACO Participant Representative

Raleigh Capitol Ear, Nose, & Throat, Corp.

Charles Alvin

Cook, MD

1

ACO Participant Representative

Raleigh Associated Medical Specialists, Inc.

Darren Andrew

DeWalt, MD

Board Chairman

1

ACO Participant Representative

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

Erin Katherine

Ennis, MD

1

ACO Participant Representative

UNC Physicians Network Group Practices, LLC

Matthew Glaize

Ewend, MD

1

ACO Participant Representative

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

Lynne Christine

Fiscus, MD, MPH

1

ACO Participant Representative

UNC Physicians Network, LLC

Janet

Hadar, MSN, MBA

1

ACO Participant Representative

University of North Carolina Hospitals at Chapel Hill

Gloria Patricia

Herrera, MD

1

ACO Participant Representative

Gloria Patricia Herrera, MD, PA

Larry Lee

Isley, PhD, FACHE

1

Non-ACO Participant Representative

UNC Nash

Charles

Lehmann

1

Medicare Beneficiary & Community Stakeholder Representative

Retired

John

Lewis, MBA

1

Non-ACO Participant Representative

UNC Health

Eugene Harold

Maynard, MD

1

ACO Participant Representative

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

Susan Gibbs

Moore, MD, MPH

1

ACO Participant Representative

Rex Hospital, Inc.

Howard Wilson

Newell, MD

1

ACO Participant Representative

UNC Physicians Network Group Practices, LLC

John David

Powell, MD

1

ACO Participant Representative

Caldwell Memorial Hospital, Inc.

Michael Joseph

Steiner, MD

1

ACO Participant Representative

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

Renee

Watson, MD

1

ACO Participant Representative

Johnston Family Medicine, PA

Robert Sam

Wehbie, MD

1

ACO Participant Representative

Rex Hospital, Inc.

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Mark Gwynne, DO
  • Medical Director: Amy Shaheen, MD
  • 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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