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:

  • 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
  • Robert Gianforcaro, DO, UNC Health Care
  • Mark Gwynne, DO, UNC Faculty Physicians
  • Janet Hadar, MSN, MBA, UNC Health Care
  • Vince Hoellerich, MD, UNC Physicians Network
  • Don Holzworth, Medicare Beneficiary/Consumer Advocate
  • Kenneth Michau, MD, REX Emergency Medicine Associates
  • Bill Newman, MD, UNC REX Healthcare
  • 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.

 

Have Questions?

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, 2017.  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 Gen 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.
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