Public Reporting

ACO Name and Location

MyHealth First Network (MyHFN) LLC
300 East McBee Avenue, Suite 402
Greenville, SC 29601
864-797-7865
myhfn.org/medicare

ACO Primary Contact

Kayce Sams,
Manager, Operations
ksams@myhfn.org
864-797-7866


Organizational Information

ACO Participants and Participation in ACO Joint Venture, Yes (Y) or No (N)

  • Abbeville County Memorial Hospital – N
  • Absher Neurology, PA – N
  • Allergic Disease and Asthma Center, PA – N
  • Anesthesiology Consultants of the Upstate, PA – N
  • Anesthesiology of Greenwood, PA – N
  • Baptist Easley Hospital – N
  • Blue Ridge Anesthesia Associates – N
  • Blue Ridge Emergency Physicians, PA – N
  • Blue Ridge Orthopaedics, Associates PS – N
  • Blue Ridge Pediatrics, LLC – N
  • Brio Medical, PC – N
  • Bruce A Marshall, MD, PA – N
  • Carolina Integrative Medicine, PA – N
  • Carolina Lung and Sleep Center – N
  • Carolina Nephrology, PA – N
  • Carolina Pulmonary and Sleep Disorder, LLC – N
  • Carolina Surgery – N
  • Carolinas Center for Advanced Management of Pain, PA – N
  • Dermatology Associates, PA – N
  • Digestive Disease Group, PA – N
  • Doctor for Life, LLC – N
  • Akhtar Hussain, MD – N
  • Due West Family Medicine – N
  • Foot Clinic of South Carolina, LLC – N
  • Foothills Family Medicine of Westminster, PA – N
  • Gastroenterology Associates, PA – N
  • GHS Partners in Health, Inc. – N
  • Golden Corner Family Practice – N
  • Greenville Anesthesiology, PA – N
  • Greenville Dermatology, LLC – N
  • Greenville Endoscopy Center – N
  • Greenville Health System – N
  • Greenwood Ear Nose and Throat Associates, PA – N
  • Greenwood Eye Clinic, PA – N
  • Greenwood Obstetrics and Gynecology, PA – N
  • Greenwood Surgical Associates – N
  • Greenwood Urological – N
  • HHD Enterprises, LLC – N
  • Jervey Eye Group, PA – N
  • John Humeniuk – N
  • Keowee Radiology, PA – N
  • Lakelands Orthopaedic Clinic – N
  • Lake Ridge Neurological – N
  • Laurens County Health Care System – N
  • Lovelace Family Medicine, PA – N
  • Montgomery & Riddle Eye Care – N
  • New Haven Medical Services, PA – N
  • New Horizon Family Health Services, Inc. – N
  • Newberry County Memorial Hospital – N
  • Newberry Family Health Center, PA – N
  • Newberry Internal Medicine, LLC – N
  • Oakview Medical Associates, LLC – N
  • Oconee Kidney Center, LLC – N
  • Oconee Medical Center – N
  • Oconee Physician Practices – N
  • Oconee Surgery, PA – N
  • Oconee Urology, PA – N
  • Oncology and Hematology Associations of South Carolina, LLC – N
  • Palmetto Bone & Joint, PA – N
  • Palmetto Family Medicine – N
  • Palmetto Internal Medicine & Primary Care – N
  • Palmetto Surgery Associates, PA – N
  • Partners In Health – Rural Health – N
  • Pathology Associates of Greenville – N
  • Pathology Consultants, Inc. – N
  • Pelham Family Practice, LLC – N
  • Piedmont Cardiology Associates, PA – N
  • Piedmont Health Group, LLC – N
  • Piedmont Neurology – N
  • Piedmont Retina Associates, PA – N
  • Powdersville Health Internal Medicine – N
  • Regenesis Organization Community Health Center – N
  • Richard W Vail, MD PA – N
  • Riley Family Practice Associates, PA – N
  • Self Medical Group – N
  • Self Regional Healthcare – N
  • Self Regional Physician Services, LLC – N
  • Simpsonville Family Medicine, PA – N
  • The Center for Advanced Eye Care – N
  • The Surgery and Laser Center at Professional Park – N
  • Upstate Medical Associates, PA – N
  • Upstate Plastic Surgery – N

ACO Governing Body

Board of Managers

  • Dr. Angelo Sinopoli—Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Mr. Jim Pfeiffer—Vice-Chair, Voting Member, Voting Member Power – 1, ACO Participant Representative, Self Regional Healthcare
  • Mr. Greg Rusnak—Secretary, Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. J. Drew Goldsmith—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. Vincent Green—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. George Haddad—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. Greg Mappin—Voting Member, Voting Member Power – 1, ACO Participant Representative, Self Regional Healthcare
  • Mr. S.T. Peden—Voting Member, Voting Member Power – 1, Medicare Beneficiary Representative, Community Stakeholder
  • Dr. Conrad Shuler—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. Joanne Skaggs—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. William Springhart—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System
  • Dr. Donald Wiper III—Voting Member, Voting Member Power – 1, ACO Participant Representative, Greenville Health System

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Angelo Sinopoli, MD
  • Medical Director: Peter Tilkmeier, MD
  • Compliance Officer: Scott Pietras
  • Quality Assurance Improvement Manager: Scott Hultstrand

Committees

  • Compliance Committee: Michelle Scherer, Chair
  • Finance Committee: Terri Newsom, Chair
  • Network Committee: Greg Mappin, MD Chair
  • Primary Care Committee: Joanne Skaggs, MD Chair
  • Quality and Care Model Committee: Peter Tilkemeier, MD Chair

 


Types of ACO participants, or combinations of participants, that formed the ACO:

  • Network individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospitals employing ACO professionals
  • Rural Health Clinics (RHC)
  • Federally Qualified Health Centers (FQHC)

Shared Savings and Losses

Agreement period beginning 2015, Performance Year 2016: $9,657,590

Agreement period beginning 2015, Performance Year 2015: $8,474,728

 

Shared Savings Distribution:

First Agreement Period, Performance Year 2016:

  • Reinvest in infrastructure: 20%
  • ACO Participants: 80%

First Agreement Period, Performance Year 2015:

  • Reinvest in infrastructure: 20%
  • ACO Participants: 80%

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver


Quality Performance Results

Click here to view 2016 Quality Performance Results Table

Click here to view 2015 Quality Performance Results Table

Click here to view 2012-2014 Quality Performance Results Table

 


Medicare Shared Savings Program Waiver Disclosures (arrangements for which waiver protection is sought)

The Centers for Medicare & Medicaid Services (CMS) has made available certain waivers of federal fraud and abuse laws in connection with the operation of an Accountable Care Organization (ACO) that has entered into a participation agreement under the Medicare Shared Savings Program (“MSSP”). In accordance with the public disclosure requirements of the ACO Participation Waiver, the following describes arrangements between MyHealth First Network, LLC (MyHFN) and its participants.

 

Population Health and Clinical Integration Payment Arrangement

The ACO has an arrangement in which it offers a technology platform for population health and clinical integration (“MyHFN PH/CI System”) that gathers, analyzes and reports on data regarding patient needs, the delivery of care, quality indicators, population health in local communities, and patient outcomes to its members including its physician members.  MyHFN member hospitals support the costs of such system in the proportions that their communities represent in comparison to the entire service area population served by MyHFN.

 

Physician Performance Payment System Arrangement

The ACO has an arrangement in which it provides incentive compensation (the “Physician Performance Payment System”) that will compensate MyHFN physicians for their work in quality improvement and care coordination for MSSP Patients and other patients; and the Physician Performance Payment System will be funded by a portion of any MSSP shared savings payments.

MyHFN Board of Managers determined that the Physician Performance Payment System and the Population Health and Clinical Integration Support Arrangement are reasonably related to the purposes of the Medicare Shared Savings Program.  Furthermore, the MyHFN Board of Managers approved the Physician Performance Payment System and the Population Health and Clinical Integration Support Arrangement. The program commenced on January 1, 2015 and continues to be in effect.

Approved by MyHFN Board of Managers November 15, 2017.

 

Medicare Shared Savings Program Agreement

The MyHFN ACO has an Operating Agreement and a Code of Conduct (Collectively “Operating Documents”).   In addition to the Operating Documents, MyHFN has a Participation Agreement with each of its ACO Participants which allows all parties to participate in the CMS Medicare Shared Savings Program. The Agreement is designed to promote accountability for the cost and overall quality of care of patients by creating a high degree of interdependence and cooperation among participants and healthcare providers through an active and ongoing program of health care quality and efficiency initiatives.

The MyHFN Board of Managers determined that the MyHFN Medicare Shared Savings Program Agreement is reasonably related to the purposes of the CMS Medicare Shared Savings Program, and therefore, approved the MyHFN Medicare Shared Savings Program Agreement.  The program commenced on January 1, 2015 and continues to be in effect.

Approved by MyHFN Board of Managers March 4, 2015