Tidewater Accountable Care Organization, LLC Name and Location

Tidewater Accountable Care Organization, LLC
Tidewater Medical Center
860 Omni Boulevard, Suite 401
Newport News, Virginia  23606

Tidewater Accountable Care Organization, LLC Primary Contact

Contact:  Sibyl Wilson, COO
Phone:  (757) 232-8764
Email:  [email protected]

ORGANIZATIONAL INFORMATION

Tidewater Accountable Care Organization, LLC Participants

ACO Participants
Tidewater Physicians Multispecialty Group, PC
ACO Participant in Joint Venture
N

Tidewater Accountable Care Organization, LLC (TACO) Governing Body

Member Last Name
Morrison, DO
Banning, MD
Morrison, DO
Wilson, COO
Capps, MD
Norfleet, MD
Bryant, MD
Winters, MD
Rossiter, PhD
Sharp - Warthan, MD
Member First Name
Jeffrey
Scott
Jeffrey
Sibyl
P. Marlene
Stephen
John
Mark
Louis
Jennifer
Member Title/Position
TACO Executive
President
Vice – President
Secretary
Voting Member
Voting Member
Voting Member
Voting Member
Voting Member
Voting Member
Member’s Voting Power – Expressed as a percentage or number
10%
10%
10%
10%
10%
10%
10%
10%
10%
10%
Membership Type
ACO Participant Representative
ACO Participant Representative
ACO Participant Representative
OTHER
ACO Participant Representative
Community Stakeholder Representative
Community Stakeholder Representative
Community Stakeholder Representative
Medicare Beneficiary Represenative
Community Stakeholder Representative
ACO Participant Legal Business Name and D/B/A, if applicable
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
Tidewater Physicians Multispecialty Group, PC
N/A
Tidewater Physicians Multispecialty Group, PC
N/A
N/A
N/A
N/A
N/A

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Linda Larue
  • Medical Director:  Jeffrey Morrison, DO, FACOG
  • Compliance Official:  Jeffrey Morrison, DO, FACOG
  • Quality Assurance/Improvement Officer:  Jeffrey Morrison, DO, FACOG

Tidewater Accountable Care, LLC Organization Associated Committees and Committee Leadership

Committee Name
Practice Standards Committee
Finance/Shared Savings Committee
Utilization Management Committee
Quality and Performance Monitoring Committee
Committee Leader Name and Position
Apostolos I. Hiotellis, MD, Chair
Sibyl Wilson, COO, Commitee Member
Jeffrey Morrison, DO, Chair
Linda Larue, CFO, Committee Member
Jeffrey Morrison, DO, Chair
Brett Brickey, CIO, Committee Member
Apostolos I. Hiotellis, MD, Chair
Jeffrey Morrison, DO, Committee Member
Brett Brickey, CIO, Committee Member

Types of Accountable Care Organization Participants, or Combinations of Participants, that Formed the Accountable Care Organization

ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2020, $5,116, 002
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • Third Performance Period
    • Performance Year 2020
      • Proportion invested in infrastructure:  3%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 62%
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

 

  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

2020 Quality Performance Results

ACO #
ACO-43
ACO-13
ACO-14
ACO-17
ACO-18
ACO-19
ACO-20
ACO-42
ACO-27
ACO-28
Measure Name
Ambulatory Sensitive Condition Acute Composite
Falls: Screening for Future Falls
Preventive Care and Screening: Influenza Immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and Screening: Screening for Depression and Follow-up Plan
Colorectal Cancer Screening
Breast Cancer Screening
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Diabetes Hemoglobin A1c (HbA1c) Poor Control (>9%)
Hypertension (HTN) - Controlling High Blood Pressure
Rate
.91
91.13
85.78
73.33
68.95
83.87
84.27
85.59
10.48
73.79
ACO Mean
.95
84.97
76.03
81.67
71.46
72.59
74.05
83.37
14.70
72.87

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

The Secretary of U.S. Department of Health and Human Services has provided waivers of certain federal laws that may otherwise limit innovation by ACOs. In accordance with the public disclosure requirements of the ACO Participation Waivers set forth in 80 Fed. Reg. 66725 (Oct. 29, 2015), the applicable arrangements are described below:

Agreements with LabCorp: The parties to the arrangement include Tidewater Multispecialty Groups, P.C. (TPMG) and Laboratory Corporation of America Holdings and its subsidiaries (“LabCorp”). The agreements are effective as of December 8, 2021 . Under the agreements, the parties will coordinate with each other to meet requirements for reporting quality and cost measures, establish clinical decision support programs to support chronic disease management and population health strategies, and evaluate and address the health needs of Tidewater Multispecialty Groups, P.C. (TPMG)’s patient population. LabCorp will make available laboratory testing services to Tidewater Multispecialty Groups, P.C. (TPMG)’s providers, and Tidewater Multispecialty Groups, P.C. (TPMG) will integrate and use this information in Tidewater Multispecialty Groups, P.C. (TPMG)’s data analytics programs, reporting measures, and care coordination and intervention strategies. The agreements include a series of potential grants to develop infrastructure and redesigning care processes to allow for high quality and efficient service delivery for patients whereby Tidewater Multispecialty Groups, P.C. (TPMG) must meet certain quality metrics to be eligible. This arrangement allows the parties to promote accountability for the quality, cost and overall care for Tidewater Multispecialty Groups, P.C. (TPMG)’s patients and manage and coordinate care for these individuals. With respect to this arrangement above, Tidewater Multispecialty Groups, P.C. (TPMG)’s governing body has made and duly authorized a bona fide determination that the arrangement is reasonably related to the purposes of the Medicare Shared Savings Program.

Questions?

For more details about our ACO, ask the front desk for a copy of the ACO beneficiary notice. If you have questions or concerns, call us at 757-260-9020 or we can talk about them during your visit in our office. You can also call 1-800-MEDICARE or visit Medicare.gov/acos.html.