image desc

Public Reporting

Rural Solutions is an Accountable Care Organization (ACO) in the Medicare Shared Savings Program (MSSP). Rural Solutions brings together physicians, hospitals and other health care professionals with the goal of delivering patient-centered care that improves the patient’s quality of care, experience, and satisfaction, improves the overall health of the population and reduces the total cost of health care without compromising quality and outcomes.

This page provides information to Medicare beneficiaries regarding our participation in the Medicare Shared Savings Program and is posted to comply with the Centers for Medicare and Medicaid Services Public Reporting Guidelines.

PH Alliance LLC

1314 19th Avenue
Meridian, MS 39301

ACO Primary Contact

Melissa Sawyer

Organizational Information

ACO Participants

Physicians Care Of Thomasville
Scott Regional Medical Center, Inc
Pioneer Health Servces Of Patrick County, Inc.
Kemper CAH, Inc.
Rush Medical Foundation
Meridian Anesthesiology Group, P.A.
Independent Healthcare Management, Inc.

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Board of Managers

Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA
Chuck Reese Chairperson 2 ACO Participant Rush Medical Foundation
Darrel Wildman Board Member 2 ACO Participant Rush Medical Foundation
Lance Brent Board Member 2 ACO Participant Rush Hospital/Bulter, Inc.
Larkin Kennedy Board Member 2 ACO Participant Scott Regional Medical Center, Inc.
Sydney Sawyer Board Member 1 ACO Participant Independent Healthcare Management, Inc.
Jennifer James Medicare Beneficiary 1 Medicare Beneficiary N/A
Fred Duggan, MD Medical Director and Board of Director 1 ACO Participant Kemper CAH, Inc.
Huey Kidd, DO Board Member 1 ACO Participant Physician’s Care of Thomasville

Key ACO Clinical and Administrative Leadership

  • ACO Executive: Lance Brent
  • Chief Medical Officer: Fred Duggan, MD
  • Chief Financial Officer: Darrel Wildman
  • Compliance Officer: Jason Strickland
  • Quality Assurance/Improvement Officer: Kim Lee

ACO Committees and ACO Committee Leadership

Finance Committee – Darrel Wildman (Chairperson) & Participant CFOs
ACO Performance Committee – Kim Lee, RN (Chairperson) & Participant Quality Improvement Contacts
Compliance Committee – Jason Strickland (Chairperson) & Participant Compliance Contacts

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals
  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Rural Health Clinic (RHC)

Shared Savings and Losses 

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2016: $0
    • Performance Year 2015: $0

Shared Savings Distribution

    • 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: (60%)
        • Proportion invested in redesigned care processes/resources:
        • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2016 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 75.8 79.9
ACO-2 CAHPS: How Well Your Providers Communicate 94.2 92.63
ACO-3 CAHPS: Patients’ Rating of Provider 93.3 91.93
ACO-4 CAHPS: Access to Specialists 84.45 83.52
ACO-5 CAHPS: Health Promotion and Education 59.64 60
ACO-6 CAHPS: Shared Decision Making 73.17 75.28
ACO-7 CAHPS: Health Status/Functional Status 69.06 71.82
ACO-34 CAHPS: Stewardship of Patient Resources 34.62 27.52
ACO-8 Risk-Standardized, All Condition Readmission 15.37 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 18.71 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 68.49 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 98.28 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 81.67 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 13.29 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 16.69 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 98.74 82.72
ACO-39 Documentation of Current Medications in the Medical Record 53.42 87.54
ACO-13 Falls: Screening for Future Fall Risk 61.47 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 35.14 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 47.45 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 65.89 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 85.53 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 55.87 53.63
ACO-19 Colorectal Cancer Screening 41.23 61.52
ACO-20 Breast Cancer Screening 49.1 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 42.06 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 70.14 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 25.72 18.24
ACO-41 Diabetes: Eye Exam 25.38 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 89.65 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 86.27 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 73.68 79.67


2015 Quality Performance Results

  • See 2015 Quality Performance Results here.


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.    

For 2016 Quality Performance Results please visit:

For 2015 Quality Performance Results please visit:

Note: In the Quality Performance Results file(s) above, search for “PH Alliance LLC” or “Rural Solutions, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A93261 in the public use files on

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule WaiverQuality Performance Results