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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

Jessica Jones
jjones@nath-mds.com
(713) 772-6690

Organizational Information

ACO Participants

Physicians Care Of Thomasville
LAIRD HOSPITAL INC
Scott Regional Medical Center, Inc
Kemper CAH, Inc.
Physicians Care of Sweet Water, LLC
Huey R Kidd, DO PC
Rush Medical Foundation
RUSH HOSPITAL/BUTLER, INC
RUSH HOME CARE, INC
Meridian Anesthesiology Group, P.A.
Independent Healthcare Management, Inc.
RUSH MEDICAL GROUP OF NEWTON, PA
RUSH CARE, INC
MEDICAL FOUNDATION, INC.
Physicians Care of Grove Hill, LLC
Physicians Care of Camden

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
Allen Tyra Chairperson 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.
Susan Stegall Medicare Beneficiary 1 Medicare Beneficiary N/A
Fred Duggan, MD Board Member 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 Director: Lance Brent
  • ACO Manager: Jessica Jones
  • Chief Medical Officer: Walt Willis, MD
  • Chief Financial Officer: David Butler
  • Quality Assurance/Improvement Officer: Kim Lee
  • Care Coordination Officer: Swati Nath, The Nath Group
  • Compliance Officer: Dawn Reynolds

ACO Committees and ACO Committee Leadership

Finance Committee – Allen Tyra (Chairperson) & Participant CFOs
ACO Performance Committee – Kim Lee, RN (Chairperson) & Participant Quality Improvement Contacts
Compliance Committee – Dawn Reynolds (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

  • Second Agreement Period
    • Performance Year 2019: $0
    • Performance Year 2018: $0
  • First Agreement Period
    • Performance Year 2017: $0
    • Performance Year 2016: $0
    • Performance Year 2015: $0

Shared Savings Distribution

  • 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

 

  • First Agreement Period
    • 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
      • 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:
          (40%)
        • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2019 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.45 85.65
ACO-2 CAHPS: How Well Your Providers Communicate 94.81 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 91.84 92.69
ACO-4 CAHPS: Access to Specialists 81.98 81.54
ACO-5 CAHPS: Health Promotion and Education 50.46 60.44
ACO-6 CAHPS: Shared Decision Making 57.62 62.78
ACO-7 CAHPS: Health Status/Functional Status 71.25 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 25.90 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 90.68 92.84
ACO-46 CAHPS: Care Coordination 86.28 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.68 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.35 58.15
ACO-43 Ambulatory Sensitive Condition Acute Compostie (AHRQ* Prenvention Quality Indicator PQI #91)) 2.68 1.87
ACO-13 Falls: Screening for Future Fall Risk 88.92 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 57.76 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 57.14 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.22 70.40
ACO-19 Colorectal Cancer Screening 55.34 70.76
ACO-20 Breast Cancer Screening 62.72 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.16 82.17
ACO-40 Depression Remission at Twelve Months 31.91 13.58
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.34 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 61.93 75.04

2016 Quality Performance Results

  • See 2016 Quality Performance Results here.

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 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu

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 data.cms.gov.

 

Payment Rule Waivers

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