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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

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.
Susan Stegall 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 Director: Lance Brent
  • ACO Manager: Swati Nath
  • Chief Medical Officer: Fred Duggan, MD
  • Chief Financial Officer: Darrel Wildman
  • Quality Assurance/Improvement Officer: Kim Lee
  • Care Coordination Officer: Swati Nath, The Nath Group
  • Compliance Officer: Darrell Wildman

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 – Darrel Wildman (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 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 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

2018 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

88.30

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.34

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

92.50

92.45

ACO-4

CAHPS: Access to Specialists

86.49

81.50

ACO-5

CAHPS: Health Promotion and Education

53.22

59.26

ACO-6

CAHPS: Shared Decision Making

58.95

61.94

ACO-7

CAHPS: Health Status/Functional Status

68.86

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

30.70

26.26

ACO-8

Risk Standardized, All Condition Readmission

15.24

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.91

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

45.53

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

88.52

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

71.43

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

3.06

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

32.91

85.91

ACO-13

Falls: Screening for Future Fall Risk

89.02

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

54.29

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

61.63

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

59.92

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

74.92

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

19.35

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

71.77

66.74

ACO-19

Colorectal Cancer Screening

56.34

68.27

ACO-20

Breast Cancer Screening

63.95

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

71.95

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

26.54

15.51

ACO-41

Diabetes: Eye Exam

37.80

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

60.36

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

88.78

88.92

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