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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

Catherine Melancon
cmelancon@Nath-mds.com
800-960-0168  ext. 496

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.
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.
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: Catherine Melancon
  • 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 2020: $3,152,881
    • 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 2020
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • 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

2020 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-13 Falls: Screening for Future Fall Risk 93.22 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 61.13 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 64.29 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.76 71.46
ACO-19 Colorectal Cancer Screening 62.50 72.59
ACO-20 Breast Cancer Screening 60.94 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.60 83.37
ACO-40 Depression Remission at Twelve Months 19.05 13.99
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 23.14 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 60.75 72.87

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

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
  • 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.