ACO Name and Location
Southeastern Health Partners Medicare ACO, LLC
10 S Academy Street, Suite 300
Greenville, SC 29601
ACO Primary Contacts
Blake Allison, ACO Chief Operating Officer
(864-241-5132)
blake_allison@southeasternhealthpartners.com

Key Clinical and Administrative Leadership

  • ACO Executive: Blake Allison
  • Medical Director: Dean Davis, M.D.
  • Compliance Officer: Matthew Potter, J.D.
  • Quality Assurance/Improvement Officer: Michael Seemuller, M.D.

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Shared Savings and LossesAmount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2018: $0
    • Performance Year 2017: $0

Shared Savings Distribution

  • First 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
    • 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
ACO Participants
ACO Participant in Joint Venture (Enter Y or N)
St. Francis Physician Services, Inc. N
Pelham Medical Center N
Union Medical Center N
Ellen Sagar Nursing Center N
AnMed Health N
Internal Medicine Associates of Anderson PA N
Spartanburg Hospital for Restorative Care N
Spartanburg Medical Center N
St. Francis Hospital, Inc. N

Have a Question?

For general questions or additional information

About Accountable Care Organizations, please visit

www.medicare.gov/acos.html or

call 1-800-MEDICARE (1-800-633-4227).

TTY users should call:  1-877-486-2048

You may also contact us with any questions or concerns at Southeastern Health Partners ACO by e-mailing us at:

blake_allison@southeasternhealthpartners.com

Read FAQ’s

Associated Committees & Committee Leadership

Committee Name Committee Leader Name and Position
Compliance Matthew Potter (Chair)
Finance & Contracting Paul Butler (Chair)
Population Health (Quality Improvement) Keith Newnam (Chair)
Information Technology Suzanne Wilson (Chair)
Membership & Credentialing Dean Davis, M.D. (Chair)

ACO Governing Body

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Kayrouz, M.D. Thomas Chairperson 5.26 % Board Chair AnMed Health
Butler Paul Board member 5.26 % ACO participant representative Spartanburg Medical Center
Newnam Keith Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Golias Tom Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Siegel, M.D. Robert Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Blackstone, M.D. Marcus Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Malik, M.D. Syed Board member 5.26 % ACO participant representative AnMed Health
Seemuller, M.D. Michael Board Member 5.26 % ACO participant representative AnMed Health
Franks, M.D. Melody Board Member 5.26 % ACO participant representative AnMed Health
Wilson Suzanne Board Member 5.26 % ACO participant representative AnMed Health
Parker, M.D. Jeremy Board Member 5.26 % ACO participant representative AnMed Health
Ulmer, M.D. Nick Board Member 5.26 % ACO participant representative Spartanburg Medical Center
Davis, M.D. Dean Board Member 5.26 % ACO participant representative Spartanburg Medical Center
Harp, M.D. Rich Board Member 5.26 % ACO participant representative Spartanburg Medical Center
Harber, M.D. James Board Member 5.26 % ACO participant representative Spartanburg Medical Center
Aycock Mark Board Member 5.26 % ACO participant representative Spartanburg Medical Center
McCowan Shannon Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Newman, M.D. Steve Board Member 5.26 % ACO participant representative St. Francis Physician Services, Inc.
Hertwig Camilla Board Member 5.26 % Medicare Beneficiary representative N/A

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 89.61 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.16 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 92.98 92.45
ACO-4 CAHPS: Access to Specialists 81.26 81.50
ACO-5 CAHPS: Health Promotion and Education 57.18 59.26
ACO-6 CAHPS: Shared Decision Making 62.50 61.94
ACO-7 CAHPS: Health Status/Functional Status 74.79 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 31.29 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.22 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.88 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 32.39 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 66.49 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 51.44 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.90 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation 93.43 85.91
ACO-13 Falls: Screening for Future Fall Risk 93.70 79.73
ACO-44 Imaging Studies for Low Back Pain 65.87 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 70.34 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 82.14 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 75.79 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 66.67 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 76.21 66.74
ACO-19 Colorectal Cancer Screening 69.66 68.27
ACO-20 Breast Cancer Screening 78.31 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.92 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.31 15.51
ACO-41 Diabetes: Eye Exam 57.07 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.95 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 93.09 88.92

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

Note: In the Quality Performance Results file(s) above, search for “Southeastern Health Partners Medicare ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3325 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.