Posted on November 03, 2017
November 2, 2017 | New Bern, NC – On October 27th The Centers for Medicare and Medicaid Services (CMS) publicly released the quality and cost results for 432 Accountable Care Organizations from around the country for 2016. Calculations performed on this data show that Coastal Carolina Health Care, P.A.’s (CCHC) Accountable Care Organization, Coastal Carolina Quality Care, earned the top quality score1 and saved Medicare $4.6 million.
CCHC entered its first contract, with CMS, in 2012 with the goal of improving quality and reducing the growth of the overall cost of care for its patients. The CMS program’s quality score is based on a set of 30 measures in four domains that include how highly patients rated their doctor, how well clinicians communicated, how frequently patients were readmitted to a hospital, and ensuring patients received recommended preventive care.
“Our team worked very hard to achieve these results,” said Ken Wilkins, Jr., MD, President and Chief Medical Officer. “We’ve learned a great deal, but we are still learning and trying to continually improve our patient care. We are moving towards a more team-based model of care, especially for our most complicated patients. We are very excited that these CMS initiatives align incentives for practices such as CCHC to move toward our goals of better access to care, high quality care, and lower costs of care.”
“This national recognition is well deserved, and demonstrates that our patients are receiving an unparalleled level of care,” said Ronald A. Preston, MD, Vice President Medical Affairs.
“While there is still room for improvement, these results are especially rewarding because they demonstrate our team’s commitment to promote the health of its patients,” said Stephen Nuckolls, CEO. “In order to help achieve these results CCHC has expended significant sums to add a number of new clinical and administrative positions, as well as the systems necessary to support its providers and patients and transition to a more team-based model of care.”
About Coastal Carolina Health Care
CCHC is a nationally recognized physician-owned and led multispecialty medical practice with more than 60 physicians and advance practice clinicians operating out of 16 locations in Craven, Pamlico, and Carteret Counties. Their operations include an Ambulatory Surgical Center for Gastrointestinal Endoscopy, Sleep Lab, Central Clinical Laboratory, Urgent Care, and Imaging Center. The group’s specialties include Internal Medicine, Family Practice, Gastroenterology, Cardiology, Pulmonary Diseases, Critical Care, Endocrinology, Rheumatology, and Neurology. For more information, visit www.cchchealthcare.com (http://www.cchchealthcare.com)
About Coastal Carolina Quality Care
CCQC is wholly owned subsidiary of CCHC and was one of 27 organizations accepted into Medicare’s Shared Savings Program (MSSP) in the first round in April 2012. In 2016 over 11,000 Medicare Beneficiaries from Craven and surrounding counties were assigned by CMS to the organization. CCQC’s mission is to assist doctors in providing high quality and improved coordinated care for the patients they have been entrusted while reducing the growth in costs. For more information, visit www.ccqchealthcare.com (http://www.ccqchealthcare.com)
- The top quality score was calculated based on the data located at https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/SSPACO/ and is based on quality attainment, and therefore, excludes quality improvement points and the full credit that was given to new participants and existing participants for new measures.
Chief Operating Officer