Accountable Care Public Reporting Information

Accountable Care Organization (ACO) Name and Location

Freedom Healthcare Alliance, LLC
8761 Dorchester Road
Suite 230
North Charleston, SC 29420

ACO Primary Contact
Primary Contact Name: Lissa Lara, CEO
Primary Contact Phone Number: 843-412-1590
Primary Contact Email Address: lissalara@qualityhealthcaredevelopment.com

Organizational Information

ACO PARTICIPANTS	ACO PARTICIPANT IN JOINT-VENTURE (Enter Y or N)
James T Martin Jr MD	N
Liberty Doctors, LLC	N
Dorchester Medical Associates	N
Internal Medicine of Walterboro	N

ACO Governing Body

Member First Name	Member Last Name	Title/Position	Member’s Voting Power – Expressed as a percentage or number	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Lissa	Lara	CEO	16	Other	N/A
Hugh	Durrence	MD CMO Board Member	13	ACO Participant Representative	Liberty Doctors, LLC
Donald	Hanna	MD Board Member	13	ACO Participant Representative	Liberty Doctors, LLC
Douglas	Gleaton	MD Board Member	13	ACO Participant Representative	Liberty Doctors, LLC
John	Forney	MD Board Member	13	ACO Participant Representative	Liberty Doctors, LLC
David	Price	MD Board Member	6	Medicare Beneficiary Representative	N/A
James	Martin Jr	MD Board Member	13	ACO Participant Representative	James T Martin Jr., LLC
Jeffrey	Kramer	MD Board Member	13	ACO Participant Representative	Internal Medicine of Walterboro

KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP:

Lissa Lara	ACO Executive
Hugh Durrence	Medical Director
John Park	Compliance Officer
Katherine Hill	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Finance Committee	Lissa Lara, CEO Hugh Durence, RPh, MD, Medical Director
Quality Committee	Lissa Lara, CEO Hugh Durence, RPh, MD, Medical Director Katherine Hill, Quality Assurance, Improvement Officer
Compliance Committee	Lissa Lara, CEO Hugh Durence, RPh, MD, Medical Director John Park, Compliance Officer

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

Primary Care Physicians
Obstetrics and gynecology

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2020, $2,960,193
First Agreement Period
- Performance Year 2019, $921,888.92

Shared Savings Distribution:

First Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: 37%
  - Proportion invested in redesigned care processes/resources: 10%
  - Proportion of distribution to ACO participants: 53%

Quality Performance Results

2020 Quality Performance Results:

ACO Quality Measure Number	Measure Name	Rate	ACO Mean
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	0.81	0.95
ACO-13	Falls: Screening for Future Fall Risk	81.27	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	66.13	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	76.47	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	66.67	71.46
ACO-19	Colorectal Cancer Screening	53.23	72.59
ACO-20	Breast Cancer Screening	60.53	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	79.62	83.37
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	13.38	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	70.94	72.87

“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.”

For Previous Years’ Financial and Quality Performance Results, please visit 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.