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)
Dorchester Medical Associates	N
Internal Medicine of Walterboro	N
James T Martin Jr, MD	N
Lake City Family Medicine, LLC	N
Liberty Doctors, LLC	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
Kathrine 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 Kathrine 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 Practice
OBGYN

Shared Savings and Losses

Amount of Shared Savings/Losses:

Fourth Agreement Period
- Performance Year 2022, $ 3,429,097.03

Shared Savings Distribution:

Fourth Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 19.5%
- Proportion invested in redesigned care processes/resources: 6%
- Proportion of distribution to ACO participants: 74.5%

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Quality ID# 321	CAHPS for MIPS	CAHPS for MIPS Survey	N/A	N/A
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1454	0.1510
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	25.78	30.97
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	85.05	87.83
Quality ID# 110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	61.69	77.34
Quality ID# 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	52.94	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	63.18	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	67.82	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	83.48	86.37
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	5.36	16.03
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	11.85	10.71
Quality ID# 134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	77.82	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	69.19	76.16

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.
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.