Medicare Shared Savings Program (MSSP) Public Reporting

ACO Name and Location:

Community Care Partnership of Maine (CCPM)
103 Maine Avenue Bangor, ME 04401

ACO Primary Contact:
Sandy Nesin
(207)992-9200 x 2282
sandy.nesin@sjhhealth.org

Organizational Information:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Bucksport Regional Health Center	N
City Of Caribou/Cary Medical Center	N
Community Clinical Service, Inc.	N
Eastport Health Care, Inc.	N
Fish River Rural Health	N
Harrington Family Health Center	N
Health Access Network Inc.	N
Island Community Medical Center, Inc	N
Katahdin Valley Health Center	N
Millinocket Regional Hospital	N
Mount Desert Island Hospital	N
Penobscot Community Health Center/Penobscot Community Health Care	N
Pines Health Services	N
Portland Community Health Center/Greater Portland Health	N
Sacopee Valley Health Center	N
Sebasticook Family Doctors/Hometown Health Center	N
St. Croix Regional Family Health Center	N
St. Joseph Hospital/St. Joseph Healthcare	N
York County Community Action Corporation/Nasson Health Care	N

ACO Governing body:

Member First	Member Last Name	Member Title/Position	Member's Voting Power	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Carol	Carew	CEO	4.76%	ACO Participant Representative	Bucksport Regional Health Center
Kris	Doody	CEO	4.76%	ACO Participant Representative	City of Caribou/Cary Medical Center
Coleen	Elias	CEO	4.76%	ACO Participant Representative	Community Clinical Services, Inc
Ellen	Krajewski	CEO	4.76%	ACO Participant Representative	Eastport Health Care, Inc.
Heather	Pelletier	Executive Director, Board Chair	4.76%	ACO Participant Representative	Fish River Rural Health
Demee	Manchester	Interim CEO	4.76%	ACO Participant Representative	Harrington Family Health Center
Nicole	Morrison	CEO	4.76%	ACO Participant Representative	Health Access Network, Inc.
Robin	Winslow	CEO	4.76%	ACO Participant Representative	Hometown Health Center/Sebasticook Family Doctors
Cameron	Garrett	Executive Director	4.76%	ACO Participant Representative	Islands Community Medical Services Inc.
Claudette	Humphrey	CEO	4.76%	ACO Participant Representative	Katahdin Valley Health Center
Robert	Peterson	CEO	4.76%	ACO Participant Representative	Millinocket Regional Hospital
Christina	Maguire	President & CEO	4.76%	ACO Participant Representative	Mount Desert Island Hospital
Paul	Kennedy	Chief Operating Officer	4.76%	ACO Participant Representative	York County Community Action Corp/Nasson Health Care
Lori	Dwyer	President & CEO	4.76%	ACO Participant Representative	Penobscot Community Health Center/Penobscot Community Health Care
Kris	Doody	CEO	4.76%	ACO Participant Representative	Pines Health Services
Ann	Tucker	CEO, Treasurer	4.76%	ACO Participant Representative	Portland Community Health Center/Greater Portland Health
Tom	MacDonald	CEO	4.76%	ACO Participant Representative	Regional Medical Center at Lubec
Linda	Watson	CEO	4.76%	ACO Participant Representative	Sacopee Valley Health Center
Corinne	LaPlant	Executive Director	4.76%	ACO Participant Representative	St. Croix Regional Family Health Center
Mary	Prybylo	President	4.76%	ACO Participant Representative	St. Joseph Hospital/St. Joseph Healthcare
Sandy	Bovard	Medicare Beneficiary	4.76%	Medicare Beneficiary

Key ACO Clinical and Administrative Leadership:

Sandy Nesin	Chief Executive Officer/ACO Executive
Mary Butler-Fleming	Chief Operating Officer
Timothy Clifford	Chief Medical Officer/Medical Director
Kimberly Alexander	Chief Clinical Operations Officer
Mary Prybylo	Chief Research & Innovation Officer
Kimberly Alexander	Quality Assurance/Improvement Officer
Mary Butler-Fleming	Compliance Official

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Finance Committee	Ann Tucker, Board Treasurer
Leadership and Operations Committee	Mary Butler-Fleming, Chief Operating Officer
Quality and Clinical Integration Committee	Kim Alexander, RN, Chief Clinical Operations Officer, CCPM
Care Management Committee	Kim Alexander, RN, Chief Clinical Operations Officer, CCPM

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

Critical Access Hospital (CAH) billing under Method II
Federally Qualified Health Center (FQHC)
Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

- Performance Year 2022, $4,454,635.60
- Performance Year 2021, $5,098,646.94
- Performance Year 2020, $2,489,104
- Performance Year 2019, $2,655,332
- Performance Year 2018, $7,426,177
- Performance Year 2017, $4,184,087
- Performance Year 2016, $2,130,758

Shared Savings Distribution

Seven Agreement Period
- Performance Year 2022
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 55%

Sixth Agreement Period
- Performance Year 2021
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 0%
  - Proportion of distribution to ACO participants: 75%

Fifth Agreement Period
- Performance Year 2020
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 20%
  - Proportion of distribution to ACO participants: 65%

Fourth Agreement Period
- Performance Year 2019
- Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 60%

Third Agreement Period
- Performance Year 2018
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 60%

Second Agreement Period
- Performance Year 2017
  - Proportion invested in infrastructure: 20%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 50%

First Agreement Period
- Performance Year 2016
  - Proportion invested in infrastructure: 20%
  - Proportion invested in redesigned care processes/resources: 30%
  - Proportion of distribution to ACO participants: 50%

Quality Performance Results:

2022 Quality Performance Results:

ACO Quality Measure Number	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control2	CMS Web Interface	8.06	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	82.22	76.97
236	Controlling High Blood Pressure	CMS Web Interface	80.60	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	91.48	87.83
110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	79.53	77.34
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	100.00	79.27
113	Colorectal Cancer Screening	CMS Web Interface	73.54	75.32
112	Breast Cancer Screening	CMS Web Interface	83.21	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	83.98	86.37
370	Depression Remission at Twelve Months	CMS Web Interface	9.76	16.03
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2	CMS Web Interface	0.1491	0.1510
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2	CMS Web Interface	33.35	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CMS Web Interface	86.22	83.96
CAHPS-2	How Well Providers Communicate	CMS Web Interface	94.39	93.47
CAHPS-3	Patient's Rating of Provider	CMS Web Interface	92.05	92.06
CAHPS-4	Access to Specialists	CMS Web Interface	73.43	77.00
CAHPS-5	Health Promotion and Education	CMS Web Interface	64.61	62.68
CAHPS-6	Shared Decision Making	CMS Web Interface	57.90	60.97
CAPHS-7	Health Status and Functional Status	CMS Web Interface	70.16	73.06
CAHPS-8	Care Coordination	CMS Web Interface	86.58	85.46
CAHPS-9	Courteous and Helpful Office Staff	CMS Web Interface	94.07	91.97
CAHPS-11	Stewardship of Patient Resources	CMS Web Interface	20.09	25.62

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

Payment Rule Waivers

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

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Parties to the arrangement: Not Applicable
Date of arrangement: Not Applicable
Items, services, goods, or facility provided: Not Applicable
Date and nature of any amendments to the arrangement, if applicable: Not Applicable

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Parties to the arrangement: Not Applicable
Date of arrangement: Not Applicable
Items, services, goods, or facility provided: Not Applicable
Date and nature of any amendments to the arrangement, if applicable: Not Applicable

Conflicts of Interest Policy

https://ccpm.sharefile.com/public/share/web-s4e8e0b80924d4d40a4dd88d39a3b01e1