Medicare Accountable Care Organization
Physician Meeting
Pathways to Success
Achieving Quadruple Aim Success
Join us as we continue the journey toward the Quadruple Aim through our Medicare Accountable Care Organization (ACO) and other products. Our past success is a strong indicator of the success we can achieve with the new Centers for Medicare and Medicaid Services (CMS) Pathways to Success Program. Providing services to an average of 43,000 Medicare beneficiaries annually, Wellstar Clinical Partners Medicare ACO has generated shared savings four out the five years as participants in Medicare Shared Savings Plan (MSSP).
Program Overview

CMS Pathways to Success is a new five-year program designed to bring greater value to patients while rewarding participating providers.

Effective January 1, 2020, the CMS Pathways to Success program will replace the former MSSP program and introduce a risk acceptance glide path to further encourage the delivery of high value and quality care to Medicare beneficiaries.

The program includes a five-year participation period where the shared savings upside opportunity remains fixed at a maximum of 10% of the ACO’s annual expenditures during years one through five. There is no downside risk for the first year. Downside risk begins in year two, limited to 1% of the ACOs annual expenditures. In year three, the downside risk increases to 2% followed by 4% in years four and five. Participants can make annual decisions to continue with the program.

ACO Information

Name and Location

Wellstar Clinical Partners Medicare ACO, LLC
793 Sawyer Road
Marietta, GA 30062

Primary Contact

Governing Body

Clinical and Administrative Leadership

Barbara Corey ACO Executive
Roderick Rhyant Medical Director
Roshunda Drummond-Dye Compliance Officer
Amy O’Brien Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Quality & Operations Committee
Roderick Rhyant, MD Chair


Finance Committee
Mike Lipscomb, MD Chair


Network Committee
Brett Cannon, MD Chair


Governance and Strategy Committee
Vijay Nath, MD Chair

Physician Led

Clinically-integrated leadership in your community

Supported

Analytics and data-driven support for the success of your practice

Valuable

Participation in other payor agreements and care strategies

Beneficial

Gain advantages from shared ACO MIPs scoring and strategic exemptions

Why consider a value-based venture?
5-year program designed to deliver greater value to patients while rewarding participating providers for high-quality care
WellStar Clinical Partners membership required for all ACO participants
Offers gradual introduction to a value-based reimbursement model with risk acceptance. No downside risk in year 1. Incremental risk and reward for years 2-5.
As a strategic partner, WellStar will assume most of the risk
Join us
Take the next step. Subscribe below to get information about attending chapter meetings or web events, and learn how you can participate in revolutionizing care delivery as part of the Wellstar ACO.