Medicare Accountable Care Organization
KentuckyOne Health Partners, LLC (KYOne HP) has been accepted into the CMS Medicare Shared Savings Program, which is designed to improve the medical outcomes of Medicare fee for service beneficiaries and increase the value of care by:

  • Promoting accountability for the care of Medicare fee for service beneficiaries. 
  • Requiring coordinated care for all services provided under Medicare fee for service.
  • Encouraging investment in infrastructure and redesigned care processes.

The Shared Savings Program will financially reward ACOs that lower their growth in health care costs while meeting performance standards on quality of care and putting patients first.

Providers
KentuckyOne, Inc. has developed KYOne HP to be an accountable care organization (ACO) participating in the Medicare Shared Savings Program. KYOne HP also may enter into other similar shared savings arrangements with commercial, self-insured, or other third-party payors. In connection with its ACO activities, KYOne HP has or shall enter into various arrangements with providers, specifically related to the purposes of the Medicare Shared Savings Program or similar shared savings arrangements in which KYOne HP participates.  In that respect, KYOne HP has developed certain financial incentive programs to encourage its providers and suppliers (such as physicians, advanced practice registered nurses, care managers, etc) that have contracts with KYOne HP to provide clinical services to patients in a way that adheres to certain quality assurance initiatives and programs, improves patient satisfaction and helps reduce the cost of providing quality health care, all of which supports the ACO’s aim of better care for individuals, better health for populations and lower growth in health care expenditures.  The financial incentive programs and other terms of the arrangements were entered into on September 5, 2012 and effective as of January 1, 2013 and are between KYOne HP and Jewish Physician Group (an entity wholly owned by KentuckyOne that employs over 200 physicians) and Jewish Hospital & St. Mary’s HealthCare, Inc. (another entity wholly owned by KentuckyOne that provides hospital and related health services), and covers all medical services provided by both entities.

The KentuckyOne Health Partners Board of Managers formally approved the arrangements at its meeting on August 30, 2012 as reasonably related to the purposes of the Medicare Shared Savings Program, because they encourage providers to adhere to the quality assurance and improvement program and evidenced-based clinical guidelines associated with the KYOne HP’s ACO and its participation in the Medicare Shared Savings Program, and support the MSSP aims of better care for individuals, better health for populations, and lower growth in expenditures.

Please visit www.medicare.gov/acos.html or call 1.800.MEDICARE (1.800.633.4227 (TTY users should call 1.877.486.2048)) for general questions or additional information about Accountable Care Organizations.

ACO Name and Location
KentuckyOne Health Partners, LLC
201 Abraham Flexner Way, 14th Floor
Louisville, Kentucky 40202

ACO Primary Contact
Don Lovasz, President and CEO, DonaldLovasz@KentuckyOneHealth.org, 502.333.8151

Composition of ACO
Network of individual practices of ACO professionals
Hospital employing ACO professionals
Partnership or joint venture arrangement between hospitals and ACO professionals – N/A

ACO Participants
All Women OB/GYN, PSC (Provides Physician Services)
Associates in General Surgery PSC (Provides Physician Services)
Bardstown Women’s Health Care (Provides Physician Services)
Chest Medicine Associates, P.S.C. (Provides Physician Services)
Doctors Vision Center, PLLC (Provides Physician Services)
Douglas J. Nesbitt MD (Provides Physician Services)
Michael J. Doyle, MD, PLLC (Provides Physician Services)
East Louisville Dermatology PSC (Provides Physician Services)
Eastern Kentucky Medical Services, LLC (Provides Physician Services)
Dr. Joe Ellis – Optometrist, PSC (Provides Physician Services)
Emmanuel Yumang, MD, PLLC (Provides Physician Services)
Internal Medicine Associates (Provides Physician Services)
Karl McClanahan P.S.C. (Provides Physician Services)
Kentucky Eye Center, PSC (Provides Physician Services)
Kentucky Eye Surgery Associates, P.S.C. (Provides Physician Services)
Kleinert Kutz Associates Hand Care CTR (Provides Physician Services)
Leonard Eye Care, PLLC (Provides Physician Services)
Lexington Foot & Ankle Center, PSC (Provides Physician Services)
Murray Vision Center, L.L.C. (Provides Physician Services)
Pediatric HeartCare Partners (Provides Physician Services)
Pomeroy and Rhoads Orthopaedics PLLC (Provides Physician Services)
Retina Associates, PSC (Provides Physician Services)
Sheridan Eyecare, PLLC (Provides Physician Services)
Sleep Center of Kentuckiana, LLC (Provides Physician Services)
Thomas Thornberry MD (Provides Physician Services)
Flaget Healthcare Inc. (Provides Hospital & Physician Services)
Jewish Hospital & St. Mary’s Healthcare, Inc. (Provides Hospital Services)
KentuckyOne Health Medical Group, Inc. (Provides Hospital & Physician Services)
Saint Joseph Health System Inc. (Provides Hospital & Physician Services)
Saint Joseph Medical Foundation Inc. (KentuckyOne Health Medical Group, Inc.) (Provides Physician Services)
Taylor County Hospital District Health Facilities Corporation (Provides Hospital and Physician Services)

KentuckyOne Health Partners, LLC Governing Body
Ruth Brinkley, Voting Member, ACO Participant Representative (Jewish Hospital & St. Mary’s Healthcare, Inc.)

James Fitzpatrick, MD, Voting Member, ACO Participant Representative (KentuckyOne Health Medical Group, Inc.)

Jeffery Graves, MD, Voting Member, ACO Participant Representative (KentuckyOne Health Medical Group, Inc.)

Don Lovasz, Non-Voting Member, President and CEO, ACO Participant Representative (Jewish Hospital & St. Mary’s Healthcare, Inc.)

James Lynch, MD, Voting Member, ACO Participant Representative (KentuckyOne Health Medical Group, Inc.)

Gregory Postel, MD, Voting Member, Community Stakeholder Representative

Gerald Temes, M.D., Voting Member and Medicare Beneficiary Representative

Russell Williams, M.D., Voting Member, ACO Participating Representative (Associates in General Surgery PSC)

KentuckyOne Health Partners, LLC Committees and Key Leadership Personnel
President and CEO:  Don Lovasz (KentuckyOne Health)
Chief Medical Officer:  Ron Waldridge II, MD (KentuckyOne Health)
Chief Compliance Officer:  Valerie Cloud, MBA, CHC, CHPC (Catholic Health Initiatives)

Board Governance StructureBoard of Manager Committee Charters:

  • The Executive Committee shall exercise such powers that are delegated to it by the Board of Managers and to meet on occasions when an unexpected action item must be considered, and it is not feasible to convene the full Board of Managers.
  • The Governance Committee, an advisory committee to the Board of Managers, is responsible for developing and monitoring the effectiveness of board members. This includes the development of standards relating to the nomination, education, self-evaluation, independence, and fiduciary conduct of board and committee members.
  • The Quality & Value Committee, an advisory committee to the Board of Managers, provides oversight for the care management program and other quality initiatives to fulfill the mission and vision of the Board of Managers.

Aggregate Amount of Shared Savings/Losses

  • Agreement period beginning 2013, Performance Year 1:  $0
  • Agreement period beginning 2013, Performance Year 2014:  $2,144,881
  • Agreement period beginning 2013, Performance Year 2015:  $8,293,766

How Shared Savings Are Distributed

  • Agreement period beginning 2013, Performance Year 1:
    • Proportion invested in infrastructure:  25%
    • Proportion invested in redesigned care processes/resources:  0%
    • Proportion of distribution to ACO Participants:  75%
  • Agreement period beginning 2013, Performance Year 2014, 2015:
    • Proportion invested in infrastructure:  20%
    • Proportion invested in redesigned care processes/resources:  5%
    • Proportion of distribution to ACO participants:  75%

Quality Performance Results

MSSP-Public-Reporting

Print version of 2015 Quality Performance Results

Click Here to View 2013 and 2014 Quality Performance Results

Click Here to View the MSSP ACO Participation Agreement (agreement period beginning 2016)

Click Here to View the MSSP ACO Participation Agreement (agreement period beginning 2013)