ACO Information

CHESS NextGen

CHESS NextGen, LLC (CHESS NextGen) represents a group of health care providers who have come together to provide coordinated high quality care to the Medicare beneficiaries they serve. Coordinated care helps ensure Medicare beneficiaries get the right care at the right time, with the goal of avoiding unnecessary duplication of services and preventing medical errors.

CHESS NextGen is administered by Cornerstone Health Enablement Strategic Solutions, LLC (CHESS) (www.chesshealthsolutions.com), a physician-led company owned by North Carolina Baptist Hospital, Cornerstone Health Care, and Laboratory Corporation of America.

CHESS NextGen Participants include the physicians and their teams from Cornerstone Health Care, Wake Forest University Health Sciences, and Catawba Valley Medical Group. A number of Preferred Providers and skilled nursing facility affiliates also will help coordinate care as part of the program. Through the program, Participating Providers are focused on improving access to care, enhancing clinical quality and controlling costs.

In December 2015, CHESS NextGen chose  to participate in the Centers for Medicare & Medicaid Services (CMS) accountable care organization (ACO) model called the Next Generation ACO Model (Next Generation ACO), advancing the Administration’s health care system goals and building on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through this model, CMS has partnered with CHESS NextGen and other ACOs that are experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward.

The Next Generation ACO Model is one of many innovative payment and care delivery models created under the Affordable Care Act, and is an important step toward advancing models of care that reward value over volume in care delivery.

CHESS provides the following information regarding its participation as a Medicare Next Generation ACO.

Accountable Care Organization Public Reporting Guidance

General and Organization Information

CHESS NextGen, LLC

1701 Westchester Drive, Suite 850

High Point, NC 27262

Hours: 9 am - 5 pm Monday through Friday

ACO Primary Contacts

Katherine Flynn Henry, ACO Executive

CHESSACO_Executive@chesshealthsolutions.com

(336) 802-2661

Melissa Pollock, CMS Liaison

CHESSACO@chesshealthsolutions.com

(336) 802-2661

Composition of ACO

CHESS NextGen, LLC represents a provider-led partnership between physicians in the following organizations, organized to improve health care throughout the region.

Next Generation ACO Participants and Preferred Providers

See a full list of our Participating and Preferred Providers here.

ACO Participants in Joint Ventures between ACO Professionals and Hospitals

None

CHESS NextGen Governing Body

  • James Hoekstra, MD, Voting Member, ACO Participant, Wake Forest University Health Sciences
  • Rich Lord, MD, Voting Member, ACO Participant, Wake Forest University Health Sciences
  • Bradley Clark, Voting Member, ACO Participant, Wake Forest Unversity Health Sciences
  • Drew Chesson, MD, Voting Member, ACO Participant, Catawba Valley Medical Group
  • Kimberly Crews, Voting Member, ACO Participant, Catawba Valley Medical Group
  • Heather Spry, MD, Voting Member, ACO Participant, Cornerstone Health Care
  • James Anderson, MD, Voting Member, Parent Company, CHESS
  • Elisabeth Stambaugh, MD, Chair and Voting Member, ACO Participant, Cornerstone Health Care
  • Robert Ford, MD, Voting Member, Medicare Beneficiary & Consumer Advocate

CHESS NextGen Key Clinical and Administrative Leadership

  • Medical Director: Elisabeth Stambaugh, MD, CHESS
  • ACO Executive: Katherine Flynn Henry, CHESS
  • Compliance Official: Melissa Pollock, CHESS
  • Chief Quality Officer: Yates Lennon, MD, CHESS

Associated Committees and Key Leadership Personnel

  • Performance Improvement Committee (Quality): Chair - Jason Kihneman, MD, Catawba Valley Medical Group
  • Compliance Committee: Chair – Yates Lackey, Wake Forest University Health Sciences
  • Finance Committee: Chair - Robert Dough, MD, Cornerstone Health Care

Aggregate Amount of Shared Savings/Losses

  • Performance Year 1: -$63,570.23
  • Performance Year 2: Not Yet Determined
  • Performance Year 3: Not Yet Determined

How Shared Savings Are Distributed

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: N/A
  • Proportion of distribution to ACO Participants and Preferred Providers: N/A

Quality Performance Results

For Patients

I'm a Medicare Beneficiary, so what does this mean for me?

Questions or Concerns? 

If you have any questions about CHESS NextGen or the Next Generation ACO Model, contact CHESS at 336-802-2661 or contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.