About Us

Accountable Care

Medicare Shared Savings Program Accountable Care Organization

In January 2014, CaroMont Health was selected to participate in the Medicare Shared Savings Program Accountable Care Organization (ACO) sponsored by the Centers for Medicare and Medicaid Services (CMS). Through the Shared Savings Program, CaroMont Health works with CMS to provide Medicare beneficiaries with high-quality service and care, while reducing the growth in Medicare expenditures through enhanced care coordination.

CaroMont Health shares resources and information about its participation as a Medicare Shared Savings ACO on this page of our web site.

ACO Name and Location

CaroMont ACO
2525 Court Drive
Gastonia, North Carolina 28054

ACO Primary Contact

Betty J. Herbert
betty.herbert@caromonthealth.org
704.834.4532

Organizational Information

ACO Participants

  • Ashley Womens CMG LLC
  • CaroMont Health Services, Inc.
  • CaroMont Medical Group INC
  • Gaston Memorial Hospital, Incorporated
  • CaroMont South Point LLC
  • Hospice of Gaston County, Inc
  • Piedmont Adult & Pediatric Medicine Associates PA

ACO Participants in Joint Ventures between ACO Professionals and Hospitals (annotated by asterisk [*])

  • No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

  • Dr. Andrew Dyksterhouse, Voting Member and Chair, ACO Participant, CaroMont South Point LLC
  • Ms. Kathleen Besson, Voting Member, ACO Participant, CaroMont Health Services, Inc.
  • Dr. Jacqueline Folks, Voting Member, ACO Participant, CaroMont Medical Group INC
  • Dr. Rachel Miller, Voting Member, Ashley Womens CMG LLC
  • Mr. David O’Connor, Voting Member, ACO Participant, Gaston Memorial Hospital, Incorporated
  • Ms. Andrea Serra, Voting Member, ACO Participant, Hospice of Gaston County, Inc
  • Dr. Johnathan Williams, Voting Member, ACO Participant, Piedmont Adult & Pediatric Medicine Associates PA
  • Mr. Richard E. Atkinson, Voting Member, Medicare Beneficiary Representative

Key Clinical and Administrative Leadership

  • ACO Executive - Mr. Douglas Luckett
  • Medical Director - Dr. Costa Andreou
  • Compliance Official - Ms. Wendy Wright
  • Quality Assurance/Improvement Officer - Ms. Lauren Wright, RN, BSN, MSN

Associated Committees and Committee Leadership

  • Quality Assurance and Improvement Committee - Dr. Joseph R. Holman, Chair
  • Compliance Committee – Ms. Wendy Wright
  • Physician Leadership Council – Dr. Jacqueline Folks, Chair
  • Finance and Operations Committee – Dr. Andrew Dyksterhouse, Chair

Types of ACO Participants that Formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships between hospitals and ACO professionals

Amount of Shared Savings and Losses

Agreement period beginning 2014, Performance Year 2014: $2,590,837
Agreement period beginning 2014, Performance Year 2015: $3,784,257

Shared Savings Distribution

Agreement Period beginning 2014, Performance Year 2014

  • Proportion invested in infrastructure: 6%
  • Proportion invested in redesigned care processes/resources: 5%
  • Proportion of distribution to ACO participants: 89%

Agreement Period beginning 2014, Performance Year 2015

  • Proportion invested in infrastructure: 11%
  • Proportion invested in redesigned care processes/resources: 3%
  • Proportion of distribution to ACO participants: 86%

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver

Quality Performance Results

See 2012-2014 Quality Performance Results Table here

Where Can I Find More Information About ACOs?

Many common questions about ACOs are answered in the Centers for Medicare and Medicaid Services (CMS) ACO Beneficiary Fact Sheet, Accountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare.

For more information about ACOs, you can do the following:

  • Visit the Official U.S. Government Site for Medicare
  • Talk to your doctor
  • Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048 for questions or additional information about Accountable Care Organizations