Public Reporting

ACO Name & Location

Emergent ACO, LLC
2323 N. John B Dennis Hwy
Kingsport, TN 37660

ACO Primary Contact

Primary Contact Name: Scott R. Fowler, J.D., M.D.
Primary Contact Phone: 423-857-2091
Primary Contact Email: scott.fowler@myhmg.com

ACO Marketing/Public Contact:

Primary Contact Name: Danielle Cannon
Primary Contact Phone: 423-578-1514
Primary Contact Email: danielle.cannon@myhmg.com

Organizational Information
ACO Participants:
ACO Participants ACO Participant
in Joint Venture
(Enter Y or N)
Holston Medical Group, PC Y
HealthStar Physicians, PC Y
Goshen Medical Center Incorporated Y
RDMG Associates, PA Y
Optimed Hospitalists Y
Iredell Physician Network, LLC Y
Gastroenterology Associates Y
RTP Healthy Wellness, PLLC Y
Dillon Family Medicine, P.A. Y
Upper Cumberland Rural Health PLLC Y
Central Nebraska Medical Clinic, PC Y
Bristol Surgical Associates PC Y
Columbus Medical Center, PC Y
Express Med of Tennessee LLC Y
Fillmore County Medical Center, PC Y
Fort Norfolk Plaza Medical Associates, LLC Y
Cary Skin Center, PA Y
Family Medicine Health Care PLLC Y
Internal Medicine and Pediatric Associates of Bristol Y
Carolina Family Healthcare, PA Y
East Tennessee Spine & Orthopaedic Specialists, PC Y
Falls City Family Practice, PC Y
LifeCare Family Medicine of Bellevue, PC Y
Bloomfield Medical Clinic PC Y
Family Medical Center PC Y
Horner Montgomery And Breckenridge Y
Integrated Health Concepts, LLC Y
Meadowview ENT Specialist Y
Primary Care Specialists, Inc Y
Professional Health Care, Inc. Y
Rogersville Vision Center, PLLC Y
The Reeves Institute Y
Charles City Medical Group Inc Y
Divine Health Care LLC Y
Old Hampton Family Medical Associates PC Y
Virginia Family Practice PC Y
Dr-AL Family and Urgent Care, PLC Y
East Coast Physicians PC Y
Adult And Pediatric Medical Associates, PC Y
Cardiac Connections Home Health Care Nursing Services Corp Y
Central Virginia Family Medicine, P.C. Y
Horace Jackson, M.D. Y
John Gehman Y
Lei S. Charlton, MD, PC Y
Leon J. Brown, Jr., MD, PC Y
Lifestyle And Wellness Center LLC Y
Lindley Smith Y
Md Wellness And Health Center Y
Newport Internal Medicine, PC Y
Peoples Pharmacy LLC Y
ACO Governing Body:
Member Member’s Voting
Power – Expressed as
a Percentage or Number
Membership Type ACO Participant
Legal Business
Name/DBA, if
Applicable
Last Name First Name Title/Position
Fowler, J.D., M.D. Scott Director 6.6666% ACO Participant Representative Holston Medical Group, PC
Hager, M.D. Shelton Director 6.6666% ACO Participant Representative Holston Medical Group, PC
Moye David Director 6.6666% ACO Participant Representative RDMG Associates, PA
Wenzlik, M.D. Adam Director 6.6666% ACO Participant Representative RDMG Associates, PA
Delay, M.D. Eric Director 6.6666% ACO Participant Representative HealthStar Physicians, PC
McNabney, M.D. David Director 6.6666% ACO Participant Representative HealthStar Physicians, PC
Imperial, M.D. Eva Director 6.6666% ACO Participant Representative Iredell Physician Network, LLC
Ajjan, M.D. Mahdi Director 6.6666% ACO Participant Representative Optimed Hospitalists
Minnick, M.D. David Director 6.6666% ACO Participant Representative Central Nebraska Medical Clinic, PC
Tramp, M.D. Allan Director 6.6666% ACO Participant Representative Falls City Family Practice, PC
Joseph, M.D. Lerla Director 6.6666% ACO Participant Representative Charles City Medical
Fitzgibbon, M.D. Timothy Director 6.6666% ACO Participant Representative Dillon Family Medicine
Montgomery, M.D. Charles Director 6.6666% ACO Participant Representative Horner Montgomery & Breckenridge
Snodgrass Irma Director 6.6666% Medicare Beneficiary Medicare Beneficiary Representative
Hewitt Craig Director 6.6666% Community Stakeholder OnePartner Health Solutions, LLC
Key ACO clinical and administrative leadership:
ACO Executive: Scott R. Fowler, J.D., M.D.
Medical Director: Shelton L. Hager, M.D.
Compliance Officer: Thomas V. Thomas, M.D.
Quality Assurance/Improvement Officer: Samantha Sizemore, COO
Associated committees and committee leadership:
Committee Name Committee Leader Name and Position
Clinical Transformation Committee Shelton Hager, MD – Committee Chair
Operations, Quality, Clinical Process, and Population Health Improvement Committee Samantha Sizemore, COO – Committee Chair
Beneficiary Engagement Committee Danielle Cannon, Marketing & Communications Manager, Committee Chair
Communications & Marketing Committee Danielle Cannon, Marketing & Communication Manager – Committee Chair
Technology & Data Analytics Committee Wesley Combs, CIO – Committee Chair
Contracting & Finance Committee Craig Hewitt, CFO – Committee Chair
Compliance Committee Thomas V. Thomas, MD – Committee Chair
Types of ACO Participants, or Combinations of Participants, that Formed the ACO:
  • Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
  • Second Agreement Period
    • Performance Year 2020 – January 1, 2020 – December 31, 2020, $ TBD
  • First Agreement Period
    • Performance Year 2019 A – July 1, 2019 – December 31, 2019, $3,289,869.51
Shared Savings Distribution
    • Second Agreement Period
      • Performance Year 2020 – January 1, 2020 – December 31, 2020 $
        • Proportion invested in infrastructure: % – TBD
        • Proportion invested in redesigned care processes/resources: % – TBD %
        • Proportion of distribution to ACO participants: % – TBD
    • First Agreement Period
      • Performance Year 2019A – July 1, 2019 – December 31, 2021
        • Proportion invested in infrastructure: 0%
        • Proportion invested in redesigned care processes/resources: 0%
        • Proportion of distribution to ACO participants: 100%
Quality Performance Results
2019 Quality Performance Results:
ACO Quality
Measure Number
Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.93 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.54 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 94.17 92.69
ACO-4 CAHPS: Access to Specialists 80.48 81.54
ACO-5 CAHPS: Health Promotion and Education 59.67 60.44
ACO-6 CAHPS: Shared Decision Making 63.85 62.78
ACO-7 CAHPS: Health Status/Functional Status 72.72 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 32.91 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 93.72 92.84
ACO-46 CAHPS: Care Coordination 88.36 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.32 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 52.56 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.02 1.87
ACO-13 Falls: Screening for Future Fall Risk 98.32 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 90.75 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 78.85 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 77.53 70.40
ACO-19 Colorectal Cancer Screening 87.18 70.76
ACO-20 Breast Cancer Screening 88.78 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.63 82.17
ACO-40 Depression Remission at Twelve Months 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 13.22 13.88
ACO-28 Controlling High Blood Pressure 76.28 75.04

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Payment Rule Waivers
  • 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.
  • Summary of Arrangement Conducted Under the Medicare ACO Participation Waiver




Last updated on February 5, 2021