CHESS Genesis, LLC (CHESS Genesis) 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.
Through the program, Participating Providers are focused on improving access to care, enhancing clinical quality and controlling costs.
CHESS Genesis is participating in the Centers for Medicare & Medicaid Services (CMS) accountable care organization (ACO) model called the ACO Realizing Equity, Access, and Community Health (REACH), advancing the Administration’s health care system goals and building on experience from the Medicare Shared Savings Program. Through this model, CMS will partner with CHESS Genesis 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 CHESS Genesis ACO REACH 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 in the ACO REACH model.
Accountable Care Organization Public Reporting Guidance
General and Organization Information
CHESS Genesis, LLC
100 Kimel Forest Drive, 4th Floor
Winston-Salem, NC 27103
Hours: 9 am – 5 pm Monday through Friday
ACO Primary Contacts
Yates Lennon, MD, ACO Executive
ylennon@chesshealthsolutions.com
(336) 821-7104
Melissa Pollock, CMS Liaison
mpollock@chesshealthsolutions.com
(336) 821-7104
Composition of ACO
CHESS Genesis, LLC represents a provider-led partnership between physicians in the following organizations, organized to improve health care throughout the region.
ACO REACH Participants and Preferred Providers
Participant and Preferred Provider List
ACO Participants in Joint Ventures between ACO Professionals and Hospitals
None
CHESS Genesis Governing Body
| Member | Title/Position | Member’s Voting Power | Membership Type | ACO Participant TIN Legal Business Name/DBA |
| Lynne Fiscus, MD (Chair) | Voting Member | 5% | ACO Participant | UNC Physicians Network, LLC |
| Kevin Biese, MD (Vice Chair) | Voting Member | 5% | ACO Participant | University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice |
| Tonya Brown | Voting Member | 5% | Designated Representative of Participant Provider Entity | University of North Carolina Hospitals at Chapel Hill |
| Darren DeWalt, MD | Voting Member | 5% | ACO Participant | University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice |
| Erin Ennis, MD | Voting Member | 5% | ACO Participant | UNC Physicians Network Group Practices, LLC |
| Matthew Ewend, MD | Voting Member | 5% | ACO Participant | University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice |
| Sachin Gupta, MD | Voting Member | 5% | ACO Participant | UNC Physicians Network, LLC |
| John Lewis | Voting Member | 5% | Designated Representative of Participant Provider Entity | University of North Carolina Hospitals at Chapel Hill |
| Eugene Maynard, MD | Voting Member | 5% | ACO Participant | Benson Health (Benson Area Medical Center, Inc.) |
| Susan Moore, MD | Voting Member | 5% | ACO Participant | Rex Hospital, Inc. |
| Howard Newell, MD | Voting Member | 5% | ACO Participant | UNC Physicians Network Group Practices, LLC |
| Matthew Nielsen, MD | Voting Member | 5% | ACO Participant | University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice |
| John Powell, MD | Voting Member | 5% | ACO Participant | Caldwell Memorial Hospital, Inc. |
| Nate Sowa, MD | Voting Member | 5% | ACO Participant | Caldwell Memorial Hospital, Inc. |
| Renee Watson, MD | Voting Member | 5% | ACO Participant | Johnston Family Medicine, PA |
| Hadley Callaway, MD | Voting Member | 5% | Other | N/A |
| Larry Isley, PhD | Voting Member | 5% | Other | N/A |
| Michael Parker | Voting Member | 5% | Medicare Beneficiary | N/A |
| Adrienne Calhoun | Voting Member | 5% | Consumer Advocate | N/A |
| Richard Lord, MD | Voting Member | 5% | LLC Board Representative | N/A |
CHESS Genesis Key Clinical and Administrative
Leadership
Medical Director:
Amy Shaheen, MD, University of North Carolina at Chapel Hill for and behalf of UNC Faculty Practice
ACO Executive:
Yates, Lennon, MD, CHESS
Chief Financial Officer
Bob Bautista, CHESS
Compliance Official:
Melissa Pollock, CHESS
Chief Quality Officer:
Yates Lennon, MD, CHESS
Corporate Secretary
Josh Vire, CHESS
Associated Committees and Key Leadership
Personnel
Performance Improvement Committee (Quality):
Chair – Erin Ennis, MD, UNC Physicians Network Group Practices, LLC
Compliance Committee:
Chair – Kevin Biese, MD, University of North Carolina at Chapel Hill for and on behalf of UNC Faculty Practice
Finance Committee:
Chair – John Lewis, University of North Carolina Hospitals at Chapel Hill
Aggregate Amount of Shared Savings/Losses
PY23: $596,356.3
How Shared Savings Are Distributed
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 35%
- Proportion of distribution to ACO Participants and Preferred Providers: 60%
Quality Performance Results
2023
- The Overall Total Quality Score: 98.544%
- The Risk-Standardized All-Condition Readmissions (ACR) Score: 15.45
- The All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) score: 31.88
- Timely Follow–Up After Acute Exacerbations of Chronic Conditions: 73.90
- Consumer Assessment of Healthcare Providers and Systems (CAHPS): 0.94
Public Disclosures
None
Questions or Concerns?
If you have any questions about CHESS Genesis or the ACO REACH Model, contact CHESS at 336-821-7104 or contact Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.
CHESS Health Solutions Anonymous Reporting Hotline:
844-400-7620 or Click here to “Make a Report” online