ACO Information

CHESS Genesis

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.


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


CHESS Genesis Participants include the physicians and their teams from Wake Forest Health Network, Wake Forest University Health Sciences, and Atrium Health North Market Network, LLC. 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
165 Kimel Park Drive, Suite B
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

MemberTitle/PositionMember’s Voting PowerMembership TypeACO Participant TIN
Legal Business Name/DBA
Kris Shepard, JD, PHDVoting Member9.09%ACO ParticipantAdvocate Health
Richard Lord, MDVoting Member9.09%ACO ParticipantWake Forest University Health Sciences
Stephan LillieVoting Member9.09%ACO ParticipantWake Forest University Health Sciences
David Cook, MDVoting Member9.09%ACO ParticipantAtrium Health North Market Network, LLC
Ehab Sharaway, MDVoting Member9.09%ACO ParticipantAtrium Health North Market Network, LLC
Mark Collins, MDVoting Member9.09%ACO ParticipantAtrium Health North Market Network, LLC
Elizabeth Stambaugh, MDVoting Member9.09%ACO ParticipantWake Forest Health Network
Heather Spry, MDVoting Member9.09%ACO ParticipantWake Forest Health Network
Robert Dough, MDVoting Member9.09%ACO ParticipantWake Forest Health Network
Warren Gallemore, MDVoting Member9.09%Beneficiary RepresentativeRetired
Adrienne CalhounVoting Member9.09%Consumer AdvocatePiedmont Triad Regional Council

CHESS Genesis Key Clinical and Administrative
Leadership

Medical Director:
Elisabeth Stambaugh, MD, Wake Forest Health Network

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 – Mark Collins, MD, Atrium Health North Market Network, LLC

Compliance Committee:
Chair – Yates Lackey, Wake Forest University Health Sciences

Finance Committee:
Chair – Robert Dough, MD, Wake Forest Health Network

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 FollowUp 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