Cape Fear Valley
Accountable Care Organization, LLC

Accountable Care Organizations (ACOs)


On Jan. 1, 2015, Cape Fear Valley Health became one of 405 Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program. These ACOs provide nearly 9 million Medicare beneficiaries with access to high-quality, coordinated care throughout the United States.

ACOs are groups of doctors, hospitals, and other healthcare providers that work together to give Medicare beneficiaries in Original Medicare (fee-for-service) high quality, coordinated care. ACOs can share in any savings they generate for Medicare, if they meet specified quality targets. Beneficiaries seeing healthcare providers in ACOs always have the freedom to choose doctors inside or outside of the ACO.

The Cape Fear Valley ACO is comprised of hospitals employing ACO professionals, a federally qualified health center, and rural health centers.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

ACO Name and Location
Cape Fear Valley Accountable Care Organization
1638 Owen Dr
Fayetteville, NC 28304

ACO Primary Contact
Joseph (Bart) Fiser
jfiser@capefearvalley.com 
910-615-5572

Organizational Information

ACO Participants

Cumberland County Hospital System, Inc.

Bladen Healthcare, LLC

Hoke Healthcare, LLC

CFV Specialty Care Billing Services, LLC

Cape Fear Valley Health System Specialty Group, LLC

CFV Express Care Billing Services, LLC

Cape Fear Neurosurgery

Heritage Family Physicians

Regional Diabetes and Endocrine Center

Valley Infectious Disease Care

CFVHS ED Physicians

Ferncreek General Surgery, P.A.

Cape Fear Cardiovascular & Thoracic Surgery, P.A.

Blood and Cancer Clinic, P.A.

Behavioral Health Care of Cape Fear Valley Health System

SRRC Psychology


Identification of ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants of the Cape Fear Valley Accountable Care Organization are involved in a joint venture between ACO professionals and hospitals.


ACO Governing Body

  • Dr. Gerard Aime, Voting Member, Cumberland County Hospital Systems, Inc, ACO Participant
  • Ms. Jessica Lang, Voting Member, Bladen Healthcare LLC, ACO Participant
  • Mr. Michael Nagowski, Voting Member and Chairperson, Cumberland County Hospital Systems, Inc., ACO Participant
  • Mr. Lonnie Player, Voting Member, Medicare Beneficiary Representative
  • Dr. Roxie Wells, Voting Member, Cumberland County Hospital Systems, Inc., ACO Participant
  • Ms. Sandra Williams, Voting Member and Secretary, Hoke Healthcare, ACO Participant
  • Dr. Michael Zappa, Voting Member, CFV Express Care Billing Services, LLC, ACO Participant

ACO Committees and Key Leadership

Organizational Chart

Shared Savings/Losses

Amount of Shared Savings/Losses

  • Performance Year 1
    • Not in Operations
  • Performance Year 2014
    • Not in Operations

How Shared Savings Are Distributed 
Reinvest in Infrastructure:  TBD by Board

Distribution of Remaining Savings:

  • 25% hospital
  • 50% will be distributed amongst the ACO’s Primary Care professional providers and suppliers
  • 15 % will be allocated to fund various beneficiary engagement and community health initiatives
  • 10% will be distributed amongst the ACO’s Specialty professional providers and suppliers

Quality Performance

Quality Performance Results
Measure number Performance measure 2012 reporting period 2013 reporting period 2014 reporting period
ACO performance rate Mean performance rate for all ACOs ACO performance rate Mean performance rate for all ACOs ACO performance rate Mean performance rate for all ACOs
ACO #1 Getting Timely Care, Appointments, and Information Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #2 How Well Your Doctors Communicate Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #3 Patients’ Rating of Doctor Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #4 Access to Specialists Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #5 Health Promotion and Education Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #6 Shared Decision Making Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #7 Health Status/ Functional Status Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #8 Risk Standardized, All Condition Readmissions Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #9 ASC Admissions: COPD or Asthma in Older Adults Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #10 ASC Admission: Heart Failure Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #12 Medication Reconciliation Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #13 Falls: Screening for Fall Risk Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #14 Falls: Screening for Fall Risk Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #15 Pneumococcal Vaccination Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #16 Adult Weight Screening and Follow-up Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #17 Tobacco Use Assessment and Cessation Intervention Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #18 Depression Screening Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #19 Colorectal Cancer Screening Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #20 Mammography Screening Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #22 Hemoglobin A1c Control (HbA1c) ( Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #23 Low Density Lipoprotein (LDL) ( Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #24 Blood Pressure (BP) <140/90 Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #25 Tobacco Non Use Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #26 Aspirin Use Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #28 Percent of beneficiaries with hypertension whose BP <140/90 Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #31 Beta-Blocker Therapy for LVSD Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #32 Drug Therapy for Lowering LDL Cholesterol Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD Not in operations Not in operations Not in operations Not in operations Not in operations Not in operations

For more information on how to interpret scores on the above quality performance measures, see https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf