Novant Health's Dr. Delgado is examining a patient hands.

About Physician Quality Partners

What is Physician Quality Partners?


Novant Health Medical Group Coastal Region and Novant Health New Hanover Regional Medical Center are participating in the Centers for Medicare and Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) to provide care that delivers true value for beneficiaries by ensuring remarkable patient experiences, improving health, and reducing the cost of care.

To participate, we have set up an Accountable Care Organization (ACO) structure for our Coastal North Carolina market.

Information for ACO

Physician Quality Partners, LLC, is committed to working with you during your healthcare journey to increase health and wellness through quality care.

What is an Accountable Care Organization (ACO)?

  • Medicare to give you high quality service and care at the right time, in the right setting. Novant Health is participating in Novant Health Accountable Care Organization l, LLC, a Medicare Shared Savings Program ACO.
  • An ACO is not an insurance plan, such as a Medicare Advantage HMO or PPO plan.
  • ACOs don't change your Medicare benefits.

How will an ACO help my doctor coordinate my care?

  • Your doctors will have a more complete picture of your health through talking with your other doctors.
  • To help you get better, more coordinated care, Medicare will share certain health information with us about the care you get from your doctors and other health care providers unless you ask Medicare not to share it. Medicare may also share your health information with other ACOs in which your other doctors or health care providers participate.
  • Our practice may continue to recommend that you see particular doctors for your specific health needs, but it's always your choice about what doctors you see or hospitals you visit.

What do I need to do?

  • If you want Medicare to share information about the health care you receive with Physician Quality Partners, LLC or with other ACOs in which your other doctors or health care providers participate, there's nothing more you need to do.
  • If you do not want Medicare to share your health care information, you need to call 1-800 MEDICARE (1-800-633-4227) and tell the representative that your doctor is part of an ACO and you don't want Medicare to share your health information. TTY user should call 1-877-486-2048.
  • If you change your mind in the future, you can call 1-800-MEDICARE and tell the representative what you have decided. We can't communicate with Medicare on your behalf.
  • You have the option to select a primary care provider on MyMedicare.gov. Review the below information to learn how to do so.
  • Each year, the Centers for Medicare and Medicaid Services (CMS) requires that your provider inform you of his/her participation in Physician Quality Partners, LLC. Please click the link below to read the Beneficiary Information Notice for details about how this impacts you.

Contact

Bill Schiff, ACO Executive
BSchiff@novanthealth.org

Hours of Operation: 8 a.m. – 5 p.m. EST

Novant Health New Hanover Regional Medical Center Customer Service Number: 1-888-588-9680

Compliance

Kelly Patterson, Novant Health Senior Director Compliance
kwpatterson@novanthealth.org

Alert Line: (800) 350-0094 or Alert Line web portal

Medicare

1-800-MEDICARE (1-800-633-4227)
TTY users should call: 1-877-486-2048
Medicare.gov/acos.html

For Questions

If you have questions or concerns, or want to learn more about ACOs, talk to your doctor or call us at 1-888-588-9680 (Monday-Friday, 8 a.m.- 5 p.m. EST). You can also visit medicare.gov or call 1-800-MEDICARE (TTY users should call 1-877-486-2048).

Information for ACO Participants

Thank you for your commitment to value-based care and providing quality care to beneficiaries aligned to our ACO.

Compliance Training

If you are providing functions or services related to Physician Quality Partners, you must complete ACO Compliance Training upon hire and every year. For questions about compliance training or requirements, please contact Kelly Patterson, Novant Health Senior Director Compliance.