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Coastal One Health Partners

Coastal One Health Partners

Required Public Disclosure for the ACO Participation Waiver of Coastal One Health Partners, LLC

The Secretary of U.S. Department of Health and Human Services has made available waivers of certain federal laws to Accountable Care Organizations (“ACOs”) participating in the Medicare Shared Savings Program (“MSSP”).

To avail itself of these waivers, Coastal One Health Partners, LLC (“Coastal One”) is obligated to publically disclose certain arrangements, which are described below.

Coastal One hereby publically discloses the following arrangements:

  • Coastal One and Cottage Health (“Cottage”), a participant in the ACO, have entered into an arrangement dated January 1, 2018, pursuant to which Coastal One is retaining Cottage to provide hospital-based care management services, compliance services, and administrative services to Coastal One for the purpose of assisting Coastal One in its mission of creating cost-effective and sustainable contributions to the overall success of Coastal One (the “Cottage Services Agreement”).

The Coastal One governing body (the “Board”) has reviewed the Cottage Services Agreement and has made a bona fide determination, consistent with the Board members’ duties, that this arrangement is reasonably related to the purposes of MSSP as, among other MSSP goals, the arrangement will provide personnel and infrastructure resources to Coastal One to allow Coastal One to successfully manage and administer its functions in facilitating improvements in care for individuals, better health for populations, and reduced expenditures for Medicare, consistent with the goals of the MSSP.

Start-Up Costs

Cottage Health and Sansum Clinic, the sole members of Coastal One and each a participant or corporate parent of participants in the ACO, have been responsible for the organization and formation of the ACO and have incurred various costs in the development of the ACO, including but not limited to use of internal staff and other resources, consulting services, recruitment and contracting of ACO participants and providers, and legal services (collectively, the “Start Up Costs”), which costs may not be fully recovered from other ACO participants or may not be borne on a pro rata basis as between the sole members of Coastal One.

Organizational Information and Performance Results

Required ACO Information for Public Reporting for Coastal One Health Partners, LLC.

Skilled Nursing Facility (SNF) 3-Day Rule Waiver

Eligible Medicare Patients Can Receive Skilled Nursing and Rehabilitation Care without a 3-Day Prior Hospital Stay at Eligible SNFs - SNF 3 Day Rule Waiver

Los Pacientes Elegibles Para Medicare Pueden Recibir Cuidado de Enfermería Especializada (SNF en inglés) y Rehabilitación Sin La Estadía Previa de 3 Días de Hospital en SNFs Elegibles - SNF 3 Day Rule Waiver_Spanish

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.

Related Links

ACO Pre-Participation Wavier