A Mission-Driven Accountable Care Organization (ACO)

Medicare Shared Savings Program Public Reporting

ACO Name and Location

Community Care Partnership of Maine, LLC
PO Box 331 Bangor, ME 04402

ACO Primary Contact

Sandy Nesin
(207) 307-0700
sandynesin@ccpmaine.org

Organizational Information

ACO ParticipantsACO Participant in Joint Venture
Bucksport Regional Health CenterNo
Community Clinical Service, Inc.No
Eastport Health Care, Inc.No
Fish River Rural HealthNo
Harrington Family Health CenterNo
Health Access Network Inc.No
HealthReach Community Health CentersNo
Island Community Medical Center, Inc.No
Katahdin Valley Health CenterNo
Millinocket Regional HospitalNo
Mount Desert Island HospitalNo
Penobscot Valley Hospital No
Pines Health ServicesNo
Portland Community Health Center (Greater Portland Health)No
Regional Medical Center at LubecNo
Sacopee Valley Health CenterNo
Sebasticook Family Doctors (Hometown Health Center)No
St. Croix Regional Family Health CenterNo
St. Joseph Hospital (St. Joseph Healthcare)No
York County Community Action Corporation (Nasson Health Care)No

ACO Governing Body

Member First NameMember Last NameMember Title / PositionMember’s Voting PowerMembership TypeACO Participant TIN Legal Business Name (DBA, if Applicable)
CarolCarewCEO5%ACO Participant RepresentativeBucksport Regional Health Center
ColeenEliasCEO5%ACO Participant RepresentativeCommunity Clinical Services, Inc.
EllenKrajweskiCEO5%ACO Participant RepresentativeEastport Health Care, Inc.
HeatherPelletierExecutive Director, Board Chair5%ACO Participant RepresentativeFish River Rural Health
DemeeManchesterCEO5%ACO Participant RepresentativeHarrington Family Health Center
NicoleGliddenCEO5%ACO Participant RepresentativeHealth Access Network, Inc.
RobinWinslowCEO5%ACO Participant RepresentativeSebasticook Family Doctors (Hometown Health Center)
ConstanceCogginsCEO5%ACO Participant
Representative		HealthReach Community Health Centers
DinahMoyerExecutive Director5%ACO Participant RepresentativeIslands Community Medical Services Inc.
ClaudetteHumphreyCEO5%ACO Participant RepresentativeKatahdin Valley Health Center
RobertPetersonCEO5%ACO Participant RepresentativeMillinocket Regional Hospital
ChristinaMaguirePresident & CEO5%ACO Participant RepresentativeMount Desert Island Hospital
LisaTapertDirector5%ACO Participant RepresentativeYork County Community Action Corp (Nasson Health Care)
MelissaPelkeyCEO5%ACO Participant RepresentativePenobscot Valley Hospital
KrisDoodyCEO5%ACO Participant RepresentativePines Health Services
AnnTuckerCEO, Finance Chair5%ACO Participant RepresentativePortland Community Health Center (Greater Portland Health)
TomMacDonaldCEO5%ACO Participant RepresentativeRegional Medical Center at Lubec
LindaWatsonCEO5%ACO Participant RepresentativeSacopee Valley Health Center
MichaelFarrellExecutive Director5%ACO Participant RepresentativeSt. Croix Regional Family Health Center
GregLaFrancoisPresident5%ACO Participant RepresentativeSt. Joseph Hospital (St. Joseph Healthcare)
CharlesHewettMedicare BeneficiaryMedicare BeneficiaryN/A

Due to rounding, ‘Member Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership

NameTitle
Sandy NesinChief Executive Officer / ACO Executive
Mary Butler-FlemingChief Operating Officer
Timothy CliffordChief Medical Officer / Medical Director
Kimberly AlexanderChief Clinical Operations Officer
Mary PrybyloChief Research & Innovation Officer
Kimberly AlexanderQuality Assurance / Improvement Officer
Mary Butler-FlemingCompliance Officer

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Finance CommitteeAnn Tucker, Board Finance Chair
Board Leadership CommitteeHeather Pelletier, Board Chair
Quality and Clinical Integration CommitteeKim Alexander, RN, Chief Clinical Operations Officer, CCPM
Care Management CommitteeKim Alexander, RN, Chief Clinical Operations Officer, CCPM

Types of ACO Participants, or Combinations of Participants, that Formed the ACO

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Performance Year 2024, $7,086,799
  • Performance Year 2023, $5,187,246.66
  • Performance Year 2022, $4,454,635.60
  • Performance Year 2021, $5,098,646.94
  • Performance Year 2020, $2,489,104
  • Performance Year 2019, $2,655,332
  • Performance Year 2018, $7,426,177
  • Performance Year 2017, $4,184,087
  • Performance Year 2016, $2,130,758


Shared Savings Distribution

  • Ninth Agreement Period
    • Performance Year 2024
    • Proportion investment in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Eighth Agreement Period
    • Performance Year 2023
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 5%
    • Proportion of distribution to ACO participants: 60%
  • Seven Agreement Period
    • Performance Year 2022
    • Proportion invested in infrastructure: 15%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 55%
  • Sixth Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 75%
  • Fifth Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 65%
  • Fourth Agreement Period
    • Performance Year 2019
    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 60%
  • Third Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 60%
  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2024 Quality Performance Results

ACO Quality Measure NumberMeasure NameCollection TypeRateACO Mean
1Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]CMS Web Interface12.009.44
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface86.9881.46
236Controlling High Blood PressureCMS Web Interface83.2079.49
318Falls: Screening for Future Fall RiskCMS Web Interface91.4588.99
110Preventive Care and Screening: Influenza ImmunizationCMS Web Interface69.7468.60
226Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface93.7579.98
113Colorectal Cancer ScreeningCMS Web Interface70.3877.81
112Breast Cancer ScreeningCMS Web Interface77.0380.93
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface82.3886.50
370Depression Remission at Twelve MonthsCMS Web Interface12.8817.35
321CAHPS for MIPS [2]CMS Web
Interface		4.866.67
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]CMS Web Interface0.14320.1517
484Clinician and Clinician Group Risk-standardization Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]CMS Web Interface38.0437.00
CAHPS-1Getting Timely Care, Appointments, and InformationCMS Web Interface84.1183.70
CAHPS-2How Well Providers CommunicateCMS Web Interface93.0893.69
CAHPS-3Patient’s Rating of ProviderCMS Web Interface90.9192.43
CAHPS-4Access to SpecialistsCMS Web Interface68.4875.76
CAHPS-5Health Promotion and EducationCMS Web Interface64.8265.48
CAHPS-6Shared Decision-MakingCMS Web Interface57.8462.31
CAHPS-7Health Status and Functional StatusCMS Web Interface74.0074.14
CAHPS-8Care CoordinationCMS Web Interface85.6485.89
CAHPS-9Courteous and Helpful Office StaffCMS Web Interface94.4792.89
CAHPS-11Stewardship of Patient ResourcesCMS Web Interface13.8626.98

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

**For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to 
non-QP providers.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers


No, our ACO does not use the SNF 3-Day Rule Waiver.


Waiver for Payment for Telehealth Services:

Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

ACO Pre-Participation Waiver


The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Parties to the arrangement: Not Applicable
Date of arrangement: Not Applicable
Items, services, goods, or facility provided: Not Applicable
Date and nature of any amendments to the arrangement, if applicable: Not Applicable


ACO Participation Waiver


The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Parties to the arrangement: Not Applicable
Date of arrangement: Not Applicable
Items, services, goods, or facility provided: Not Applicable
Date and nature of any amendments to the arrangement, if applicable: Not Applicable


Conflicts of Interest Policy


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