Prime Care Managers
ACO Public Reporting

PRIME CARE MANAGERS / ACO ID: A3280 

 
  Primary Contact Information

Primary Contact Name

John D. Ford

Contact Phone Number

903-247-0484

Contact Email Address

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  Organizational Information

ACO Participants - Legal Name

Participant in 
Joint Venture

Associated Clinicians of Longview (DCOL)

N

Brookridge Internal Medicine Associates, P.A.

N

Collom & Carney Clinic

N

Darren Arnecke

N

Dr Bart Pruitt PLLC

N

East Texas Clinic Association

N

Family Medical Associates, PA

N

Marshall Family Practice Associates Pllc

N

Oge Family Medical Clinic, PLLC

N

Paul Meriwether

N

Phynet Inc.

N

Sreemannaryana Jampana

N

Troyce Williams

N

Vahid Bagherian

N

Whelchel Primary Care Medicine, P.A.

N

 

Member

Voting Power  Expressed as a percentage

Membership Type

Participant Legal Business Name  DBA (if Applicable)

Last Name

First Name

Title/Position

Bunch

Darrell

Officer

25%

Participant

PhyNet Inc

Ford

John

Chairman

23%

Stakeholder

N/A

Sawyer

James

Officer

25%

Participant

 Associated Clinicians of East Texas

DeWare

Jesse

Officer

2%

Beneficiary

N/A

Vozza

Brenda

Officer

25%

Participant

Brookridge Internal Medicine Assoc. P.A.

  Key ACO Clinical & Administrative Leadership

John Ford

ACO Executive

Darrell Bunch

Medical Director

Joan Gale

Compliance Officer

Dan Duffee

Quality Assurance/Improvement Officer   

 Shared Savings & Losses

Amount of Shared Savings/Losses

•   First Agreement Period

                °   Performance Year 2017, $0

Shared Savings Distribution

•   First Agreement Period

°   Performance Year 2017

   •  Proportion invested in infrastructure: N/A

   •  Proportion invested in redesigned care processes/resources: N/A

   •  Proportion of distribution to ACO participants: N/A

  2017 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

91.00

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

94.64

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.15

92.31

ACO-4

CAHPS: Access to Specialists

83.00

83.32

ACO-5

CAHPS: Health Promotion and Education

53.30

62.30

ACO-6

CAHPS: Shared Decision Making

61.18

75.85

ACO-7

CAHPS: Health Status/Functional Status

71.21

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

31.97

25.68

ACO-8

Risk Standardized, All Condition Readmission

16.04

15.01

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.88

18.46

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

74.16

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

59.00

61.74

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

2.27

1.93

ACO-11

Use of Certified EHR Technology

96.73

98.48

ACO-12

Medication Reconciliation

93.83

75.32

ACO-13

Falls: Screening for Future Fall Risk

70.10

74.38

ACO-44

Imaging Studies for Low Back Pain

65.00

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

63.03

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

63.12

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

65.55

70.69

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

70.59

90.48

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

44.33

61.98

ACO-19

Colorectal Cancer Screening

54.33

64.58

ACO-20

Breast Cancer Screening

60.00

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

72.69

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

13.65

16.74

ACO-41

Diabetes: Eye Exam

28.67

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

61.36

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

87.70

86.86


Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

•   For 2017 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017- Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

Note: In the Quality Performance Results file(s) above, search for “Prime Care Managers, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A35853 in the public use files on data.cms.gov   

  Payment Rule Waivers 

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