ACO Name and Location
Prime Care Managers, LLC
4002 Technology Center, Longview TX 75605
ACO Primary Contact
John Ford
903-247-0484
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Organizational Information
|
ACO Participants |
ACO Participant in Joint Venture |
|
Phynet Inc. |
Y |
|
Associated Clinicians of East Texas |
Y |
|
Collom & Carney Clinic Association |
Y |
|
Pulmonary & Internal Medicine of Texarkana |
N |
|
Darren J. Arnecke M.D., P.A. |
N |
|
Dr. Bart Pruitt, PLLC |
N |
|
East Texas Clinic Association |
N |
|
Oge Family Medical Clinic, PLLC |
N |
|
Marshall Family Practice Associates, PLLC |
N |
|
Whelchel Primary Care Medicine, P.A. |
N |
|
Tyler Internal Medicine Associates, P.A, |
N |
|
Family Medical Associates, PA |
N |
ACO Governing Body
|
Member |
Membership Type |
ACO Participant Legal Name, |
|||
|
First Name |
Last Name |
Title/ Position |
Voting Power |
||
|
John |
Ford |
Chairman |
23% |
Stakeholder |
N/A |
|
Darrell |
Bunch, D.O. |
Voting Member |
25% |
ACO Participant / Rep. |
PhyNet, Inc. |
|
James |
Logan, M.D. |
Voting Member |
8% |
ACO Participant / Rep. |
Marshall Family Practice Associates |
|
James |
Sawyer, M.D. |
Voting Member |
8% |
ACO Participant / Rep. |
Associated Clinicians of East Texas |
|
Kathleen |
Harris, M.D. |
Voting Member |
8% |
ACO Participant / Rep. |
Associated Clinicians of East Texas |
|
Micheal |
Morris, M.D. |
Voting Member |
8% |
ACO Participant / Rep. |
Associated Clinicians of East Texas |
|
Kyle |
Jones, FNPC |
Voting Member |
8% |
ACO Participant / Rep. |
Collom & Carney Clinic Association |
|
Gregory |
Richter, M.D. |
Voting Member |
8% |
ACO Participant / Rep. |
Collom & Carney Clinic Association |
|
James |
Mauldin |
Voting Member |
2% |
ACO Participant / Rep. |
N/A |
|
Charles |
Moore |
Voting Member |
2% |
ACO Participant / Rep. |
N/A |
Key ACO Clinical & Administrative Leadership
ACO Executive: John Ford
Medical Director: James Sawyer, M.D., FACP
Compliance Officer: Jeanette Schaublin LVN, CCID
Quality Assurance/Improvement Officer: Jeanette Schaublin LVN, CCID
Associated Committees and Committee Leadership
|
Committee Name |
Committee Leader Name & Position |
|
Executive Committee |
John Ford, Chair |
|
Bert Ratay, Co-Chair |
|
|
Roger Hall, Co-Chair |
|
|
Quality Improvement and Assurance Committee |
Darrell Bunch DO, Chair |
|
James Sawyer MD FACP, CoChair |
|
|
Jeanette Schaublin LVN, CCID, Officer |
|
|
Health Information and Data Committee |
Jason Smith, Chair |
|
Jeanette Schaublin, Co-Chair |
|
|
Clinical Best Practices Committee |
James Sawyer, MD, FACP, Chair |
|
Darrell Bunch, DO, Co-Chair |
|
|
Jeanette Schaublin LVN, CCID, Co-Chair |
|
|
IT/Data Compliance Committee |
Jason Smith, Chair |
|
Valerie Topp, Co-Chair |
|
|
Jeanette Schaublin LVN, CCID, Co-Chair |
|
|
ACO Compliance Committee |
John Ford, Chair |
|
Jason Smith, Co-Chair |
|
|
Jeanette Schaublin LVN, CCID, Officer |
Types of ACO Participants, or Combinations of Participants, that formed the ACO
· Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
· Third Agreement Period
o Performance Year 2022
§ Proportion invested in infrastructure: 27%
§ Proportion invested in redesigned care processes/resources: 7%
§ Proportion of distribution to ACO participants: 66%
· Second Agreement Period
o Performance Year 2021
§ Proportion invested in infrastructure: 27%
§ Proportion invested in redesigned care processes/resources: 7%
§ Proportion of distribution to ACO participants: 66%
o Performance Year 2020
§ Proportion invested in infrastructure: 27%
§ Proportion invested in redesigned care processes/resources: 7%
§ Proportion of distribution to ACO participants: 66%
· First Agreement Period
o Performance Year 2019
§ Proportion invested in infrastructure: 30%
§ Proportion invested in redesigned care processes/resources: 10%
§ Proportion of distribution to ACO participants: 60%
o Performance Year 2017-2018
§ Proportion invested in infrastructure: N/A%
§ Proportion invested in redesigned care processes/resources: N/A%
§ Proportion of distribution to ACO participants: N/A
2022 Quality Performance Results
Quality performance results are based on CMS Web Interface