Prime Care Managers
ACO Public Reporting

PRIME CARE MANAGERS / ACO ID: A3280

 

ACO Name & Location
Prime Care Managers Accountable Care Organization
4002 Technology Center, Longview TX 75605

Primary ACO Contact

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

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

Troyce Williams

N

Vahid Bagherian

N

Whelchel Primary Care Medicine, P.A.

N

 

ACO Governing Body

Member

Voting Power Expressed as a percentage

Membership Type

Participant Legal Business Name DBA (if Applicable)

Last Name

First Name

Title/Position

Bunch, DO

Darrell

Officer

25%

Participant

PhyNet, Inc.

Ford

John

Chairman

23%

Stakeholder

N/A

Sawyer, MD

James

Officer

25%

Participant

Associated Clinicians of East Texas

Mauldin

James

Officer

2%

Beneficiary

N/A

Logan, MD

James

Officer

25%

Participant

Marshall Family Practice Associates

Key ACO Clinical & Administrative Leadership

John Ford

ACO Executive

James Sawyer, MD, FACP 

Medical Director

Jae Schaublin

Compliance Officer

Jae Schaublin

Quality Assurance/Improvement Officer       

Shared Savings Distribution (Savings & Losses)

Performance Year

2017

2018

2019

2020

Shared Savings (Loss)

$0

$0

$ 2,929,208

$3,997,055

Proportion Invested In

Infrastructure

N/A

N/A

TBD

27%

Redesigned Care Processes/Resources

N/A

N/A

TBD

7%

Distribution to ACO Participants

N/A

N/A

60%

66%

(2020) CAHPS ACO Summary Survey Measures

ACO#

ACO Measure Name

Performance Rate

Measure Score

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

N/A

N/A

ACO-2

CAHPS: How Well Providers Communicate

N/A

N/A

ACO-3

CAHPS: Patient’s Rating of Provider

N/A

N/A

ACO-34

CAHPS: Stewardship of Patient Resources

N/A

N/A

ACO-4

CAHPS: Access to Specialists

N/A

N/A

ACO-45

CAHPS: Courteous and Helpful Office Staff

N/A

N/A

ACO-46

CAHPS: Care Coordination

N/A

N/A

ACO-5

CAHPS: Health Promotion and Education

N/A

N/A

ACO-6

CAHPS: Shared Decision Making

N/A

N/A

ACO-7

CAHPS: Health Status and Functional Status

N/A

N/A

Sub-Total

N/A

(2020) CMS Web Interface Measures

ACO#

ACO Measure Name

Performance Rate

Measure Score

CARE-2

Falls: Screening for Future Fall Risk

81.49%

10.14

DM-2

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

11.04%

10.89

HTN-2

Hypertension (HTN): Controlling High Blood Pressure

65.42%

8.54

MH-1

Depression Remission at Twelve Months

6.35%

1.00

PREV-10

Preventative+Screen: Tobacco Use: Screening and Cessation Intervention

79.17%

9.91

PREV-12

Preventative+Screen: Screening for Clinical Depression and Follow-up Plan

64.06%

1.00

PREV-13

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78.46%

1.00

PREV-5

Breast Cancer Screening

75.26%

9.52

PREV-6

Colorectal Cancer Screening

75.08%

9.50

PREV-7

Preventive Care and Screening: Influenza Immunization

66.61%

8.66

Total

Category Score

Category Weight

Total Contribution to Final Score

60.19 + 9.8
Bonus Points 

50

50.00

Final Score

Quality

50.00 / 50

Improvement Activities

20.00 / 20

Promoting Interoperability

23.49 / 30

Cost

N/A

Awarded Bonus Points

N/A

Total

93.50

• For Previous Years’ Financial and Quality Performance Results, Please Visit: https://data.cms.gov/

Payment Rule Waivers

• 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.