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 |
This email address is being protected from spambots. You need JavaScript enabled to view it. |
Organizational Information
ACO Participants - Legal Name |
Participant in
|
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 |
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.