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 |
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 |
|
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 |
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 |
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 |
|
Jae Schaublin |
Compliance Officer |
|
Jae Schaublin |
Quality Assurance/Improvement Officer |
Shared Savings Distribution (Savings & Losses)
|
Performance Year |
2017 |
2018 |
2019 |
|
Shared Savings (Loss) |
$0 |
$0 |
$ 2,929,208 |
|
Proportion Invested In |
|||
|
Infrastructure |
N/A |
N/A |
TBD |
|
Redesigned Care Processes/Resources |
N/A |
N/A |
TBD |
|
Distribution to ACO Participants |
N/A |
N/A |
60% |
(2019) CAHPS ACO Summary Survey Measures
|
ACO# |
ACO Measure Name |
Performance Rate |
Measure Score |
|
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
90.81 |
10.00 |
|
ACO-2 |
CAHPS: How Well Providers Communicate |
94.88 |
10.00 |
|
ACO-3 |
CAHPS: Patient’s Rating of Provider |
92.37 |
10.00 |
|
ACO-34 |
CAHPS: Stewardship of Patient Resources |
30.65 |
8.73 |
|
ACO-4 |
CAHPS: Access to Specialists |
83.33 |
10.00 |
|
ACO-45 |
CAHPS: Courteous and Helpful Office Staff |
93.21 |
0.00 |
|
ACO-46 |
CAHPS: Care Coordination |
88.47 |
0.00 |
|
ACO-5 |
CAHPS: Health Promotion and Education |
56.01 |
5.42 |
|
ACO-6 |
CAHPS: Shared Decision Making |
65.85 |
10.00 |
|
ACO-7 |
CAHPS: Health Status and Functional Status |
72.40 |
0.00 |
| Sub-Total |
64.16 |
||
(2019) CMS Web Interface Measures
|
ACO# |
ACO Measure Name |
Performance Rate |
Measure Score |
|
|
CARE-2 |
Falls: Screening for Future Fall Risk |
75.99 |
10.30 |
|
|
DM-2 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) |
16.03 |
10.39 |
|
|
HTN-2 |
Hypertension (HTN): Controlling High Blood Pressure |
64.90 |
10.49 |
|
|
MH-1 |
Depression Remission at Twelve Months |
8.00 |
3.00 |
|
|
PREV-10 |
Preventative+Screen: Tobacco Use: Screening and Cessation Intervention |
80.00 |
1.00 |
|
|
PREV-12 |
Preventative+Screen: Screening for Clinical Depression and Follow-up Plan |
42.05 |
1.00 |
|
|
PREV-13 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
73.91 |
1.00 |
|
|
PREV-5 |
Breast Cancer Screening |
63.87 |
8.38 |
|
|
PREV-6 |
Colorectal Cancer Screening |
68.85 |
8.88 |
|
|
PREV-7 |
Preventive Care and Screening: Influenza Immunization |
61.54 |
1.00 |
|
|
Total |
||||
|
Category Score |
Category Weight |
Total Contribution to Final Score |
||
|
49.63 |
+ 10.36 Bonus |
60.00 |
||
Final Score
|
Quality |
50.00 / 50 |
|
Improvement Activities |
20.00 / 20 |
|
Promoting Interoperability |
21.68 / 30 |
|
Promoting Interoperability |
21.68 / 30 |
|
Cost |
N/A |
|
Awarded Bonus Points |
2.38 |
|
Total |
94.06 / 100 |
• 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.