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2801 Franciscan Dr
Bryan, TX 77802
ACO Participants:
ACO Participants | ACO Participant in Joint Venture |
---|---|
BCS ABUNDANT LIFE FAMILY PRACTICE | N |
Bryan Radiology Associates | N |
Central Texas Digestive Disease Association PA | N |
Central Texas Heart Center | N |
James M Kirby And Joseph J Fedorchik | N |
Julie Lim | N |
Kuppusamy Ragupathi, M.D. | N |
PAUL ROQUET MD PA | N |
REGENERATIVE & RESTORATIVE REHAB, PLLC | N |
Remon Fino, Md, Pa | N |
St Joseph Regional Health Center | N |
Member |
Member's Voting Power – Expressed as a percentage or number |
Membership Type- |
ACO Participant Legal Business Name/DBA, if Applicable |
||
Last Name |
First Name |
Title/Position |
|||
Parsi |
Kia |
MD, Chair |
1 |
ACO Participant |
St. Joseph Regional Health Center |
Damien |
David |
MD, Voting Member |
1 |
ACO Participant |
St. Joseph Regional Health Center |
Cheng |
Clint |
MD, Voting Member |
1 |
ACO Participant |
St. Joseph Regional Health Center |
Waer |
Amy |
MD, Voting Member |
1 |
Community Stakeholder |
|
Stigler |
Carolyn |
Medicare Beneficiary |
1 |
Community Stakeholder |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Megan Harkey
Medical Director: Clint Cheng, MD
Compliance Officer: David Walsh
Quality Assurance/Improvement Officer: Tracy Maddox
Associated Committees and Committee Leadership:
Committee Name |
Committee Leader Name and Position |
Patient and Family Advisory Council |
Chris Hagerman |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Critical Access Hospital (CAH) billing under Method II
Hospital employing ACO professionals
Networks of individual practices of ACO professionals
Rural Health Clinic (RHC)
Amount of Shared Savings/Losses:
3rdAgreement Period
Performance Year 2022, $3,964,507
Performance Year 2021, $3,304,126
Performance Year 2020, $1,613,185
Second Agreement Period
Performance Year 2019, $0
Performance Year 2018, $0
Performance Year 2017, $0
First Agreement Period
Performance Year 2016, $0
Performance Year 2015, $0
Performance Year 2014, $0
Third Agreement Period
Performance Year 2022
Proportion allocated to confirmed PY FTE infrastructure expenditures: 72.1% for 2022 (percentage variable due to fixed cost allocation)
Proportion of distribution to ACO participants: 27.9%
Performance Year 2021
Proportion allocated to confirmed PY FTE infrastructure expenditures: 69% for 2021 (percentage variable due to fixed cost allocation)
Proportion of distribution to ACO participants: 31%
Performance Year 2020
Proportion allocated to confirmed PY FTE infrastructure expenditures: 34% for 2020 (percentage variable due to fixed cost allocation)
Proportion held for Reserves for Potential Downside Payment: 40%
Proportion of distribution to ACO participants: 26%
Quality Performance Results are based on CMS Web Interface and MIPS CQMs
Measure # |
Measure Name |
Rate |
ACO Mean |
001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 |
9.89 |
10.71 |
134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
75.10 |
76.97 |
236 |
Controlling High Blood Pressure |
84.17 |
74.16 |
318 |
Falls: Screening for Future Fall Risk |
94.27 |
87.83 |
110 |
Preventative Care and Screening: Influenza Immunization |
81.32 |
77.34 |
226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
58.62 |
79.27 |
113 |
Colorectal Cancer Screening |
81.47 |
75.32 |
112 |
Breast Cancer Screening |
80.31 |
78.07 |
321 |
CAHPS for MIPS3 |
N/A |
N/A |
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 |
0.1520 |
0.1510 |
MCC1 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 |
34.88 |
30.97 |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
86.57 |
83.96 |
CAHPS-2 |
How Well Providers Communicate |
95.45 |
93.47 |
CAHPS-3 |
Patient’s Rating of Provider |
94.02 |
92.06 |
CAHPS-5 |
Health Promotion and Education |
62.96 |
62.68 |
CAHPS-6 |
Shared Decision Making |
70.09 |
60.97 |
CAHPS-8 |
Care Coordination |
90.86 |
85.46 |
CAHPS-9 |
Courteous and Helpful Office Staff |
94.65 |
91.97 |
CAHPS-11 |
Stewardship of Patient Resources |
27.21 |
25.62 |
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
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.
ACO Pre-Participation Waiver:
NA