ACO Public Reporting 2019: Premier Patient Healthcare

ACO Name & Location

Premier Patient Healthcare

2340 Trinity Mills Road, Suite 250

Carrollton, TX 75006

ACO Primary Contact

Michelle Storto
Michelle.Storto@premiermgmtco.com
Phone:  (702) 824-0735

Organizational Information:

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

ADEL A ZAKHARY PA

ABO-AUDA ASSOCIATES PLLC

ADVANCED FAMILY MEDICAL CARE PA

AGNES KINRA MD, PA

ALFRED L. JOWITT D.O, PA

ALLEN FRIENDS & FAMILY CLINIC PLLC

ALOK KUSHWAHA MD PA

ANJANI AMIN, MD PA

ANN H SNYDER, MD PA

ARCHANA CHANDRA MD, PA

ARLINGTON FAMILY PRACTICE, PA

BAHA AL DEEN ABUESHEH MD PC

BHARMAL INTERNAL MEDICINE ASSOCIATES,P.A.

BILL BURKE A PROFESSIONAL ASSOCIATION

BIORHYTHMS MEDICAL PRACTICE PA

BROOKS P. TROTTER, M.D., P.A.

CAPILI PA

CENTENNIAL PRIMARY CARE PLLC

CHERRY CHANDI PA

DAVID N PODGURECKI, MD PA

DONALD WHITCOMB

DR. ASTRID GUTSMANN P.A.

DR. TANVIR AHMAD AND DR. FAUZIA KHALIDA OSAMA M.D. P.A.

FAMILY DOCTORS

FAMILY PRACTICE ASSOCIATES

FRANCIS E. TACKA D.O. P.A.

FRELYN LOUGHRIDGE FAMILY NURSE PRACTITIONER PC

GASTROENTEROLOGY PRACTICE ASSOCIATES, PLLC

GRACE MEDICAL ASSOCIATION PA

HAMID BURNEY, M.D., P.A.

HIGHLAND VILLAGE PRIMARY CARE, P.A.

JAISWAL CLINIC  PLLC

JALIL KHAN MD PA

JASPREET S ALANG PA

JIAUL AHSAN PLLC

JOHN S. FERRIS, M.D., P.A.

KEITH WILKERSON

KEVIN J KALLAL MD PA

LEEROY MCCURLEY MD PA

LIFES CYCLE WOMENS CARE PC

LOUIS A TORRES JR MD. PLLC

M.ASAD KARIM M.D.P.A.

MARK BATRICE MD PA

MARK E GIBBS MD. & ASSOCIATES LLC

MARK L GINNINGS PA

MARK R. KLEIN, D.O. & ASSOCIATES, PLLC

MARTYN D. GORDON, M.D., P.A.

MCKINNEY ADULT MEDICINE, PA

MICHELLE ABBE HACKER PLLC

MIGUEL CANALES, MD

NORTH COUNTRY FAMILY PRACTICE PA

NORTH TEXAS ARRHYTHMIA ASSOCIATES PA

NORTH TEXAS DIABETES & ENDOCRINOLOGY PA

PAMELA MOORE, MD, PA

PANNABEN H NANGHA MD PLLC

PREMIER INDEPENDENT PHYSICIANS GROUP INC

PRESTON MEDICAL ASSOCIATES PA

PSMD MEDICAL ASSOCIATES PA

ROBERT R. MCLEROY, M.D. & ASSOCIATES A PROFESSIONAL LLC

SEARS MEDICAL ASSOCIATES

SONG Y LEE MD

SOUTHERN MEDICAL ASSOCIATES PLLC

SOUTHERN OKLAHOMA EAR NOSE THROAT AND ALLERGY CLINIC INC

SOUTHWARD FAMILY MEDICINE PA

STEVE WATKINS DO PC

SURGICAL ASSOCIATES OF THE MID-CITIES PA

TEXAS FAMILICARE MEDICAL GROUP PLLC

THOMAS B. LEAHEY, DO

THOMAS J MILLER PA

TIMARRON FAMILY MEDICINE PA

TRUE MEDICINE, PA

 

ACO governing body

 

Member

Last Name

Member

First Name

Member

Title/Position

Member’s Voting Power: expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if applicable
Jaiswal Deepak M.D., Chairman Voting Member 15% ACO Participant Jaiswal Clinic PLLC
Wilkerson Keith M.D, Voting Member 15% ACO Participant Keith Wilkerson, M.D., P.A
Parisi Michael D.O., Voting Member 15% ACO Participant McKinney Adult Medicine, PA
Mark Ginnings M.D., Voting Member 15% ACO Participant Mark Ginnings PA
Lee Song M.D., Voting Member 15% ACO Participant Song Y Lee MD
Coletta Cindy Voting Member 12.5% Medicare Beneficiary Representative N/A
Kazi Mohammad Voting Member 12.5% Other/ACO Management Representative Premier Management Company
Key ACO clinical and administrative leadership

ACO Executive: Mohammad Kazi

Medical Director: Deepak Jaiswal, MD

Compliance Officer: Mohammad Kazi

Quality Assurance/Improvement Officer: Kathy Johnson

Associated committees and committee leadership

Regional board members serve as the region’s committee for quality, utilization, engagement, finance and compliance.

 

Committee Name Committee Leader Name and Position

Arlington Regional Board

Denton Regional Board

Grapevine Regional Board

Plano Regional Board

Texoma Regional Board

Hamid Burney, MD, Chair

Mark Ginnings, MD, Chair

Chris King, MD, Chair

Michael Parisi, MD, Chair

Deepak Jaiswal, MD, Chair

Types of ACO participants, or combinations of participants, that formed the ACO
  • Network of individual practices of ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses
Second Agreement Period
  • Performance Year 2017, $2,215,242
  • Performance Year 2018, $1,523,320
  • Performance Year 2019, $4,472,389
First Agreement Period
  • Performance Year 2016, $12,568,102
  • Performance Year 2015, $5,835,335
  • Performance Year 2014, $5,806, 261

 

Shared Savings Distribution
Second Agreement Period

Performance Year 2017

  • Proportion invested in infrastructure: 27%
  • Proportion invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 73%

Performance Year 2018

  • Proportion invested in infrastructure: 47%
  • Proportion invested in redesigned care processes/resources: 13%
  • Proportion of distribution to ACO participants: 40%

Performance Year 2019

  • Proportion invested in infrastructure: 55%
  • Proportion invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 45%

 

First Agreement Period

Performance Year 2016

  • Proportion invested in infrastructure: 25%
  • Proportion invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 75%

Performance Year 2015

  • Proportion invested in infrastructure: 25%
  • Proportion invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 75%

Performance Year 2014

  • Proportion invested in infrastructure: 25%
  • Proportion invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 75%

Quality Performance Results

2019 Quality Performance Results:

 

ACO # Measure Name Rate
ACO 1

Getting Timely Care,

Appointments, and Information

88.48%
ACO 2

How Well Your Providers

Communicate

95.86%
ACO 3 Patients’ Rating of Provider 94.27%
ACO 4 Access to Specialists 83.45%
ACO 5

Health Promotion and

Education

61.48%
ACO 6 Shared Decision Making 62.99%
ACO 7

Health Status & Functional

Status

75.5%
ACO 34

Stewardship of Patient

Resources

32.7%
ACO 45

Courteous & Helpful Office

Staff

93.67%
ACO 46 Care Coordination 88.68%
ACO 8 Risk-Standardized, All Condition Readmission 14.64%
ACO 38

All-Cause Unplanned Admissions for Patients

with Multiple Chronic Conditions

56.81%
ACO 43

Ambulatory Sensitive Condition Acute

Composite (AHRQ Prevention Quality Indicator

(PQI) #91)

2.16%

 

ACO 13 Falls: Screening for Future Fall Risk

87.5%

 

ACO 14

Preventive Care and Screening: Influenza

Immunization

75.4%
ACO 17

Preventive Care and Screening: Tobacco Use:

Screening and Cessation Intervention

83.33%
ACO 18

Preventive Care and Screening: Screening for

Clinical Depression and Follow-up Plan

63.36%
ACO 19 Colorectal Cancer Screening 62.65%
ACO 20 Breast Cancer Screening 63.79%
ACO 42

Statin Therapy for the Prevention and

Treatment of Cardiovascular Disease

86.69%
ACO 40 Depression Remission at Twelve Months 11.11%
ACO 27 Diabetes: Hemoglobin A1c Poor Control 15.49%
ACO 28 Controlling High Blood Pressure 77%

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

  • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.

Waiver for Payment for Telehealth Services:

  • Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613

 

Beneficiary Incentive Program

Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c). Information on our use of the BIP for each performance year is outlined below.