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 |
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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
| 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%
|
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| 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.