PPHC Public Reporting

ACO Name & Location

Premier Patient Healthcare, LLC

2340 East Trinity Mills Road, Suite 250

Carrollton, TX 75006

ACO Primary Contact

Michelle Storto

info@premiermgmtco.com

Phone:(972) 417-8937

Organizational Information:

ACO Participants:

ACO Participants ACO Participant in Joint Venture
ADEL A ZAKHARY PA N
ADVANCED FAMILY MEDICAL CARE PA N
AGNES KINRA MD, PA N
ALLEN FRIENDS & FAMILY CLINIC PLLC N
ANJANI AMIN, MD PA N
ARCHANA CHANDRA MDPA N
BHARMAL INTERNAL MEDICINE ASSOCIATES,P.A. N
BROOKS TROTTER N
CENTENNIAL PRIMARY CARE PLLC N
DAVID N PODGURECKI, MD PA N
DONALD WHITCOMB N
DR. TANVIR AHMAD AND DR. FAUZIA KHALIDA OSAMA M.D. PA N
FRELYN LOUGHRIDGE FAMILY NURSE PRACTITIONER PC N
HAMID BURNEY, M.D., P.A. N
JAISWAL CLINIC PLLC N
JALIL KHAN, MD, PA N
JIAUL AHSAN PLLC N
JOHN FERRIS N
KEITH WILKERSON N
KEVIN J KALLAL MD PA N
LIFES CYCLE WOMENS CARE PC N
LOUIS A TORRES JR MD. PLLC N
MARK R. KLEIN, D.O. & ASSOCIATES, PLLC N
MARTYN GORDON N
MCKINNEY ADULT MEDICINE, PA N
MICHELLE ABBE HACKER PLLC N
NORTH COUNTRY FAMILY PRACTICE, PA N
PHP INS TX PLLC N
PRESTON MEDICAL ASSOCIATES PA N
ROBERT R. MCLEROY, M.D. & ASSOCIATES A PROFESSIONAL LLC N
SONG LEE N
SOPHIA RAHMAN MD PLLC N
SOUTHERN MEDICAL ASSOCIATES PLLC N
SOUTHWARD FAMILY MEDICINE N
STEVE WATKINS DO PC N
TEXAS FAMILICARE MEDICAL GROUP PLLC N
AhmadACO governing body

Member

First Name

Member

Last Name

Member

Title/Position

Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Deepak Jaiswal M.D., Chairman, Voting Member 15% ACO Participant Representative Jaiswal Clinic PLLC
Michael Parisi D.O., Vice Chairman, Voting Member 15% ACO Participant Representative McKinney Adult Medicine, PA
Jalil Khan M.D., Voting Member 15% ACO Participant Representative Jalil Khan, MD, PA
Song Lee M.D., Voting Member 15% ACO Participant Representative Song Lee
Ahmad Tanvir M.D., Voting Member 15% ACO Participant Representative Dr. Tanvir Ahmad & Dr. Fauzia Khalida Osama M.D. PA
Cindy Coletta Voting Member 12.5% Medicare Beneficiary Representative N/A
Mohammad Kazi Voting Member 12.5% Other/ACO Management Representative N/A
Key ACO clinical and administrative leadership

ACO Executive: Mohammad Kazi

Medical Director: Tanvir Ahmad, MD

Compliance Officer: Saira Shah

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

Grapevine Regional Board

Chris King, 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
  • Third Agreement Period
    • Performance Year 2021, $4,959,790
    • Performance Year 2020, $4,298,247
  • Second Agreement Period
    • Performance Year 2019, $4,472,389
    • Performance Year 2018, $1,523,320
    • Performance Year 2017, $2,215,242
  • First Agreement Period
    • Performance Year 2016, $12,568,102
    • Performance Year 2015, $5,835,335
    • Performance Year 2014, $5,806,261
    Shared Savings Distribution:

    Third Agreement Period

    Performance Year 2021

    –          Proportion invested in infrastructure: 54%

    –          Proportion invested in redesigned care processes/resources: 0%

    –          Proportion of distribution to ACO participants: 46%

    Performance Year 2020

    –          Proportion invested in infrastructure: 51%

    –          Proportion invested in redesigned care processes/resources: 0%

    –          Proportion of distribution to ACO participants: 49%

    Performance Year 2019

    –          Proportion invested in infrastructure: 55%

    –          Proportion invested in redesigned care processes/resources: 0%

    –          Proportion of distribution to ACO participants: 45%

    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 2017

    –          Proportion invested in infrastructure: 27%

    –          Proportion invested in redesigned care processes/resources: 0%

    –          Proportion of distribution to ACO participants: 73%

    2021 Quality Performance Results:

    Quality performance results are based on CMS Web Interface

    Measure #

    Measure Name

    Reported Performance Rate

    Current Year Mean Performance Rate (SSP ACOs)

    001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 8.91 12.46
    134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 58.61 74.38
    236 Controlling High Blood Pressure 82.23 74.87
    318 Falls: Screening for Future Fall Risk 89.29 87.03
    110 Preventative Care and Screening: Influenza Immunization 79.85 80.52
    226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 79.31 80.97
    113 Colorectal Cancer Screening 71.60 73.63
    112 Breast Cancer Screening 63.53 75.11
    438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.09 84.24
    370 Depression Remission at Twelve Months 9.76 15.50
    321 CAHPS for MIPS N/A N/A
    479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups .1575 0.1540
    MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 30.16 33.99
    CAHPS-1 Getting Timely Care, Appointments, and Information 87.48 84.67
    CAHPS-2 How Well Providers Communicate 93.33 93.56
    CAHPS-3 Patient’s Rating of Provider 90.95 92.19
    CAHPS-4 Access to Specialists 82.54 78.80
    CAHPS-5 Health Promotion and Education 62.05 61.61
    CAHPS-6 Shared Decision Making 63.13 60.89
    CAHPS-7 Health Status and Functional Status 71.78 71.78
    CAHPS-8 Care Coordination 86.32 85.66
    CAHPS-9 Courteous and Helpful Office Staff 92.04 91.88
    CAHPS-11 Stewardship of Patient Resources 32.74 24.71

     

    Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. 

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

    Payment Rule Waivers

    • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
      • No

     

    • Waiver for Payment for Telehealth Services:
      • No

     

    Fraud and Abuse Waivers

    • ACO Pre-Participation Waiver:
      • N/A

     

    • ACO Participation Waiver:
      • N/A