ACO Name and Location

PQN — Georgia LLC
950 N. Glebe Rd
Suite 700
Arlington, VA 22003

ACO Primary Contact

Zia Khan, MD
Phone: 571-366-8850
Email: Zia.Khan@priviahealth.com

Organizational Information

ACO Participants:

Aco Participants Aco Participant In Joint Venture
Frederick R. Yarid, M.D. N
G-1 Healthcare LLC N
High Mountain Healthcare, LLC N
Hillandale Internal Medicine, P.C. N
McIntosh Clinic, P.C. N
Prime Care Medical Services, Inc. N
Privia Medical Group Of Georgia, LLC N
Privia Medical Group Tennessee, LLC N
Quail Ridge Family Practice, LLC N
Shaw Living PC N
Suzanne L. Nunn, M.D., PC N
T. Aaron Buice, M.D., P.C. N
The Corporation Of Mercer University N
The Veranda, P.C. N

ACO 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 ACO Participant DBA, if applicable
Zia Khan Executive 6.25% ACO Executive Privia Health N/A
Aaron Williams Executive 6.25% ACO Executive Privia Health N/A
Ryan Graham Executive 6.25% ACO Executive Privia Health N/A
Charlotte Grayson-Mathis Physician 10.71% ACO Participant Representative Privia Medical Group – Georgia N/A
Joseph Stubbs Physician 10.72% ACO Participant Representative Privia Medical Group – Georgia N/A
Robert Weeks Physician 10.71% ACO Participant Representative Privia Medical Group – Georgia N/A
Garrett White Physician 10.71% ACO Participant Representative Privia Medical Group – Georgia N/A
W Scott Bohlke Physician 10.71% ACO Participant Representative Privia Medical Group – Georgia N/A
William Cooper Physician 10.72% ACO Participant Representative Privia Medical Group – Georgia N/A
Monica Manocha Physician 10.72% ACO Participant Representative Privia Medical Group – Georgia N/A
Michael Gee Patient 6.25% Medicare Beneficiary N/A N/A

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Zia Khan, MD
  • Medical Director: Zia Khan, MD
  • Compliance Officer: Stephanie Clark
  • Quality Assurance/Improvement Officer: Gwen Wyles

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name & Position
PQN – Georgia, LLC Board William Cooper, MD, Chair
Membership Committee Frank Cole, MD, Chair
Steering Committee Zia Khan, MD, Chair
Clinical Performance Committee Zia Khan, MD, Chair
Finance Committee Aaron Williams, Chair
Compliance Committee Zia Khan, MD, Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2024: $29,198,590.62
    • Performance Year 2023: $19,296,024
    • Performance Year 2022: $17,369,116
  • Second Agreement Period
    • Performance Year 2021: $13,117,176
    • Performance Year 2020: $8,748,128
  • First Agreement Period
    • Performance Year 2019: $5,618,143
    • Performance Year 2018: $6,112,852
    • Performance Year 2017: $4,954,482

Shared Savings Distribution

    • Third Agreement Period
      • Performance Year 2024
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2023
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2022
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
    • Second Agreement Period
      • Performance Year 2021
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2020
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
    • First Agreement Period
      • Performance Year 2019
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2018
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%
      • Performance Year 2017
        • Proportion invested in infrastructure: 30%
        • Proportion invested in redesigned care processes/resources: 10%
        • Proportion of distribution to ACO participants: 60%

Quality Performance Results

2024 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

MEASURE # MEASURE NAME COLLECTION TYPE REPORTED PERFORMANCE RATE CURRENT YEAR MEAN PERFORMANCE RATE (SSP ACO’S)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 3.12 9.44
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 96.00 81.46
Measure # 236 Controlling High Blood Pressure CMS Web Interface 90.91 79.49
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 96.31 88.99
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 85.27 68.60
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 80.65 79.98
Measure # 113 Colorectal Cancer Screening CMS Web Interface 86.31 77.81
Measure # 112 Breast Cancer Screening CMS Web Interface 88.30 80.93
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.97 86.50
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 30.51 17.35
Measure # 321 CAHPS for MIPS CMS Web Interface 8.73 6.67
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1587 0.1517
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface — 37.00
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 86.96 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.01 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.50 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 75.37 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 70.07 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 64.22 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 76.50 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.84 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.86 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 30.04 26.98
  • *For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
  • *For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov