ACO Name and Location

Privia Quality Network Gulf Coast II, LLC
950 N Glebe Road, Suite 700
Arlington, VA 22203

ACO Primary Contact

Lynne Vaassen
Phone: 713-512-7001
Email: lvaassen@priviahealth.com

Organizational Information

ACO Participants:
ACO ParticipantsACO Participant In Joint Venture
Camille GoffN
Cheryl Clark-BrownN
Family Medicine Associates Of Conroe PLLCN
Family Practice Associates, P.A.N
Lewis Family MedicineN
Lori Naglieri, M.D., P.A.N
Medina Lake Clinic P.A.N
Privia Medical Group Gulf Coast PLLCN
Privia Medical Group West Texas PLLCN
Spangler Medical Enterprises, P.A.N
Stillhouse Emergency PhysiciansN
Sweetwater Medical Associates PLLCN
Waco Primary Care, P.A.N
Walla Walla Clinic, Inc.N
ACO Governing Body:
Member First NameMember Last NameMember Title / PositionMember’s Voting Power (%)Membership TypeACO Participant Legal Business NameACO Participant DBA, if applicable
KeithFernandez, MDDirector6.250%OtherN/AN/A
MarkConeDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
MarkFlorianDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
ThimosPaschalisDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
ChristopherPrihodaDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
SusanVogelDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
DanielDawsonDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
AlanLeeDirector10.714%ACO Participant RepresentativePrivia Medical Group Gulf Coast PLLCN/A
LynneVaassenDirector6.250%OtherN/AN/A
DavidDunwoodyDirector6.250%Medicare Beneficiary RepresentativeN/AN/A
EvanVaradiDirector6.250%OtherN/AN/A

* –Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership:
  • ACO Executive: Keith Fernandez, MD
  • Medical Director: Keith Fernandez, MD
  • Compliance Officer: Stephanie Clark
  • Quality Assurance/Improvement Officer: Elizabeth Lekas
Associated Committees and Committee Leadership:
Committee NameCommittee Leader Name & Position
Finance CommitteeDavid Mountcastle
Quality Assurance CommitteeChristopher Prihoda, M.D. – 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
  • Second Agreement Period
    • Performance Year 2024: $20,023,801.22
    • Performance Year 2023: $9,610,568.36
    • Performance Year 2022: $7,631,504.64
  • First Agreement Period
    • Performance Year 2021: $5,344,749.41
    • Performance Year 2020: $5,091,075.46
    • Performance Year 2019: $2,470,186.33
    • Performance Year 2018: $4,203,425
Shared Savings Distribution
  • Second Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2023
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2022
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2020
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2019
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2018
      • Proportion invested in infrastructure: 45%
      • Proportion invested in redesigned care processes/resources: 5%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2024 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure #Measure NameCollection TypeReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
Measure # 001Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)CMS Web Interface3.109.44
Measure # 134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface84.4381.46
Measure # 236Controlling High Blood PressureCMS Web Interface78.1579.49
Measure # 318Falls: Screening for Future Fall RiskCMS Web Interface99.6088.99
Measure # 110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface70.5368.60
Measure # 226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface94.7479.98
Measure # 113Colorectal Cancer ScreeningCMS Web Interface76.0277.81
Measure # 112Breast Cancer ScreeningCMS Web Interface81.5080.93
Measure # 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface80.9786.50
Measure # 370Depression Remission at Twelve MonthsCMS Web Interface25.8117.35
Measure # 321CAHPS for MIPSCMS Web Interface7.976.67
Measure # 479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsCMS Web Interface0.15200.1517
Measure # 484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsCMS Web Interface---37.00
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey83.9283.70
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey94.2693.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey92.4492.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey77.9675.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey72.7165.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey65.8762.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey75.9874.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey86.2385.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.0492.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey30.2526.98
  • *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