ACO Name and Location

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

ACO Primary Contact

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

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Camille Goff N
Complete Care OBGYN And Family Medicine, PLLC N
Gary L. Gilcrease MD, PA N
Mark J Florian MD, PA N
Medina Lake Clinic, PA N
Memorial Wellness Center, PA N
Panther Creek Medical Center, PA N
Privia Medical Group Gulf Coast, PLLC N
Pucillo Family Practice, PA N
San Antonio Family Physicians N
San Marcos Family Medicine N
Spangler Medical Enterprises, PA N
St. Elizabeth Family Care, LLC N
Jennifer Gwozdz N
Walla Walla Clinic Inc. N
Waco Primary Care, PA N
Victor Lugo Miro MD, PA N
Privia Medical Group West Texas, PLLC N
Hospital Internists Of Texas Clinic, PLLC N
Cheryl Clark-Brown N
Edward Kuo MD, PA N
Hill Family Medicine & Skin Care, PA N
Family Medicine Associates Of Conroe, PLLC N
Benjamin Adam Stahl MD, PA 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 TIN Legal Business Name/DBA, if Applicable
Keith Fernandez, MD Director 6.250% ACO Executive N/A
Mark Cone Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Mark Florian Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Thimos Paschalis Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Christopher Prihoda Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Susan Vogel Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Daniel Dawson Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Allen Lee Director 10.714% ACO Participant Representative Privia Medical Group Gulf Coast II, PLLC
Lynne Vaassen Director 6.250% VP Population Health, Privia Health N/A
David Dunwoody Director 6.250% Medicare Beneficiary Representative N/A
Evan Varadi Director 6.250% RVP Practice Operations, Privia Health N/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: Tiffany Johnson

 

Associated Committees and Committee Leadership:

 Committee Name  Committee Leader Name & Position
 Finance Committee   Bela Ahmed
 Quality Assurance Committee  Christopher 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

  • First Agreement Period
    • Performance Year 2022: $7,631,504.64
    • 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

    • First Agreement Period
      • Performance Year 2022
        • Proportion invested in infrastructure: 45%
        • Proportion invested in redesigned care processes/resources: 5%
        • Proportion of distribution to ACO participants: 50%
      • 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
        • Proportioninvested in infrastructure: 45%
        • Proportion invested in redesigned care processes/resources: 5%
        • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2022 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 ACOs)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 7.07 10.71
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 81.12 76.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 83.83 76.16
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 93.63 87.83
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 75.13 77.34
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 100 79.27
Measure # 113 Colorectal Cancer Screening CMS Web Interface 73.02 75.32
Measure # 112 Breast Cancer Screening CMS Web Interface 78.11 78.07
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 88.33 86.37
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 20.63 16.03
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.154 0.151
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 29.74 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.73 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.87 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.13 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 78.43 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 64.24 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 64.27 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.02 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.58 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 89.73 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.99 25.62

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