ACO Name and Location

PQN – Central Texas, LLC
950 N Glebe Rd Suite 700
Arlington, VA 22203

ACO Primary Contact

Michael Richmond
Phone: 571-366-8850
Email: mrichmond@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Baze Medical, PLLC N
C. Brooks Smith M.D. & Associates N
Endocrine Associates of Dallas PA N
Texas Health Care, P.L.L.C. (Privia Medical Group NTX) N
Stephenville Medical and Surgical Clinic 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
Larry Tatum, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
David Stroman, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Travis Crudup, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Jason Ledbetter, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Lynne Tilkin, D.O. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Michelle Torres, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Ben Marcum, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Jim Bothwell, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
James Harvey, M.D. Director 8.33% ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Mark Foulke Director 8.33% EVP, VBC, Privia Health N/A
Parth Mehrotra Director 8.33% Chief Executive Officer, Privia Health N/A
Don Dearmore Director 8.33% Medicare Beneficiary Representative N/A

* – Due to rounding, the members voting power total may not equal 100%

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Larry Tatum, M.D.
  • Medical Director: Raymond Blair, M.D.
  • Compliance Officer: Stephanie Clark
  • Quality Assurance/Improvement Officer: Raymond Blair, M.D.

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name & Position
 Clinical Performance Raymond Blair, M.D. – Chair
 Finance Committee  Michelle Torres, M.D. – Chair
 Infrastructure Committee  Chris Voigt – Chair
 Membership Committee Jason Ledbetter, M.D. – Chair

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

  • ACO professionals in a group practice arrangement

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2022: $4,409,482
    • Performance Year 2021: $2,740,199.17
    • Performance Year 2020: $0
    • Performance Year 2019: $1,407,570.88
    • Performance Year 2018: $2,232,723

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 44%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 41%
    • Performance Year 2021 
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 45%
    • Performance Year 2020
      • Proportion invested in infrastructure: n/a
      • Proportion invested in redesigned care processes/resources: n/a
      • Proportion of distribution to ACO participants: n/a
    • Performance Year 2019
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 45%
    • Performance Year 2018
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 45%

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on the CMS Web Interface Measure Set collection type.

Measure # Measure Name Collection Type REPORTED PERFORMANCE RATE CURRENT YEAR MEAN PERFORMANCE RATE (SSP ACO’S)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 12.78 10.71
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 66.04 76.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 78.39 76.16
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 89.85 87.83
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 57.00 77.34
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 81.82 79.27
Measure # 113 Colorectal Cancer Screening CMS Web Interface 75.83 75.32
Measure # 112 Breast Cancer Screening CMS Web Interface 77.45 78.07
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 82.38 86.37
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 16.67 16.03
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.153 0.151
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 28.22 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 88.75 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.43 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 94.65 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 81.29 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 67.65 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 67.74 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 73.48 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.88 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.76 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 28.89 25.62

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