Central Texas MSSP Information

ACO Name and Location

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

ACO Primary Contact

Primary Contact Name Mr. Michael Richmond
Primary Contact Phone Number 203-994-0559
Primary Contact Email Address mrichmond@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Texas Health Care, P.L.L.C. (Privia Medical Group NTX) N
Stephenville Medical and Surgical Clinic PA N

ACO Governing Body:

Member Member’s Voting Power –
Expressed as a percentage or number
Last Name First Name Title/Position Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Tatum, M.D. Larry Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Stroman, M.D. David Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Crudup, M.D. Travis Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Ledbetter, M.D. Jason Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Tilkin, D.O. Lynne Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Torres, M.D. Michelle Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Parker, M.D. James Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Maxwell, M.D. William Director 1 ACO Participant Representative Texas Health Care P.L.L.C./Privia Medical Group NTX
Fernandez, M.D. Keith Director 1 Board Member, Privia NTX N/A
Morris Shawn Director 1 Chief Executive Officer, Privia Health N/A
Mehrotra Parth Director 1 Chief Executive Officer, Privia Health N/A
Anderson Edgar Director 1 Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Larry Tatum, M.D.
Medical Director: Raymond Blair, M.D.
Compliance Officer: Dana Fields
Quality Assurance/Improvement Officer: Lynne Tilkin, D.O.

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name & Position
 Clinical Performance  James Parker, 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 2019: $1,407,570.88
    • Performance Year 2018, $2,232,723
  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • Second Agreement Period
    • 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%
    • First Agreement Period
      • Performance Year 2017
        • 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 2016
        • 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 2015
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources: N/A
        • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 90.79 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.41 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 94.28 92.69
ACO-4 CAHPS: Access to Specialists 81.52 81.54
ACO-5 CAHPS: Health Promotion and Education 66.21 60.44
ACO-6 CAHPS: Shared Decision Making 63.36 62.78
ACO-7 CAHPS: Health Status/Functional Status 74.16 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 25.67 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.51 92.84
ACO-46 CAHPS: Care Coordination 89.82 86.89
ACO-8 Risk Standardized, All Condition Readmission 14.30 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic 47.90 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.91 1.87
ACO-13 Falls: Screening for Future Fall Risk 76.84 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 55.04 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation 62.16 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 66.08 70.40
ACO-19 Colorectal Cancer Screening 69.44 70.76
ACO-20 Breast Cancer Screening 72.22 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.46 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 12.59 13.88
ACO-28 Controlling High Blood Pressure 84.47 75.04

Please note: ACO-40 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.

Note: In the Quality Performance Results file(s) above, search for “PQN – Central Texas, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2706 in the public use files on data.cms.gov.