Central Texas MSSP Information

ACO Name and Location

PQN – Central Texas, LLC
Previous Name:N/A
950 N. Glebe Rd
Suite 700
Arlington, VA 22203
No medical care is delivered at this address

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 (Enter Y or N)
Texas Health Care, P.L.L.C. Y

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 ACO Participant Representative N/A

Key ACO Clinical and Administrative Leadership:

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

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 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 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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 89.19 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.58 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 93.81 92.45
ACO-4 CAHPS: Access to Specialists 83.49 81.50
ACO-5 CAHPS: Health Promotion and Education 65.02 59.26
ACO-6 CAHPS: Shared Decision Making 61.45 61.94
ACO-7 CAHPS: Health Status/Functional Status 74.31 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 26.48 26.26
ACO-8 Risk-Standardized, All Condition Readmission 14.23 14.98
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.66 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 28.31 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 70.37 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 46.48 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention
Quality Indicator (PQI)#91)		 1.83 1.98
ACO-11 Use of Certified EHR Technology 100.00 98.20
ACO-12 Medication Reconciliation Post-Discharge 96.05 85.91
ACO-13 Falls: Screening for Future Fall Risk 61.42 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 62.50 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 38.55 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 55.95 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 74.71 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71.43 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 44.01 66.74
ACO-19 Colorectal Cancer Screening 67.83 68.27
ACO-20 Breast Cancer Screening 69.08 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 72.11 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.87 15.51
ACO-41 Diabetes: Eye Exam 44.24 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 80.74 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 82.42 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.