Public Reporting

ACO Name and Location 

The Premier HealthCare Network LLC 

8702 Jefferson Hwy Suite A

Baton Rouge, LA 70809 

Tel: 615-740-5347; Fax: 615-749-6382 

 

ACO Primary Contact 

John Woods 

Tel: 615 740 5347 

Email: jwoods@topmd.health 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
AMINA MEDICAL CONSULTANTS PC N
ANWAN WELLNESS MEDICAL CENTER PC N
ATLANTA CENTER FOR MEDICINE II PC N
ATLANTA VANGUARD MEDICAL ASSOCIATE, PC N
BELLA OTTICA, LLC N
CEDAR GROVE MEDICAL ASSOCIATES, LLC N
CHANDRA BRITT ARMSTRONG MD LLC N
EQUITY ADVANCED NURSING AND WELLNESS SERVICES LLC
GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC N
GENESIS HEALTHCARE ASSOCIATES, PC N
GEORGIA VASCULAR SPEACIALISTS, PC N
HAIBA SONYIKA, MD, PC N
HEALTHCARE AT HOME, LLC N
MARIPOSA MEDICAL ASSOCIATES LLC N
MEDHEALTH CLINIC INC N
MERIDIAN INTERNAL MEDICINE AND PRIMARY CARE INC.
MURFREESBORO MEDICAL CLINIC N
MIDTOWN NEUROLOGY, PC N
MILTON BYRD N
NEW HORIZONS INTERNAL MEDICINE N
PATRICIA GLENN N
PIERRE FONTANIE N
PEA RIDGE FAMILY CARE CENTER, INC. N
PEDIATRICS AND ADULT MEDICINE, INC. N
PREMIER WOMEN’S HEALTHCARE LLC N
PRIMARY CARE PLUS, PC N
PULMONARY & SLEEP SPECIALISTS, PC N
PACES FERRY MEDICAL GROUP, PC
RICHARD ROBINSON, MD, PC N
ROCK HEALTH INC N
SHARON HARLEY M.D. P.C. N
SNAPFINGER WOODS FAMILY PRACTICE GROUP N
SOUTH ATLANTA URGENT CARE CLINIC, LLC N
SOUTH MAUNTAIN FAMILY PRACTICE, LLC, LLC N
SWIFT HEALTH MEDICAL GROUP N
TREKEN PRIMARY CARE, INC N
WELLSPRING FAMILY MEDICAL CENTER INC. N

ACO Governing Body:

Member  Member’s Voting Power  Membership  Type  ACO Participant TIN Legal Business Name/DBA, if Applicable 
Last Name  First Name  Title/Position 
Poindexter  James  Chairman Of the Board  9.1%  ACO  Participant  Georgia Vascular Specialists, PC 
Layne  Edward  Board Member  9.1%  ACO  Participant  Gastroenterology Medicine & Nutrition Clinic, PC 
Ayeni  Oluropo  Board Member  9.1%  ACO  Participant  Total Care  Family Medicine, PC 
Sewell  Michelle  Board Member  9.1%  ACO  Participant  Pediatrics and Adult Medicine Inc. 
Cote  Nicholas  Board Member  9.1%  ACO  Participant  MURFREESBORO  MEDICAL 
Woods  John  Board Member  9.1%  ACO  Participant  N/A 
Poindexter  Laverne  Board Member  9.1%  ACO  Participant  Beacon Healthcare, INC 
Bell  Barbara  Patient  9.1%  Medicare Beneficiary  N/A 
Patel  Uptal  Board Member  9.1%  ACO Participant  MURFREESBORO MEDICAL CLINIC 
Scott  Joseph  Board Member  9.1%  ACO  Participant  MURFREESBORO MEDICAL CLINIC 
           

 

Key ACO Clinical and Administrative Leadership: 

ACO Executive: John Woods
Medical Director: James Poindexter
Compliance Officer: Atanas Filchev
Quality Assurance/Improvement Officer: Edward Layne 

 

Associated Committees and Committee Leadership: 

 

Committee Name  Committee Leader Name and Position 
Community Advisory Committee  Barbara Bell / Chairwoman 
Quality Metrics Committee  Dr. Kelvin Burton/ Chairman 
Data Analytics Committee  Dr. Michelle Sewell /Chairwoman 

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO: 

 

  • Networks of individual practices of ACO professionals  

 

Shared Savings and Losses 

Amount of Shared Savings/Losses:   

  • Third Agreement Period  

  • Performance Year 2022, $ 975,452.38 
  • Performance Year 2021, $2,125,289.65 
  • Performance Year 2020, $0 
  • Performance year 2019, $1,266,268.78

“Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”  

  • Second Agreement Period

  • Performance Year 2018, $1,465,623 
    Performance Year 2017, $2,404,254 
    Performance Year 2016, $4,062,894 

 

  • First Agreement Period 

  • Performance Year 2015, $3,210,680 
  • Performance Year 2014, $0 
  • Performance Year 2013, $0  

 

Shared Savings Distribution:  

  • Third Agreement Period  

 

  • Performance Year 2022

    • Proportion invested in infrastructure: 60% of NET Earnings. 
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: 40% of NET Earnings
       

  • Performance Year 2021

    • Proportion invested in infrastructure: 60% of NET Earnings 
    • Proportion invested in redesigned care processes/resources: N/A 
    • Proportion of distribution to ACO participants: 40% of NET Earnings  

 

  • 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: 70% of NET Earnings  

    • Proportion invested in redesigned care processes/resources: N/A 
    • Proportion of distribution to ACO participants: 30% of NET Earnings

Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.” 

 

  • Second Agreement Period 

 

  • Performance Year 2018

    • Proportion invested in infrastructure: 52% 
       
    • Proportion invested in redesigned care processes/resources: N/A 
       
    • Proportion of distribution to ACO participants: 48% of NET Earnings

       
  • Performance Year 2017

    • Proportion invested in infrastructure: 50% 
       
    • Proportion invested in redesigned care processes/resources: N/A

    • Proportion of distribution to ACO participants: 50% of NET Earnings

 

  • Performance Year 2016

    • Proportion invested in infrastructure: 60% 
       
    • Proportion invested in redesigned care processes/resources: N/A 
       
    • Proportion of distribution to ACO participants: 40% of NET Earnings

 

  • First Agreement Period 

 

  • Performance Year 2015

    • Proportion invested in infrastructure: 50% 
       
    • Proportion invested in redesigned care processes/resources: 20% 
       
    • Proportion of distribution to ACO participants: 30% of NET Earnings

 

  • Performance Year 2014

    • 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 2013

    • Proportion invested in infrastructure: N/A 
       
    • Proportion invested in redesigned care processes/resources: N/A 
       
    • Proportion of distribution to ACO participants: N/A 

 

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name Has a Benchmar k [2] Numerator Denominator Reported Performance Rate 

Current Year Mean Performance Rate (SSP 

ACOs) 

Quality ID# 001 

Diabetes: Hemoglobin A1c 

(HbA1c) Poor Control [1] 

Yes 130 360 36.11 10.71 
Quality ID# 134 

Preventative Care and Screening: Screening for 

Depression and Follow-up Plan 

Yes 143 567 25.22 76.97 
Quality ID# 236 Controlling High Blood Pressure Yes 151 248 60.89 76.16 
Quality ID# 318 

Falls: Screening for Future Fall 

Risk 

Yes 142 251 56.57 87.83 
Quality ID# 110 

Preventative Care and Screening: Influenza 

Immunization 

Yes 106 150 70.67 77.34 
Quality ID# 226 

Preventative Care and Screening: Tobacco Use: Screening and Cessation 

Intervention 

Yes 12 44 27.27 79.27 
Quality ID# 113 Colorectal Cancer Screening Yes 279 604 46.19 75.32 
Quality ID# 112 Breast Cancer Screening Yes 121 253 47.83 78.07 
Quality ID# 438 

Statin Therapy for the Prevention and Treatment of 

Cardiovascular Disease 

No 198 246 80.49 86.37 
Quality ID# 370 

Depression Remission at Twelve 

Months 

No 0 2 0.00 16.03 
Quality ID# 321 CAHPS for MIPS [3] Yes N/A N/A N/A 74.63 
Measure# 479 

Hospital-Wide, 30-Day, All- Cause Unplanned Readmission 

(HWR) Rate for MIPS Groups [1] 

Yes — — 0.1511 0.1510 
Measure# 484 

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients 

with Multiple Chronic Conditions [1] 

Yes — — 32.52 30.97 

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

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services: 
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

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