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
ATLANTA CENTER FOR MEDICINE II PC	N
ATLANTA VANGUARD MEDICAL ASSOCIATE, PC	N
BLISS FAMILY MEDICINE, LLC	N
CEDAR GROVE MEDICAL ASSOCIATES, LLC	N
CHANDRA BRITT ARMSTRONG MD LLC	N
EQUITY ADVANCED NURSING AND WELLNESS SERVICES LLC	N
GASTROENTEROLOGY MEDICINE & NUTRITION	N
GENESIS HEALTHCARE ASSOCIATES, PC	N
GEORGIA VASCULAR SPEACIALISTS, PC	N
HEALTHCARE AT HOME, LLC	N
MARIPOSA MEDICAL ASSOCIATES LLC	N
MEDHEALTH CLINIC INC	N
MURFREESBORO MEDICAL CLINIC	N
MIDTOWN NEUROLOGY, PC	N
MILTON BYRD	N
NEW HORIZONS INTERNAL MEDICINE	N
PATRICIA GLENN	N
PIECAR COMMUNITY HEALTHCARE LLC	N
PREMIER WOMEN’S HEALTHCARE LLC	N
PACES FERRY MEDICAL GROUP, PC	N
PEA RIDGE FAMILY CARE CENTER, INC	N
ROCK HEALTH INC	N
SHARON HARLEY M.D. P.C.	N
SNAPFINGER WOODS FAMILY PRACTICE GROUP	N
SWIFT HEALTH MEDICAL GROUP	N
SOUTH ATLANTA URGENT CARE CLINIC, LLC	N
SOUTH MAUNTAIN FAMILY PRACTICE, LLC, LLC	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	10.1%	ACO Participant	Georgia Vascular Specialists, PC
Layne	Edward	Board Member	10.1%	ACO Participant	Gastroenterology Medicine & Nutrition Clinic, PC
Ayeni	Oluropo	Board Member	10.1%	ACO Participant	Wellspring Family Medical Center
Bouldin	Lee	Board Member	10.1%	ACO Participant	Murfreesboro Medical Clinic.
Cote	Nicholas	Board Member	9.1%	ACO Participant	Murfreesboro Medical Clinic
Woods	John	Board Member	10.1%	ACO Participant	N/A
Bell	Barbara	Patient	10.1%	Medicare Beneficiary	N/A
Lee	John	Board Member	10.1%	ACO Participant	Murfreesboro Medical Clinic
Desnoes	Chloe	Board Member	10.1%	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. Nicholas Cote/ Chairman
Data Analytics Committee	Dr. Chloe Desnoes /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 2023, $3,171,072.12 
  • 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 2023
     

• • • Proportion invested in infrastructure: TBD  

• • • Proportion invested in redesigned care processes/resources: TBD 

• • • Proportion of distribution to ACO participants: TBD 

   

• • Performance Year 2022
     

• • • Proportion invested in infrastructure: 60% of NET  

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

• • • Proportion of distribution to ACO participants: 40% of NET  
       

• • 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
      
      

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	10.80	9.84
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	71.66	80.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	79.05	77.80
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	83.86	89.42
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	55.06	70.76
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	60.00	79.29
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	73.81	77.14
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	77.02	80.36
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	83.98	87.05
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	6.25	16.58
Quality ID# 321	CAHPS for MIPS	CMS Web Interface	4.39	6.25
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	CMS Web Interface	0.1376	0.1553
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	CMS Web Interface	33.30	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS For MIPS	81.60	83.68
CAHPS-2	How Well Providers Communicate	CAHPS For MIPS	91.68	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS For MIPS	91.07	92.14
CAHPS-4	Access to Specialists	CAHPS For MIPS	81.90	75.97
CAHPS-5	Health Promotion and Education	CAHPS For MIPS	56.23	63.93
CAHPS-6	Shared Decision Making	CAHPS For MIPS	56.19	61.60
CAHPS-7	Health Status and Functional Status	CAHPS For MIPS	75.60	74.12
CAHPS-8	Care Coordination	CAHPS For MIPS	84.19	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS For MIPS	91.83	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS For MIPS	26.18	26.69

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov” immediately under the quality table

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.