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 Governing Body:

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:

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.

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.