Premier Care Community ACO Public Reporting 2019
ACO Name and Location:
Premier Care Community
2340 Trinity Mills Road
Suite 250
Carrollton, TX 75006
ACO Primary Contact:
Michelle Storto
Michelle.Storto@premiermgmtco.com
Phone: (702) 824-0735
|
ACO Participants |
ACO Participant in Joint Venture |
|
ALWAYS BEST CARE MEDICAL CTR ARLINGTON FAMILY HEALTH PAVILION A LOWRY & PLANO MEDICAL ASSOCIATES AIM CENTER FOR HEALTH AND WELLNESS ALPHA PHYSICIANS OF TEXAS P.A ALTUS PREMIER HEALTH CARE CLINIC PLLC AMYN MALIK MD PA ANDREA V. BROWN, M.D., P.A. ALLEN PRIMARY CARE PA ANGELO VU, D.O. P.A. ANNA C BURSON INC ARLINGTON FAMILY HEALTH PAVILION AUSTIN I OGWU, MD PA. ASSOCIATES OF INTERNAL MEDICINE BENJAMIN J. LINDEN MD PA BEST WAY MEDICAL CARE, PLLC BRUCE L. LINDEN, MD PA CENTER FOR FAMILY MEDICINE PA CP MIDDLETON, MD PA DALE SWANHOLM MD PA DELTA MEDICAL PA DFW PRIMARY CARE PLLC DALLAS MEDICAL PA FAMILY CARE MEDICAL CENTER FAMILY HEALTH PARTNERS, P.A. GEORGE M. HEWELL, MD GNANA S R NAINI, M.D, P.A HERIBERTO SALINAS, M.D. P.A. HITESH YAGNIK, MD PA HOOMAN SEDIGHI, MD, PA IKECHUKWU OSUJI, M.D PA INTERNAL MEDICINE CARE GROUP JEFFREY A. GEORGE, MD JITENDRA N. BHATT, MD PA JOHN M TILLEY, MD PA MCKINNEY INTERNAL MEDICINE PLLC NAJAM KHAN NORTH TEXAS FAMILY MEDICINE, PLLC NORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATION L.L.P. OBIORA M EKWEANI MD PA PATRICK W. HISEL, MD, PA PLANO PRIMARY CARE CLINIC PA PRECIOUS J MARQUART MD PLLC RACHEL SIM MD PA RAJASHRI PATIL, MD PA RANI ANBARASU MD PA RICHARDSON PRIMARY CARE CLINIC LLC SALMA MAZHAR M.D. P.A. SCOTT WOOD, M.D. PA SEEMA MODI, MD, FAMILY MEDICINE & GERIATRICS PLLC SHABNAM QASIM MDPA SHANNON DESHAZO MD SOUTHERN ENDOCRINOLOGY ASSOCIATES PA TEXAS PRIMARY CARE SPECIALIST PLLC TIMOTHY BRINKMAN VIP HEALTHCARE PLLC WELL CREST MEDICAL CLINIC, PLLC WISE COUNTY MEDICAL & SURGICAL ASSOCIATION |
|
ACO governing body
|
Member Last Name |
Member First Name |
Member Title/Position |
Member’s Voting Power: expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if applicable |
| Amir | Mohammad | M.D., Chairman Voting Member | 9.357% | ACO Participant | Richardson Primary Care Clinic LLC |
| Anderson | Howard | M.D, Vice-Chair Voting Member | 9.357% | ACO Participant | AIM Center for Health and Wellness |
| Fuentes | Guillermo | M.D., Voting Member | 9.357% | ACO Participant | Family Care Medical Center |
| Sedighi | Hooman | M.D., Voting Member | 9.357% | ACO Participant | Hooman Sedighi, M.D. P.A. |
| George | Jeffrey | M.D., Voting Member | 9.357% | ACO Participant | Jeffrey A. George, M.D. |
| Bhatt | Jitendra | M.D., Voting Member | 9.357% | ACO Participant | Jitendra N Bhatt, MD, PA |
| Alling | Jeff | M.D., Voting Member | 9.357% | ACO Participant | Wise County Medical & Surgical Association |
| Vu | Angelo | M.D., Voting Member | 9.357% | ACO Participant | Angelo Vu, D.O., P.A. |
| Ryan | Robert | Voting Member | 12.5% | Medicare Beneficiary Representative | N/A |
| Kazi | Mohammad | Voting Member | 12.5% | Other/ACO Management Representative | Premier Management Company |
Key ACO clinical and administrative leadership
- ACO Executive: Mohammad Kazi
- Medical Director: Mohammad Amir, MD
- Compliance Officer: Mohammad Kazi
- Quality Assurance/Improvement Officer: Kathy Johnson
Associated committees and committee leadership
|
Committee Name |
Committee Leader Name and Position |
|
None |
N/A |
Types of ACO participants, or combinations of participants, that formed the ACO
- Network of individual practices of ACO professionals
Amount of Shared Savings/Losses
First Agreement Period
- Performance Year 2017, $3,723,456
- Performance Year 2018, $6,052,817
- Performance Year 2019, $8,398,998
Shared Savings Distribution
First Agreement Period
Performance Year 2017
- Proportion invested in infrastructure: 53%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 47%
Performance Year 2018
- Proportion invested in infrastructure: 53%
- Proportion invested in redesigned care processes/resources: 4%
- Proportion of distribution to ACO participants: 44%
Performance Year 2019
- Proportion invested in infrastructure: 57%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 43%
Quality Performance Results
2019 Quality Performance Results:
| ACO # | Measure Name | Rate | |
| ACO 1 |
Getting Timely Care, Appointments, and Information |
88.86% | |
| ACO 2 |
How Well Your Providers Communicate |
94.95% | |
| ACO 3 | Patients’ Rating of Provider | 91.98% | |
| ACO 4 | Access to Specialists | 84.69% | |
| ACO 5 |
Health Promotion and Education |
60.34% | |
| ACO 6 | Shared Decision Making | 60.34% | |
| ACO 7 |
Health Status & Functional Status |
75.23% | |
| ACO 34 |
Stewardship of Patient Resources |
29.36% | |
| ACO 45 |
Courteous & Helpful Office Staff |
92.66% | |
| ACO 46 | Care Coordination | 88.88% | |
| ACO 8 | Risk-Standardized, All Condition Readmission | 14% | |
| ACO 38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
53.49% | |
| ACO 43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) |
2.19% | |
| ACO 13 | Falls: Screening for Future Fall Risk | 91.93% | |
| ACO 14 |
Preventive Care and Screening: Influenza Immunization |
70.07% | |
| ACO 17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
83.33% | |
| ACO 18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
62.1% | |
| ACO 19 | Colorectal Cancer Screening | 52.42% | |
| ACO 20 | Breast Cancer Screening | 61.94% | |
| ACO 42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
74.18% | |
| ACO 40 | Depression Remission at Twelve Months | 20% | |
| ACO 27 | Diabetes: Hemoglobin A1c Poor Control | 13.35% | |
| ACO 28 | Controlling High Blood Pressure | 76.15% |
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 does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
Waiver for Payment for Telehealth Services:
- Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.
Beneficiary Incentive Program
Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c). Information on our use of the BIP for each performance year is outlined below.