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

info@premiermgmtco.com

Phone: (972) 417-8937

Organizational Information:
ACO Participants

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
Shared Savings and Losses:

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.