ACO Name and Location

TP-ACO L.L.C.
Previous Names: N/A
8550 United Plaza Blvd. Ste 702
Baton Rouge, LA 70809

ACO Primary Contact

Primary Contact Name	Mr. John Woods
Primary Contact Phone Number	844-252-5321
Primary Contact Email Address	Jwoods@TPACsecure.com

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
MARK B. BLICK D.O., P.A.	N
RENE E DARVEAUX MD PA	N
PETER DICORLETO	N
PRIMARY CARE CLINIC LLC	N
TENNESSEE HEALTHCARE PARTNERS, LLC	N
Internal Medicine Associates LLC	N
J CHRIS BECKMAN MD PLLC	N
Family Care of Middle Tennessee	N
JOHN BYRNES	N
AKWASI SEFA	N
GENESYS FAMILY MEDICINE, PC	N
DHAR FAMILY MEDICINE, PLLC	N
PHAM MEDICAL CLINIC PA	N
Logan Family Medicine, LLC	N
WILKES ENTERPRISES HEALING PLACE MEDICAL CENTER	N
DANNY D. CHENG M.D.,P.A.	N
BethesdaRehabilitationHospital,Inc	N
PULMONARY & SLEEP OF TAMPA BAY PL	N
CAPITAL CITY MEDICAL GROUP, L.L.C.	N
CommunityQuickCareofLavergnePC	N
Middle Tennessee Urology Specialists P.L.L.C.	N
HILLSBOROUGH MEDICAL ASSOCIATES LLC	N
NorthfieldFamilyPracticePC	N
DAVID OURS	N
Eric Egli	N
Wayne Murphy	N
TERESA HUGGINS	N
CHARLES WOLOHON	N
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP LLC	N
PETER CHANG	N
MIDTOWN DOCTORS GROUP, PA	N
SulkowskiFamilyMedicine PLLC	N
MAYO HEALTH SYSTEMS INC	N
OPEN WATER MEDICAL PA	N
SUNSET POINT MEDICAL ASSOCIATES INC	N
ROSEMAY T LATORTUE MD PA	N
BUFFALO MEDICAL CENTER INC	N
KEVIN L. KLEIN, DO PA	N
Middle Tennessee Plastic Surgery, P.C.	N
HaroldTAkinMDPC	N
Suresh C Saraswat MD, PC	N
FAMILY HEALTH ASSOCIATES	N
David O Ranz, MD	N
MURFREESBORO FAMILY CARE, P.C.	N
MIDDLE TENNESSEE FAMILY MEDICINE	N
TENNESSEE MEDICINE & PEDIATRICS, PC	N
FAMILY PRACTICE PARTNERS, PC	N
JAMES W GARNER JR MD PC	N
COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.	N
Family Medicine Associates of Blytheville, P.A.	N
AMERICA’S FAMILY DOCTORS, PLLC	N
HealingHandsHomeHealthInc	N
Cardiology Institute, Inc	N
STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION	N
AHMAD SHANABLEH MD INC A MEDICAL CORPORATION	N
Thomas P. Melancon MD, LLC	N
KIRAN G ZAVERI MD LLC	N
CHRISTINE L. MILLS SMITH, MD, LLC	N
CHARLES A. GARCIA,MDPA	N
GatewayHealthcarePC	N
Jared C Bramlett	N
SARAH SCHWARTZ WILSON M.D. LLC	N
MIDTNGYN PLLC	N
Good Health Associates, PLLC	N

ACO governing body:

Member			Member’s Voting Power –Expressed as a percentage or number	Membership Type –	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position		Membership Type –	ACO Participant Legal Business Name/DBA, if Applicable
Cranor	Kenneth	MD/Chariman	1	ACO Participant Representative	The Physicians Alliance Corporation
Marino	Fred	Voting Member	1	Medicare Beneficiary Representative	N/A
Batie	Donnie	MD/Voting Member	1	ACO Participant Representative	Baton Rouge General Physician’s Medical Group, LLC
Swarr	Peter	MD/Voting Member	1	ACO Participant Representative	Cool Springs Internal Medicine and Pediatrics, PLLC
Carter	Dennis	MD/Voting Member	1	ACO Participant Representative	Family Health Associates
Latortue	Rosemay	MD/Voting Member	1	ACO Participant Representative	Rosemay T. LaTortue, MD., P.A.
Murphy	Wayne	MD/Voting Member	1	ACO Participant Representative	Wayne Murphy
Perkins	Matt	MD/Voting Member	1	ACO Participant Representative	Tennessee Medicine and Pediatrics, PC
Zaveri	Kiran	MD/Voting Member	1	ACO Participant Representative	Kiran G. Zaveri, MD LLC

Key ACO clinical and administrative leadership:

John Woods	ACO Executive
Kenneth Cranor	Medical Director
John Woods	Compliance Officer
Kenneth Cranor	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Stones River Patient Care Committee	Dennis Carter, Chairman
Harpeth Patient Care Committee	Peter Swarr, Chairman

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

Second Agreement Period

- Performance Year 2017, $3,292,526
- Performance Year 2016, $2,459,316

First Agreement Period

- Performance Year 2015, $1,662,988
- Performance Year 2014, $3,133,900
- Performance Year 2013, $4,721,981

Shared Savings Distribution

Second Agreement Period

- Performance Year 2017

- - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 85%

- Performance Year 2016

- - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 85%

First Agreement Period

- Performance Year 2015

- - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 85%

- Performance Year 2014

- - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 85%

- Performance Year 2013

- - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 85%

Quality Performance Results

2017 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	82.64	80.60
ACO-2	CAHPS: How Well Your Providers Communicate	93.66	93.13
ACO-3	CAHPS: Patients’ Rating of Provider	92.21	92.31
ACO-4	CAHPS: Access to Specialists	82.14	83.32
ACO-5	CAHPS: Health Promotion and Education	60.41	62.30
ACO-6	CAHPS: Shared Decision Making	72.73	75.85
ACO-7	CAHPS: Health Status/Functional Status	71.12	73.05
ACO-34	CAHPS: Stewardship of Patient Resources	31.97	25.68
ACO-8	Risk Standardized, All Condition Readmission	15.38	15.01
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.51	18.46
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	78.64	79.16
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	66.97	61.74
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	2.48	1.93
ACO-11	Use of Certified EHR Technology	93.88	98.48
ACO-12	Medication Reconciliation	99.43	75.32
ACO-13	Falls: Screening for Future Fall Risk	87.37	74.38
ACO-44	Imaging Studies for Low Back Pain	67.44	67.32
ACO-14	Preventive Care and Screening: Influenza Immunization	73.80	72.52
ACO-15	Pneumonia Vaccination Status for Older Adults	79.94	72.92
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up	84.62	70.69
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	95.77	90.48
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	86.38	61.98
ACO-19	Colorectal Cancer Screening	73.97	64.58
ACO-20	Breast Cancer Screening	76.17	70.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	72.62	79.89
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	13.96	16.74
ACO-41	Diabetes: Eye Exam	55.84	50.37
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	71.61	71.47
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic	88.16	86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt/data

Note: In the Quality Performance Results file(s) above, search for “TP-ACO L.L.C.” to view the quality performance results. This ACO can also be found by using the ACO ID A1401 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.
Our ACO utilizes the MSSP Fraud and Abuse Waivers for the purposes of advancing the Triple Aim of i) improved patient outcomes and satisfaction, ii) improved population health, and iii) lowering the per capita cost of care, and have established a Preferred Provider partnership with Verat Home Health TX to advance these objectives under these Waivers.