ACO Name and Location
TP-ACO L.L.C
8550 United Plaza Blvd. Ste 702
Baton Rouge, LA 70809
ACO Primary Contact
Mr. John Woods
844-252-5321
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture |
| AHMAD SHANABLEH MD INC A MEDICAL CORPORATION | N |
| AKWASI SEFA | N |
| AMERICA’S FAMILY DOCTORS, PLLC | N |
| BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP LLC | N |
| Bethesda Rehabilitation Hospital, Inc | N |
| BUFFALO MEDICAL CENTER INC | N |
| CHARLES A. GARCIA, MD PA | N |
| CHARLES WOLOHON | N |
| CHRISTINE L. MILLS SMITH, MD, LLC | N |
| CommunityQuickCareofLavergnePC | N |
| COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC. | N |
| COOL SPRINGS SURGICAL ASSOCIATES LLC | N |
| DANNY D. CHENG M.D., P.A. | N |
| David E. Ours, MD | N |
| David O Ranz, MD | N |
| DAVID OURS | N |
| DHAR FAMILY MEDICINE, PLLC | N |
| Eric Egli | N |
| Family Care of Middle Tennessee | N |
| FAMILY CARE SPECIALISTS, LLC | N |
| FAMILY FIRST MEDICAL CLINIC | N |
| FAMILY HEALTH ASSOCIATES | N |
| Family Medicine Associates of Blytheville, P.A. | N |
| FAMILY PRACTICE PARTNERS, PC | N |
| GARY SCHWARTZ | N |
| GatewayHealthcarePC | N |
| GENESYS FAMILY MEDICINE, PC | N |
| George Hopkins | N |
| Good Health Associates, PLLC | N |
| Harold T Akin MD PC | N |
| Healing Hands Home Health Inc | N |
| HILLSBOROUGH MEDICAL ASSOCIATES LLC | N |
| Internal Medicine Associates LLC | N |
| J CHRIS BECKMAN MD PLLC | N |
| JAMES W GARNER JR MD PC | N |
| Jared C Bramlett | N |
| John Byrnes | N |
| JUAN GARCIA | N |
| KEVIN L. KLEIN, DO PA | N |
| KIRAN G ZAVERI MD LLC | N |
| Logan Family Medicine, LLC | N |
| MARK B. BLICK D.O., P.A. | N |
| MAYO HEALTH SYSTEMS INC | N |
| MED EQUITY PARTNERS LLC | N |
| MIDDLE TENNESSEE FAMILY MEDICINE | N |
| Middle Tennessee Plastic Surgery, P.C. | N |
| Middle Tennessee Urology Specialists P.L.L.C. | N |
| MIDTNGYN PLLC | N |
| MIDTOWN DOCTORS GROUP, PA | N |
| NorthfieldFamilyPracticePC | N |
| OPEN WATER MEDICAL PA | N |
| Peter Chang | N |
| PETER DICORLETO | N |
| PHAM MEDICAL CLINIC PA | N |
| PRIMARY CARE CLINIC LLC | N |
| PULMONARY & SLEEP OF TAMPA BAY PL | N |
| RENE E DARVEAUX MD PA | N |
| ROSEMAY T LATORTUE MD PA | N |
| SARAH SCHWARTZ WILSON M.D. LLC | N |
| SOUTH TEXAS ADVANCED PRACTICE SOLUTIONS LLC | N |
| STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION | N |
| SulkowskiFamilyMedicine PLLC | N |
| SUNSET POINT MEDICAL ASSOCIATES INC | N |
| Suresh C Saraswat MD, PC | N |
| TENNESSEE HEALTHCARE PARTNERS, LLC | N |
| TENNESSEE MEDICINE & PEDIATRICS, PC | N |
| TERESA HUGGINS | N |
| Thomas P. Melancon MD, LLC | N |
| Wayne Murphy MD | N |
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 |
| Cranor | Kenneth | MD/Chairman | 1 | President | 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:
ACO Executive: John Woods
Medical Director: Kirin Zaveri
Compliance Officer: John Woods
Quality Assurance/Improvement Officer: Kenneth Cranor
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:
- Third Agreement Period
- Performance Year 2019/2019A, $10,686,872
- 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:
- Third Agreement Period
- Performance Year 2019/2019A
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2019/2019A
- Second Agreement Period
- Performance Year 2018
- 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%
- Performance Year 2015
Quality Performance Results
2019 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 89.17 | 85.86 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 94.99 | 94.11 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 92.75 | 92.69 |
| ACO-4 | CAHPS: Access to Specialists | 83.50 | 81.54 |
| ACO-5 | CAHPS: Health Promotion and Education | 61.86 | 60.44 |
| ACO-6 | CAHPS: Shared Decision Making | 62.58 | 62.78 |
| ACO-7 | CAHPS: Health Status/Functional Status | 74.74 | 73.79 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 34.29 | 26.17 |
| ACO-45 | CAHPS: Courteous and He2.61lpful Office Staff | 92.61 | 92.84 |
| ACO-46 | CAHPS: Care Coordination | 88.03 | 86.89 |
| ACO-8 | Risk Standardized, All Condition Readmission | 14.51 | 14.86 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 50.47 | 58.15 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) | 1.82 | 1.87 |
| ACO-13 | Falls: Screening for Future Fall Risk | 90.76 | 84.04 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 68.09 | 74.77 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100.00 | 78.04 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 88.89 | 70.40 |
| ACO-19 | Colorectal Cancer Screening | 80.16 | 70.76 |
| ACO-20 | Breast Cancer Screening | 80.08 | 73.84 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 81.78 | 82.17 |
| ACO-40 | Depression Remission at Twelve Months | 16.39 | 13.58 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 9.45 | 13.88 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 79.69 | 75.04 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver.
- 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.
- Waiver to Coordinate Laboratory Services
- As part of its efforts of advancing the Triple Aim of i) improved patient outcomes and satisfaction, ii) promote better health for populations, and iii) lowering the per capita cost of care, our ACO has contracted with LabCorp to assist in the implementation and on-going operation of care coordination in general, and especially for the treatment and prevention chronic kidney disease. This care coordination support will help ACO facilitate its efforts to implement case management and care coordination (76 Fed. Reg. at 68000 and 68002).