ACO Name and Location
TP-ACO L.L.C
8702-A Jefferson Hwy
Baton Rouge, LA 70809
ACO Primary Contact
Mr. John Woods
844-252-5321
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| 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,MDPA | N |
| CHARLES WOLOHON | N |
| CHRISTINE L. MILLS SMITH, MD, LLC | N |
| Community Quick Care of Lavergne PC | N |
| COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC. | N |
| COOL SPRINGS SURGICAL ASSOCIATES LLC | N |
| DANNY D. CHENG M.D., P.A. | N |
| DAVID OURS | N |
| DHAR FAMILY MEDICINE, PLLC | N |
| ELBERT A FASNACHT II MD LTD | N |
| Eric Egli | N |
| Family Care of Middle Tennessee | 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 |
| Gateway Healthcare PC | N |
| GENESYS FAMILY MEDICINE, PC | N |
| GEORGE HOPKINS | N |
| Good Health Associates, PLLC | 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 |
| 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 |
| MCCOLLUM HOMETOWN HEALTHCARE PLLC | N |
| MED EQUITY PARTNERS LLC | N |
| Middle Tennessee Plastic Surgery, P.C. | N |
| Middle Tennessee Urology Specialists P.L.L.C. | N |
| MIDTNGYN PLLC | N |
| Northfield Family Practice PC | N |
| OPEN WATER MEDICAL PA | N |
| PETER CHANG | N |
| PETER DICORLETO | N |
| PRIMARY CARE CLINIC LLC | N |
| PULMONARY & SLEEP OF TAMPA BAY PL | N |
| RENE E DARVEAUX MD PA | N |
| RICHARD SCHOCK | N |
| ROSEMAY T LATORTUE MD PA | N |
| STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATION | N |
| Sulkowski Family Medicine PLLC | N |
| SUNSET POINT MEDICAL ASSOCIATES INC | N |
| TENNESSEE HEALTHCARE PARTNERS, LLC | N |
| TENNESSEE MEDICINE & PEDIATRICS, PC | N |
| TERESA HUGGINS | N |
| Thomas P. Melancon MD, LLC | N |
| Wayne Murphy | 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 and D/B/A, if applicable |
| Cranor | Kenneth | MD/Chairman | 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 |
| Blick | Mark | MD/Voting Member | 1 | ACO Participant Representative | Mark B. Blick D.O., P.A. |
| Willis | Kerry | MD/Voting Member | 1 | ACO Participant Representative | Open Water Medical PA |
| 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 |
| TP-ACO Patient Care Committee | Warren McPherson, Chairman |
| 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:
Amount of Shared Savings/Losses:
- Third Agreement Period
- Performance Year 2020, $8,025,380
- Performance Year 2019/2019A, $10,686,872
- Second Agreement Period
- Performance Year 2018, $5,712,042
- 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 2020
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 28%
- Proportion of distribution to ACO participants: 57%
- Performance Year 2019/2019A
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribtuion to ACO participants: 60%
- Performance Year 2020
- Second Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 23%
- Proportion of distribution to ACO participants: 62%
- 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
- Performance Year 2016
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 85%
- Performance Year 2018
- 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
“Note: Our ACO participated in multiple performance years during Calendar Year 2019. 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.”
Quality Performance Results
2020 Quality Performance Results:
| ACO Quality Measure Number | Measure Name | Rate | ACO Mean |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.09 | 0.95 |
| ACO-13 | Falls: Screening for Future Fall Risk | 93.98 | 84.97 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 77.88 | 76.03 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 95.45 | 81.67 |
| ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 89.74 | 71.46 |
| ACO-19 | Colorectal Cancer Screening | 75.81 | 72.59 |
| ACO-20 | Breast Cancer Screening | 81.68 | 74.05 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 86.42 | 83.37 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 11.24 | 14.70 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 81.75 | 72.87 |
“Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.”
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).