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 |
| CHARLES A. GARCIA,MDPA | N |
| CHARLES WOLOHON | N |
| CITRUS COUNTY RURAL HEALTH INC | N |
| Community Quick Care of LavergnePC | N |
| COOL SPRINGS SURGICAL ASSOCIATES LLC | N |
| DHAR FAMILY MEDICINE, PLLC | 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 |
| HORIZON HEALTH CENTER INC | 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 |
| KIRAN G ZAVERI MD LLC | N |
| Logan Family Medicine, LLC | N |
| MARK B. BLICK D.O., P.A. | N |
| MCCOLLUM HOMETOWN HEALTHCARE PLLC | 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 |
| Northfield Family Practice PC | N |
| OPEN WATER MEDICAL PA | N |
| PATIENTSFIRST, PLLC | 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 |
| 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 First Name | Member Last Name | Member Title/Position | Member’s Voting Power (Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name, if applicable |
| Cranor | Kenneth | MD/Chairman | 9 | ACO Participant Representative | The Physicians Alliance Corporation |
| Marino | Fred | Voting Member | 9 | Medicare Beneficiary Representative | N/A |
| Batie | Donnie | MD/Voting Member | 9 | ACO Participant Representative | Baton Rouge General Physician’s Medical Group, LLC |
| Sefa | Akwasi | MD/Voting Member | 9 | ACO Participant Representative | Akwasi Sefa |
| Carter | Dennis | MD/Voting Member | 9 | ACO Participant Representative | Family Health Associates |
| Latortue | Rosemay | MD/Voting Member | 9 | ACO Participant Representative | Rosemay T. LaTortue, MD., P.A. |
| Murphy | Wayne | MD/Voting Member | 9 | ACO Participant Representative | Wayne Murphy |
| Perkins | Matt | MD/Voting Member | 9 | ACO Participant Representative | Tennessee Medicine and Pediatrics, PC |
| Blick | Mark | MD/Voting Member | 9 | ACO Participant Representative | Mark B. Blick D.O., P.A. |
| Willis | Kerry | MD/Voting Member | 9 | ACO Participant Representative | Open Water Medical PA |
| Zaveri | Kiran | MD/Voting Member | 9 | 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 |
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 2022, $7.057,891
- Performance Year 2021, $8,405,088
- 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 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 29%
- Proportion of distribution to ACO participants: 56%
- Performance Year 2021
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 29%
- Proportion of distribution to ACO participants: 56%
- 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 distribution to ACO participants: 60%
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
- 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
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface.
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 9.44 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 92.24 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 81.05 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 93.63 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 82.27 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 93.02 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 82.68 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 80.79 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 85.48 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 19.61 | 16.03 |
| Quality ID# 321 | CAHPS for MIPS [3] | CMS Web Interface | N/A | N/A |
| Measure# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | CMS Web Interface | 0.1484 | 0.151 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 32.0014 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS For MIPS | 87.33 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS For MIPS | 92.29 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS For MIPS | 90.62 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS For MIPS | 79.75 | 77 |
| CAHPS-5 | Health Promotion and Education | CAHPS For MIPS | 64.48 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS For MIPS | 65.46 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS For MIPS | 74.21 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS For MIPS | 85.89 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS For MIPS | 92.79 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS For MIPS | 26.56 | 25.62 |
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 uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- 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.
Fraud and Abuse Waivers
- ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.
For each arrangement, provide the following information:
- Parties to the arrangement: The Physicians Alliance LLC ACO and LabCorp
- Date of arrangement: 07/01/2020
- Items, services, goods, or facility provided: Data Reporting Systems
- Date and nature of any amendments to the arrangement, if applicable: No Amendments