Public Reporting

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

  Jwoods@TPACsecure.com

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Join Venture
AKWASI SEFAN
AMERICA’S FAMILY DOCTORS, PLLCN
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP LLCN
BethesdaRehabilitationHospital,IncN
CHARLES A. GARCIA,MDPAN
CHARLES WOLOHONN
CHRISTINE L. MILLS SMITH, MD, LLCN
CITRUS COUNTY RURAL HEALTH INCN
CommunityQuickCareofLavergnePCN
COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.N
COOL SPRINGS SURGICAL ASSOCIATES LLCN
DANNY D. CHENG M.D.,P.A.N
DHAR FAMILY MEDICINE, PLLCN
Eric EgliN
Family Care of Middle TennesseeN
FAMILY HEALTH ASSOCIATESN
Family Medicine Associates of Blytheville, P.A.N
FAMILY PRACTICE PARTNERS, PCN
GARY SCHWARTZN
GatewayHealthcarePCN
GENESYS FAMILY MEDICINE, PCN
GEORGE HOPKINSN
Good Health Associates, PLLCN
HILLSBOROUGH MEDICAL ASSOCIATES LLCN
HORIZON HEALTH CENTER INCN
Internal Medicine Associates LLCN
J CHRIS BECKMAN MD PLLCN
JAMES W GARNER JR MD PCN
Jared C BramlettN
JOHN BYRNESN
KIRAN G ZAVERI MD LLCN
Logan Family Medicine, LLCN
MARK B. BLICK D.O., P.A.N
MAYO HEALTH SYSTEMS INCN
MED EQUITY PARTNERS LLCN
Middle Tennessee Plastic Surgery, P.C.N
Middle Tennessee Urology Specialists P.L.L.C.N
MIDTNGYN PLLCN
NorthfieldFamilyPracticePCN
OPEN WATER MEDICAL PAN
PATIENTS FIRST, PLLCN
PETER CHANGN
PETER DICORLETON
PHAM MEDICAL CLINIC PAN
PRIMARY CARE CLINIC LLCN
PULMONARY & SLEEP OF TAMPA BAY PLN
RENE E DARVEAUX MD PAN
ROSEMAY T LATORTUE MD PAN
SOLVERA HEALTHCARE CENTER INCN
STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATIONN
SulkowskiFamilyMedicine PLLCN
SUNSET POINT MEDICAL ASSOCIATES INCN
TENNESSEE HEALTHCARE PARTNERS, LLCN
TENNESSEE MEDICINE & PEDIATRICS, PCN
TERESA HUGGINSN
Thomas P. Melancon MD, LLCN
Wayne Murphy MDN

ACO Governing Body:

Member First NameMember Last NameMember Title/PositionMember’s Voting Power (Expressed as a percentage)Membership TypeACO Participant Legal Business Name, if applicable
CranorKennethMD/Chairman1ACO Participant RepresentativeThe Physicians Alliance Corporation
MarinoFredVoting Member1Medicare Beneficiary RepresentativeN/A
BatieDonnieMD/Voting Member1ACO Participant RepresentativeBaton Rouge General Physician’s Medical Group, LLC
SwarrPeterMD/Voting Member1ACO Participant RepresentativeCool Springs Internal Medicine and Pediatrics, PLLC
CarterDennisMD/Voting Member1ACO Participant RepresentativeFamily Health Associates
LatortueRosemayMD/Voting Member1ACO Participant RepresentativeRosemay T. LaTortue, MD., P.A.
MurphyWayneMD/Voting Member1ACO Participant RepresentativeWayne Murphy
PerkinsMattMD/Voting Member1ACO Participant RepresentativeTennessee Medicine and Pediatrics, PC
BlickMarkMD/Voting Member1ACO Participant RepresentativeMark B. Blick D.O., P.A.
WillisKerryMD/Voting Member1ACO Participant RepresentativeOpen Water Medical PA
ZaveriKiranMD/Voting Member1ACO Participant RepresentativeKiran 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 NameCommittee Leader Name and Position
TP-ACO Patient Care CommitteeWarren McPherson, Chairman
Stones River Patient Care CommitteeDennis 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 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 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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #Measure NameRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control27.5312.46 
134Preventative Care and Screening: Screening for Depression and Follow-up Plan88.1974.38 
236Controlling High Blood Pressure84.0674.87 
318Falls: Screening for Future Fall Risk94.3587.03 
110Preventative Care and Screening: Influenza Immunization88.2180.52 
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention100.0080.97 
113Colorectal Cancer Screening83.8773.63 
112Breast Cancer Screening78.0075.11 
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease88.6484.24 
370Depression Remission at Twelve Months13.4615.50 
321CAHPS for MIPS3N/AN/A 
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups20.15750.1540 
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)230.6433.94 
CAHPS-1Getting Timely Care, Appointments, and Information90.7484.67 
CAHPS-2How Well Providers Communicate95.5493.56 
CAHPS-3Patient’s Rating of Provider93.4392.19 
CAHPS-4Access to Specialists78.5178.80 
CAHPS-5Health Promotion and Education64.4361.61 
CAHPS-6Shared Decision Making63.0560.89 
CAHPS-7Health Status and Functional Status74.8771.78 
CAHPS-8Care Coordination87.0185.66 
CAHPS-9Courteous and Helpful Office Staff93.5991.88 
CAHPS-11Stewardship of Patient Resources24.7224.71 

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.

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. 

  • 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).