Public Reporting

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

  Jwoods@TPACsecure.com     

Organizational Information

ACO participants:

ACO ParticipantsACO Participant in Joint Venture
AHMAD SHANABLEH MD INC A MEDICAL CORPORATIONN
AKWASI SEFAN
AMERICA’S FAMILY DOCTORS, PLLCN
BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP LLCN
Bethesda Rehabilitation Hospital, IncN
BUFFALO MEDICAL CENTER INCN
CHARLES A. GARCIA, MD PAN
CHARLES WOLOHONN
CHRISTINE L. MILLS SMITH, MD, LLCN
CommunityQuickCareofLavergnePCN
COOL SPRINGS INTERNAL MEDICINE & PEDIATRICS, PLLC.N
COOL SPRINGS SURGICAL ASSOCIATES LLCN
DANNY D. CHENG M.D., P.A.N
David E. Ours, MDN
David O Ranz, MDN
DAVID OURSN
DHAR FAMILY MEDICINE, PLLCN
Eric EgliN
Family Care of Middle TennesseeN
FAMILY CARE SPECIALISTS, LLCN
FAMILY FIRST MEDICAL CLINICN
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
Harold T Akin MD PCN
Healing Hands Home Health IncN
HILLSBOROUGH MEDICAL ASSOCIATES LLCN
Internal Medicine Associates LLCN
J CHRIS BECKMAN MD PLLCN
JAMES W GARNER JR MD PCN
Jared C BramlettN
John ByrnesN
JUAN GARCIAN
KEVIN L. KLEIN, DO PAN
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 FAMILY MEDICINEN
Middle Tennessee Plastic Surgery, P.C.N
Middle Tennessee Urology Specialists P.L.L.C.N
MIDTNGYN PLLCN
MIDTOWN DOCTORS GROUP, PAN
NorthfieldFamilyPracticePCN
OPEN WATER MEDICAL PAN
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
SARAH SCHWARTZ WILSON M.D. LLCN
SOUTH TEXAS ADVANCED PRACTICE SOLUTIONS LLCN
STAN J MAYS MD A PROFESSIONAL MEDICAL CORPORATIONN
SulkowskiFamilyMedicine PLLCN
SUNSET POINT MEDICAL ASSOCIATES INCN
Suresh C Saraswat MD, PCN
TENNESSEE HEALTHCARE PARTNERS, LLCN
TENNESSEE MEDICINE & PEDIATRICS, PCN
TERESA HUGGINSN
Thomas P. Melancon MD, LLCN
Wayne Murphy MDN

ACO governing body:

Member Last NameMember First NameMember Title/PositionMember’s Voting Power: expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA, if applicable
CranorKennethMD/Chairman1PresidentThe 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
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
Stones River Patient Care CommitteeDennis Carter, Chairman
Harpeth Patient Care CommitteePeter 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%
  • 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%

Quality Performance Results

2019 Quality Performance Results:

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information89.1785.86
ACO-2CAHPS: How Well Your Providers Communicate94.9994.11
ACO-3CAHPS: Patients’ Rating of Provider92.7592.69
ACO-4CAHPS: Access to Specialists83.5081.54
ACO-5CAHPS: Health Promotion and Education61.8660.44
ACO-6CAHPS: Shared Decision Making62.5862.78
ACO-7CAHPS: Health Status/Functional Status74.7473.79
ACO-34CAHPS: Stewardship of Patient Resources34.2926.17
ACO-45CAHPS: Courteous and He2.61lpful Office Staff92.6192.84
ACO-46CAHPS: Care Coordination88.0386.89
ACO-8Risk Standardized, All Condition Readmission14.5114.86
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions50.4758.15
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.821.87
ACO-13Falls: Screening for Future Fall Risk90.7684.04
ACO-14Preventive Care and Screening: Influenza Immunization68.0974.77
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention100.0078.04
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan88.8970.40
ACO-19Colorectal Cancer Screening80.1670.76
ACO-20Breast Cancer Screening80.0873.84
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease81.7882.17
ACO-40Depression Remission at Twelve Months16.3913.58
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control9.4513.88
ACO-28Hypertension (HTN): Controlling High Blood Pressure79.6975.04

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).