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 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