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About Us

ACO Name and Location

Covenant ACO, Inc.
Previous Legal Business Entity Name: Covenant Health Partners, Inc.
3615 19th St
Lubbock, Texas 79410

ACO Primary Contact

Nathan Taylor
(806) 725-3296
Nathan.Taylor@stjoe.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
ALAN D ROW MD PA N
Arthritis & Osteoporosis Associates, LLP N
Associates For Pain Management P.A. N
C. Michel Oliva, M.D. Pa N
CATHY MALOUF, M.D., PA N
Christopher R. Rose, MD, PA N
Covenant Medical Group N
Ear Nose and Throat Associates of Lubbock, PA N
Elias Ghandour Pa N
Family First Healthcare Of Lubbock Llc N
Family Foot And Ankle Care Pllc N
Grace Clinic of Lubbock N
James Gage N
James J Boop, MD, PA N
John E Streit Md Pa N
Justin McCarthy, MD, PA N
Kirk J Tiemann, MD, PA N
Lakhu Rohra N
Lubbock Dermatology N
Lubbock Kidney Blood Pressure Clinic PA N
Lubbock Medical Associates N
Lubbock Nephrology Associates, PA N
MATTHEW P SOAPE MD PA N
METHODIST HOSPITAL LEVELLAND N
METHODIST HOSPITAL, PLAINVIEW, TEXAS N
Owen Health Group, PLLC N
PATRICK D REEVES MDPA N
Priscilla Snodgrass N
ROBERT ORDONEZ N
Schwarzentraub Foot Clinic, PC N
Sergio Lara, MD, PA N
SWAT Surgical Associates, LLP N
West Texas Digestive Disease Center Pa N
West Texas Eye P A N
William A. Shaver, MD, PA N
Womens Health Llp N

ACO Governing Body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Snodgrass Brad Chair 0 ACO Participant Representative Covenant Medical Group
Crossnoe Chetlen Vice Chair 1 ACO Participant Representative Grace Clinic of Lubbock
Brown Jeremy Member 1 ACO Participant Representative Covenant Medical Group
Collins Christopher Member 1 ACO Participant Representative Grace Clinic of Lubbock
Dalton Jeremy Member 1 ACO Participant Representative Covenant Medical Group
Ferguson Angela Member 1 ACO Participant Representative Covenant Medical Group
Gadwala Swetha Member 1 ACO Participant Representative Neurosurgical Associates LLP
Hannel Jeffrey Member 1 ACO Participant Representative Grace Clinic of Lubbock
Henderson Richard Member 1 ACO Participant Representative Covenant Medical Group
Hill Joshua Member 1 ACO Participant Representative Covenant Medical Group
Landry Joel Member 1 ACO Participant Representative Covenant Medical Group
Nall Brent Member 1 ACO Participant Representative Grace Clinic of Lubbock
Owen Ryan Member 1 ACO Participant Representative Covenant Medical Group
Patel Nilesh Member 1 ACO Participant Representative Covenant Medical Group
Rohra Lakhu Member 1 ACO Participant Representative Lakhu J. Rohra, MD
Rozean Randy Member 1 ACO Participant Representative

Family First HealthCare

Soriano

Karen

Member 1 ACO Participant Representative Covenant Medical Group
Sorrell

Cari

Member 1 ACO Participant Representative Texas Digestive Disease Consultants
Strefling

Jason

Member 1 ACO Participant Representative Covenant Medical Group
Yates

Marissa

Member 1 ACO Participant Representative Covenant Medical Group
Deshan Preston Member 0 Medicare Beneficiary Representative N/A
Kimble Roger Member 0 Medicare Beneficiary Representative N/A
Rogers Kelly Member 0 Medicare Beneficiary Representative N/A
Franklin Linda Member 0 Medicare Beneficiary Representative N/A
Neal Nancy Member 0 Medicare Beneficiary Representative N/A
Shropshire Jack Member 0 Medicare Beneficiary Representative N/A
Zwiacher Ann Member 0 Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

Title Name
ACO Executive Michael Robertson, MD
Medical Director Michael Robertson, MD
Compliance Officer Nathan Taylor
Quality Assurance/Improvement Officer Lisa Barrington

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Credentials Committee Dr. Jeremy Brown, Chair
Population Health Committee Dr. Randolph Rozean, Chair
Quality & Performance Committee Dr. Brad Snodgrass, Chair

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2021, $3,392,164
    • Performance Year 2020, $2,467,947
  • Second Agreement Period
    • Performance Year 2019, -$688,512
    • Performance Year 2018, $2,415,533
    • Performance Year 2017, $282,266
  • First Agreement Period
    • Performance Year 2016, $2,659,327
    • Performance Year 2015, $0
    • Performance Year 2014, $2,542,945

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2021 - (preliminary, will be finalized in Oct 2022)
      • Proportion invested in infastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2020
      • Proportion invested in infastructure: 26%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 54%
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infastructure: 17%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 48%
    • Performance Year 2017
      • Proportion invested in infastructure: 25%
      • Proportion invested in redesigned care processes/resources: 8%
      • Proportion of distribution to ACO participants: 66%
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 8%
      • Proportion of distribution to ACO participants: 66%
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure ID

Measure Name

Rate

All ACOs

CAHPS-1

Getting Timely Care, Appointments, and Information

85.37

84.67

CAHPS-2

How Well Your Providers Communicate

92.04

93.56

CAHPS-3

Patients’ Rating of Provider

92.97

92.19

CAHPS-4

Access to Specialists

80.84

78.80

CAHPS-5

Health Promotion and Education

56.97

61.61

CAHPS-6

Shared Decision Making

56.87

60.89

CAHPS-7

Health Status and Functional Status

71.85

71.78

CAHPS-8

Care Coordination

84.40

85.66

CAHPS-9

Courteous and Helpful Office Staff

89.86

91.88

CAHPS-11

Stewardship of Patient Resources

26.79

24.71

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

13.07

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

59.30

74.38

236

Controlling High Blood Pressure

72.24

74.87

318

Falls: Screening for Future Fall Risk

82.92

87.03

110

Preventive Care and Screening: Influenza Immunization

82.50

80.52

226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

77.27

80.97

113

Colorectal Cancer Screening

72.33

73.63

112

Breast Cancer Screening

74.76

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80.74

84.24

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

0.1333

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)

24.13

33.99

  • Please note, the Quality ID # 370 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:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.
  • Waiver for Payment for Telehealth Services
    • Our ACO clinicians do provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

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