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
Primary Contact Phone Number
Primary Contact Email Address
Organizational Information
ACO participants:
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
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 |
Wilks |
Brenda |
Member |
1 |
Medicare Beneficiary Representative |
N/A |
Key ACO clinical and administrative leadership:
Quality Assurance/Improvement Officer
Associated committees and committee leadership:
Committee Leader Name and Position
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 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 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
2020 Quality Performance Results:
ACO Measure
|
Measure Name
|
Rate
|
All ACOs
|
ACO-1
|
CAHPS: Getting Timely Care, Appointments, and Information
|
N/A
|
Waived for 2020
|
ACO-2
|
CAHPS: How Well Your Providers Communicate
|
N/A
|
Waived for 2020
|
ACO-3
|
CAHPS: Patients’ Rating of Provider
|
N/A
|
Waived for 2020
|
ACO-4
|
CAHPS: Access to Specialists
|
N/A
|
Waived for 2020
|
ACO-5
|
CAHPS: Health Promotion and Education
|
N/A
|
Waived for 2020
|
ACO-6
|
CAHPS: Shared Decision Making
|
N/A
|
Waived for 2020
|
ACO-7
|
CAHPS: Health Status/Functional Status
|
N/A
|
Waived for 2020
|
ACO-34
|
CAHPS: Stewardship of Patient Resources
|
N/A
|
Waived for 2020
|
ACO-8
|
Risk Standardized, All Condition Readmission
|
14.34
|
15.07
|
ACO-38
|
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
|
41.31
|
49.50
|
ACO-43
|
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality
Indicator (PQI) #91)
|
0.67
|
0.95
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
71.67
|
84.97
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
77.75
|
76.03
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
91.49
|
81.67
|
ACO-18
|
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
|
51.38
|
71.76
|
ACO-19
|
Colorectal Cancer Screening
|
72.18
|
72.59
|
ACO-20
|
Breast Cancer Screening
|
71.51
|
74.05
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
78.06
|
83.37
|
ACO-40
|
Depression Remission at Twelve Months
|
9.09
|
13.99
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
16.26
|
14.70
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
66.91
|
72.87
|
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.