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 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
Rozean	Randy	Member	1	ACO Participant Representative	Family First HealthCare
Soriano	Karen	Member	1	ACO Participant Representative	Covenant Medical Group
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
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. Jeffrey Hannel, 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 2022, $5,349,938
  • Performance Year 2021, $3,392,164
  • Performance Year 2020, $2,467,947
• Second Agreement Period
  • Performance Year 2019, -$688,512
    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared losses amount reported for Performance Year 2019 therefore represents net shared losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
  • 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 2022 - (preliminary, will be finalized in Oct 2023)
    • Proportion invested in infastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2021
    • 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
    • Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019 therefore represents net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
  • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	83.63	83.96
CAHPS-2	How Well Your Providers Communicate	CAHPS for MIPS Survey	91.23	93.47
CAHPS-3	Patients’ Rating of Provider	CAHPS for MIPS Survey	92.40	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	78.15	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	55.85	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	57.56	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.80	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.27	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.76	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	24.27	25.62
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	14.81	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	64.08	76.97
236	Controlling High Blood Pressure	CMS Web Interface	67.05	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	89.01	87.83
110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	80.56	77.34
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	63.64	79.27
113	Colorectal Cancer Screening	CMS Web Interface	70.09	75.32
112	Breast Cancer Screening	CMS Web Interface	72.87	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	80.56	86.37
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1240	0.1510
484	Clinician & Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	22.19	30.97

• 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.