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About Us

tACO 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 Name

Nathan Taylor

Primary Contact Phone Number

Primary Contact Email Address

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Lubbock Medical Associates

N

C. Michel Oliva, M.D. Pa

N

Womens Health Llp

N

Grace Clinic of Lubbock

N

Family First Healthcare Of Lubbock Llc

N

Justin McCarthy, MD, PA

N

West Texas Digestive Disease Center Pa

N

Ronnelle S Burley Pa

N

Lubbock Nephrology Associates, PA

N

Sergio Lara, MD, PA

N

Ear Nose and Throat Associates of Lubbock, PA

N

High Plains Radiation Oncology, LLC

N

SWAT Surgical Associates, LLP

N

Kirk J Tiemann, MD, PA

N

Priscilla Snodgrass

N

Samuel Hale

N

William Boothe

N

CATHY MALOUF, M.D., PA

N

NEUROSURGERY ASSOCIATES OF LUBBOCK, LLP

N

James Gage

N

Lakhu Rohra

N

Family Foot And Ankle Care Pllc

N

ROBERT ORDONEZ

N

Lehman Dermatology Clinic, PA

N

FRANK M RYBURN III, M.D. P.A.

N

Lubbock Digestive Disease Associates

N

Lubbock Kidney Blood Pressure Clinic PA

N

METHODIST HOSPITAL LEVELLAND

N

Associates For Pain Management P.A.

N

Schwarzentraub Foot Clinic, PC

N

Elias Ghandour Pa

N

METHODIST HOSPITAL, PLAINVIEW, TEXAS

N

William A. Shaver, MD, PA

N

John E Streit Md Pa

N

Neurosurgical Associates, LLP

N

James J Boop, MD, PA

N

Covenant Medical Group

N

West Texas Eye P A

N

Lubbock Dermatology

N

Lubbock Diagnostic Radiology, L.L.P.

N

LUBBOCK SURGICAL ASSOCIATES LLP

N

Arthritis & Osteoporosis Associates, LLP

N

Christopher R. Rose, MD, PA

N

PARATUS MEDICAL, INC

N

Lubbock Primary Care, PLLC

N

Owen Health Group, PLLC

N

Rodney T Franklin MD PA

N

MATTHEW P SOAPE MD PA

N

Susan Robertson Devine MD

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

Rose

Christopher

Chair

0

ACO Participant Representative

Christopher R. Rose, MD, PA

Snodgrass

Brad

Vice Chair

1

ACO Participant Representative

Covenant Medical Group

Backlund

Amanda

Member

1

ACO Participant Representative

Covenant Medical Group

Blann

David

Member

1

ACO Participant Representative

Covenant Medical Group

Crossnoe

Chetlen

Member

1

ACO Participant Representative

Grace Clinic of Lubbock

Devine

Susan

Member

1

ACO Participant Representative

Susan Devine, MD

Dixon

Joseph

Member

1

ACO Participant Representative

Grace Clinic of Lubbock

Ferguson

Angela

Member

1

ACO Participant Representative

Covenant Medical Group

Fitz

Juan

Member

1

ACO Participant Representative

Covenant Medical Group

Gray

David

Member

1

ACO Participant Representative

Covenant Medical Group

Henderson

Richard

Member

1

ACO Participant Representative

Covenant Medical Group

Hensal

Frederick

Member

1

ACO Participant Representative

Covenant Medical Group

Kadiyala

Srinivas

Member

1

ACO Participant Representative

Covenant Medical Group

Kensing

Kelly

Member

1

ACO Participant Representative

Lubbock Digestive Disease Associates

Mangold

David

Member

1

ACO Participant Representative

Lubbock Surgical Associates, LLP

Nall

Brent

Member

1

ACO Participant Representative

Grace Clinic of Lubbock
Oakes David 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
Wilks Brenda Member 1 Medicare Beneficiary Representative N/A

Key ACO clinical and administrative leadership:

Michael Robertson, MD

ACO Executive

Michael Robertson, MD

Medical Director

Nathan Taylor

Compliance Officer

Lisa Barrington

Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Credentials Committee

Dr. Kelly Kensing, Chair

Population Health Committee

Dr. Nilesh Patel, Chair

Quality & Performance Committee

Dr. Frederick Hensal, 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

  • Second Agreement Period
    • 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

  • Second Agreement Period
    • 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

89.70

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

93.61

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.57

92.45

ACO-4

CAHPS: Access to Specialists

84.71

81.50

ACO-5

CAHPS: Health Promotion and Education

54.98

59.26

ACO-6

CAHPS: Shared Decision Making

59.83

61.94

ACO-7

CAHPS: Health Status/Functional Status

70.04

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

25.62

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.15

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.02

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

34.97

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

69.87

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

54.08

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

1.72

1.98

ACO-11

Use of Certified EHR Technology

96.52

98.20

ACO-12

Medication Reconciliation Post-Discharge

88.24

85.91

ACO-13

Falls: Screening for Future Fall Risk

74.43

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

57.89

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

77.83

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

75.85

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

88.43

76.83

ACO-17

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

93.10

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

60.63

66.74

ACO-19

Colorectal Cancer Screening

70.40

68.27

ACO-20

Breast Cancer Screening

72.54

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.22

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.41

15.51

ACO-41

Diabetes: Eye Exam

69.92

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

66.48

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

90.91

88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Covenant ACO, Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A2021 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.

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