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

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
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
Bigit Milla	Walter	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
Dalton	Jeremy	Member	1	ACO Participant Representative	Covenant Medical Group
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
Henderson	Richard	Member	1	ACO Participant Representative	Covenant Medical Group
Hensal	Frederick	Member	1	ACO Participant Representative	Covenant Medical Group
Mangold	David	Member	1	ACO Participant Representative	SWAT 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:

Associated committees and committee leadership:

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 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

• 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

2019 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	89.41	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	93.06	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	92.74	92.69
ACO-4	CAHPS: Access to Specialists	83.22	81.54
ACO-5	CAHPS: Health Promotion and Education	55.41	60.44
ACO-6	CAHPS: Shared Decision Making	60.67	62.78
ACO-7	CAHPS: Health Status/Functional Status	73.50	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	29.30	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	92.65	92.84
ACO-46	CAHPS: Care Coordination	85.23	86.89
ACO-8	Risk Standardized, All Condition Readmission	14.43	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	50.07	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	1.66	1.87
ACO-13	Falls: Screening for Future Fall Risk	82.24	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	83.53	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	84.00	78.04
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	59.92	70.40
ACO-19	Colorectal Cancer Screening	75.59	70.76
ACO-20	Breast Cancer Screening	74.52	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	78.31	82.17
ACO-40	Depression Remission at Twelve Months	16.67	13.58
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	14.46	13.88
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	64.70	75.04

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.