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.