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 |
| GEORGE C. BAKATSAS, D.P.M., L.L.C. |
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 |
| Lehman Dermatology Clinic, PA |
N |
| Lubbock Dermatology |
N |
| Lubbock Kidney Blood Pressure Clinic PA |
N |
| Lubbock Medical Associates |
N |
| Lubbock Nephrology Associates, PA |
N |
| Lubbock Primary Care, PLLC |
N |
| MATTHEW P SOAPE MD PA |
N |
| METHODIST HOSPITAL LEVELLAND |
N |
| METHODIST HOSPITAL, PLAINVIEW, TEXAS |
N |
| Owen Health Group, PLLC |
N |
| PARATUS MEDICAL, INC |
N |
| PATRICK D REEVES MDPA |
N |
| Priscilla Snodgrass |
N |
| ROBERT ORDONEZ |
N |
| Rodney T Franklin MD PA |
N |
| Ronnelle S Burley Pa |
N |
| Samuel Hale |
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
|
|
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 |
|
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 |
|
Hannel
|
Jeffrey
|
Member
|
1
|
ACO Participant Representative
|
Grace Clinic of Lubbock |
|
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 |
| Sorrell |
Cari
|
Member |
1 |
ACO Participant Representative |
Texas Digestive Disease Consultants |
| 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. 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 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
|
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
|
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.