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)
|
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 |
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
|
Priscilla Snodgrass
|
N
|
Robert Ordonez
|
N
|
Rodney T Franklin MD PA
|
N
|
Ronnelle S Burley PA
|
N
|
SWAT Surgical Associates, LLP
|
N
|
Samuel Hale
|
N
|
Schwarzentraub Foot Clinic, PC
|
N |
Sergio Lara, MD, PA
|
N |
West Texas Digestive Disease Center PA
|
N
|
West Texas Eye PA
|
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
|
|
|
|
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:
Quality Assurance/Improvement Officer
Associated committees and committee leadership:
Committee Leader Name and Position
Population Health Committee
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
|
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.