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Covenant Health Partners
Covenant ACO

3615 19th Street

Lubbock, Texas 79410

Phone: 806.725.0711

ACO Name & Location

Covenant ACO, Inc.
3615 19th Street
Lubbock, Texas 79410

ACO Primary Contact

Nathan Taylor

Nathan.taylor@stjoe.org

(806)725-3296

ACO Participants

  • Alan D Row, MD PA
  • Associates for Pain Management, PA
  • Cathy Malouf, MD
  • Center for Interventional Pain Management
  • Christopher R Rose, MD PA
  • Covenant Medical Group
  • Covenant Plainview Medical Clinic
  • CSK Medical Partners
  • Devine OBGYN, PA
  • Ear Nose and Throat Associates, PA
  • Elias Ghandour, MD
  • Enrique Rodriguez, MD PA
  • Family First Healthcare of Lubbock, LLC
  • Family Foot and Ankle Care
  • Frank M Ryburn III, MD
  • Hal Leslie Green, MD
  • High Plains Radiation Oncology, LLC
  • James J Boop, MD PA
  • James Terry Gage, MD
  • John Streit, MD PA
  • Justin McCarthy, MD PA
  • Kidney & Blood Pressure Clinic
  • Kim Pershall
  • Kirk J Tiemann, MD PA
  • Lakhu J Rohra, MD
  • Lehman Dermatology Clinic, PA
  • Lubbock Dermatology
  • Lubbock Diagnostic Radiology, LLP
  • Lubbock Digestive Disease Associates
  • Lubbock Medical Associates, LLP
  • Lubbock Surgical Associates, LLP
  • Manoj Khandheria, MD
  • Methodist Hospital Levelland
  • Methodist Hospital Plainview Texas
  • Neurosurgical Associates, LLP
  • Podiatric Medical Partners of TX, PA
  • Priscilla Snodgrass
  • Rebecca Raedeke, MD PA
  • Robert Ordonez, MD PA
  • Rodney T Franklin, MD PA
  • Ronnelle S Burley, MD
  • Samuel A Hale, Jr, MD
  • Samuel G Spikes, MD
  • Sandra D Dickerson, MD PA
  • Schwarzentraub Foot Clinic, PC
  • Sergio Lara, MD PA
  • Susan R Devine, MD
  • SWAT Surgical Associates, LLP
  • West Texas Digestive Disease Center
  • West Texas Eye Associates
  • William A Shaver, MD PA
  • William D Boothe, MD
  • Womens Health Associates, LLP

ACO Participants in Joint Ventures between ACO Professionals and Hospitals (Annotated by asterisk [ * ])

  • No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

  • Dr. Brian Nicholson, Chair, ACO Participant Representative, Covenant Medical Group
  • Dr. Chris Rose, Voting Member and Vice Chair, ACO Participant Representative, Christopher R. Rose, MD, PA
  • Dr. Bill Atkinson, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Amanda Backlund, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. David Blann, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Brian Bruening, Voting Member, ACO Participant Representative, Lubbock Diagnostic Radiology
  • Dr. Susan Devine, Voting Member, ACO Participant Representative, Susan Devine, MD
  • Dr. Shaili Felton, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Angela Ferguson, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Juan Fitz, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. David Gray, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Frederick Hensal, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Srinivas Kadiyala, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Kelly Kensing, Voting Member, ACO Participant Representative, Lubbock Digestive Disease Associates
  • Dr. David Mangold, Voting Member, ACO Participant Representative, Lubbock Surgical Associates, LLP
  • Dr. Nilesh Patel, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Dr. Lakhu Rohra, Voting Member, ACO Participant Representative, Lakhu J. Rohra, MD
  • Dr. Ibrahim Shalaby, Voting Member, ACO Participant Representative, Covenant Medical Group
  • Ms. Artis Ferello, Voting Member, Medicare Beneficiary Representative
  • Ms. Jodell Logan, Voting Member, Medicare Beneficiary Representative
  • Ms. Brenda Wilks, Voting Member, Medicare Beneficiary Representative
  • Dr. Cynthia Brown, Voting Member, Community Stakeholder Representative
  • Dr. Coley Duncan, Voting Member, Community Stakeholder Representative

ACO Key Leadership

  • ACO Executive: Mr. John A. Grigson
  • ACO Medical Director: Dr. Michael Robertson
  • Compliance Official: Mrs. Natalie Ramello
  • Quality Assurance/Improvement Officer: Mr. Nathan Taylor

ACO Committee Leadership Personnel

  • Credentials & Appeals Committee: Dr. Kelly Kensing, Chair
  • Population Health Committee: Dr. Nilesh Patel, Chair
  • Quality & Performance Committee: Dr. Frederick Hensal, Chair

Types of ACO participants or combination of participants that formed the ACO

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Rural Health Clinic (RHC)

Aggregate Amount of Shared Savings/Losses

  • Agreement Period Beginning 2014, Performance Year 2014: $2,542,945
  • Agreement Period Beginning 2014, Performance Year 2015: $0

Shared Savings Distribution

  • Agreement Period Beginning 2014, Performance Year 2014, 2015:
    • Invested in Infrastructure: 25%
    • Invested in Care Redesign: 25%
    • Shared with ACO Participants: 50%

Payment Rule Waivers

  • Yes, our ACO utilizes the SNF 3-Day Rule Waiver effective January 1, 2017, Pending CMS approval
    1. Mtr Management Group Llc dba Bender Terrace
    2. Carillon, Inc. dba Carillon
    3. J F Heritage Llc dba Crown Point
    4. Lakeridge Ltc Partners, Inc. dba Lakeridge
    5. Whisperwood Nursing And Rehab dba Whisperwood

Covenant ACO Quality Performance

  • See 2015 Quality Performance Results Table here.
  • See 2012-2014 Quality Performance Results Table here.

Additional Information

For additional information or general beneficiary questions, please visit www.medicare.gov/acos.html

Call 1-800-MEDICARE (1-800-633-4227 (TTY users should call 1-877-486-2048)) for questions about Accountable Care Organizations.

Privacy & Compliance Information

Have a concern about compliance issues, HIPAA or patient safety? You can submit concerns or ask questions by calling or going online.

Reports may be made anonymously.

Notice of Disclosures