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
Arthritis & Osteoporosis Associates, LLP N
C. Michel Oliva, M.D. Pa N
Cathy Malouf, M.D., PA N
Christopher R. Rose, MD, PA N
Cornerstone OB-GYN PLLC N
Covenant Medical Group N
David R. Long M.D., P.A. N
Ear Nose and Throat Associates of Lubbock, PA N
Family First Healthcare Of Lubbock Llc N
Grace Clinic of Lubbock N
Hill Medical Associates, LLP N
James Gage N
Kirk J Tiemann, MD, PA N
Lakhu Rohra N
Lubbock Kidney Blood Pressure Clinic PA N
Lubbock Nephrology Associates, PA N
Methodist Hospital Levelland N
Methodist Hospital, Plainview, Texas N
Owen Health Group, PLLC N
Robert Ordonez N
Schwarzentraub Foot Clinic, PC N
Sergio Lara, MD, PA N
SWAT Surgical Associates, LLP N
West Texas Eye P A N
West Texas Neurology Clinic LLC 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
Foster Dominique 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
Long David Member 1 ACO Participant Representative Lubbock Cooper Health Center
Nall Brent Member 1 ACO Participant Representative Grace Clinic of Lubbock
Owen Ryan Member 1 ACO Participant Representative Covenant Medical Group
Rose Christopher Member 1 ACO Participant Representative Christopher R Rose MD PA
Rozean Randy Member 1 ACO Participant Representative

Family First HealthCare

Sallee Caleb Member 1 ACO Participant Representative SWAT Surgical Associates
Soriano

Karen

Member 1 ACO Participant Representative Covenant Medical Group
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
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 Walter Cathey
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. Jeffrey Hannel, 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 2022, $5,349,938
    • Performance Year 2021, $3,392,164
    • Performance Year 2020, $2,467,947
  • Second Agreement Period
    • Performance Year 2019, -$688,512
      • Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared losses amount reported for Performance Year 2019 therefore represents net shared losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
    • 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 2022
      • Proportion invested in infastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2021
      • 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
      • Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019 therefore represents net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
    • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure #

Measure Name

Collection Type

Rate

ACO Mean

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

83.63

83.96

CAHPS-2

How Well Your Providers Communicate

CAHPS for MIPS Survey

91.23

93.47

CAHPS-3

Patients’ Rating of Provider

CAHPS for MIPS Survey

92.40

92.06

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

78.15

77.00

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

55.85

62.68

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

57.56

60.97

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

75.80

73.06

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

83.27

85.46

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

91.76

91.97

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

24.27

25.62

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

CMS Web Interface

14.81

10.71

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

64.08

76.97

236

Controlling High Blood Pressure

CMS Web Interface

67.05

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

89.01

87.83

110

Preventive Care and Screening: Influenza Immunization

CMS Web Interface

80.56

77.34

226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

CMS Web Interface

63.64

79.27

113

Colorectal Cancer Screening

CMS Web Interface

70.09

75.32

112

Breast Cancer Screening

CMS Web Interface

72.87

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

80.56

86.37

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1240

0.1510

484

Clinician & Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Administrative Claims

22.19

30.97

  • 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.