Public Reporting

Review our ACO structure and historical performance

ACO Name and Location

Texoma Clinical Partners ACO LLC
Address
367 S. Gulph Road, King of Prussia, PA 19406
Primary Contact
April Reining - (806) 279-2567

ACO Organizational Information

ACO Participants
ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Benarji Tegala MD PA N
Center for Family Medicine PA Y
Family Care Center of Durant PC  N
Grayson County Health Clinic N
Greater Texoma Health Clinic N
TexomaCare Y

 

ACO Governing Body
Last name First name Title/Position Member’s voting power (expressed as a percentage or number) Membership type ACO participant legal business name/DBA, if applicable
Carlson Duke Physician 11% Participant TexomaCare
Dardeau Sean Administration 11% Administrator Texoma Medical Center
Flewelen Lauren Physician 11% Participant Grayson County Health Clinic
Goodwin Shannon Physician 11% Participant TexomaCare
Hodge Brad Physician 11% Participant Center for Family Medicine PA
Kirshman Harry Medicare Beneficiary 11% Participant N/A
Sanders Bob Physician 11% Participant TexomaCare
Tarpley Jim Physician 11% Participant TexomaCare
Truly Ted Physician 11% Participant TexomaCare

Due to rounding, "Members Voting Power" may not equal 100%

Key ACO clinical and administrative leadership

ACO Executive: Kamal Jemmoua
Medical Director: Robert Sanders
Compliance Officer: Michael von Arx
Quality Assurance/Improvement Officer: April Reining

Associated committees and committee leadership
Committee Name Committee Leader Name and Position
Clinical Committee

Dr. Bob Sanders, Board Chair

Finance Committee

Dr. Bob Sanders, Board Chair

Quality Assurance and Improvement Committee

Dr. Bob Sanders, Board Chair

 

Types of ACO Participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement.
  • A network of individual practices of ACO professionals.
Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2022: $0
    • Performance Year 2021: $2,081,293
    • Performance Year 2020: $2,623,982
    • Performance Year 2019: $1,189,212

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2022:
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2021:
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2020:
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2019:
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 70%
Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on the CMS Web Interface. 

Measure # Measure Name Rate ACO Mean
CAHPS-1  CAHPS: Getting Timely Care, Appointments, and Information 91.24   83.96
CAHPS-2  CAHPS: How Well Your Providers Communicate 95.83 93.47
CAHPS-3  CAHPS: Patients’ Rating of Provider 94.08 92.06
CAHPS-4  CAHPS: Access to Specialists 85.09 77.00
CAHPS-5  CAHPS: Health Promotion and Education 63.26 62.68
CAHPS-6  CAHPS: Shared Decision Making 67.28 60.97
CAHPS-7  CAHPS: Health Status and Functional Status 71.49 73.06
CAHPS-8  CAHPS: Care Coordination 90.31 85.46
CAHPS-9 CAHPS: Courteous and Helpful Office Staff 95.12 91.97
CAHPS-11  CAHPS: Stewardship of Patient Resources 30.08 25.62
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] 4.56 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 80.07 76.97
236 Controlling High Blood Pressure 73.23 76.16
318 Falls: Screening for Future Fall Risk 97.58 87.83
110 Preventative Care and Screening: Influenza Immunization 81.17 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.56 79.27
113 Colorectal Cancer Screening 80.23 75.32
112 Breast Cancer Screening 71.68 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 81.53 86.37
370 Depression Remission at Twelve Months 4.44 16.03
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] 0.1629 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] 39.76 30.97
  • For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers: 

  1. Skilled Nursing Facility (SNF) 3-Day Rule Waiver: Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

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
Hospital employing ACO professionals