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Shared Savings Program Public Reporting

ACO Name and Location

Zenith Independent Physicians ACO
1762 E.Common St.
New Braunfels, TX 78130

ACO Primary Contact

Michelle Robinson
407-765-6878
michelle.robinson@innovacarehealth.com

Organizational Information

ACO Participants:

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ACO Participants ACO Participant in Joint Venture
PAK MEDICAL GROUP PLLC No
ALEMU MEDICAL HOME PLLC No
ANGELICA MARTINEZ FAMILY PRACTICE, PLLC No
BORDER CLINIC PLLC No
C BRIEN WOFFORD DO PA No
DEAN L ZINCONE MD PA No
EDGAR REYNA, MD, PA No
RIVER ACRES MEDICAL GROUP PA No
ROBERT L FRETS, MD, PA No
SAGE MEDICINE PA No
Sankararao Tamtam, MD PA No
SU CLINICA FAMILIAR No

ACO Governing Body:

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Member First Name Member Last Name Member Title/Position Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Ravi Chari Voting Member; Chief Operating Officer; Board Chair 12.50% ACO Participant Representative Pak Medical Group PLLC
James Bartay, MD Voting Member 12.50% ACO Participant Representative River Acres Medical Group PA
Reddy Chandrasekhar, MD Voting Member 12.50% ACO Participant Representative Su Clinica Familiar
Filameno Gonzales, MD Voting Member 12.50% ACO Participant Representative Pak Medical Group PLLC
Dennis Kaderli Voting Member 12.50% Medical Beneficiary Representative N/A
David Pak, DO Voting Member; Medical Director 12.50% ACO Participant Representative Pak Medical Group PLLC
Dane Parker, DC, APRN-C Non-Voting Member 0 ACO Participant Representative Pak Medical Group PLLC
Michelle Robinson Voting Member; ACO Director of Operations 12.50% ACO Participant Representative Pak Medical Group PLLC
Dean Zincone, MD Voting Member 12.50% ACO Participant Representative Dean L Zincone MD PA

Key ACO Clinical and Administrative Leadership:

ACO Executive: Michelle Robinson
Medical Director: David Pak, DO
Compliance Office: Tammy Bowen
Quality Assurance/Improvement Officer: Kisha Williams, LVN, MBA

Associated Committees and Committee Leadership:

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Committee Name Committee Leader Name and Position
Operational Committee & Finance Chief Operating Officer, Ravi Chari
Operational Committee & Finance Director of ACO Operations, Michelle Robinson
Operational Committee & Finance Chief Financial Officer – NJ • Corporate_INNO, Doug Malton
Operational Committee & Finance VP Of Finance • Finance-Financial Planning_MFLH, Alejandro Mursuli
Clinical Integration & Quality Improvement Chief Information Officer • IT, Ron Margalit
Clinical Integration & Quality Improvement Director of ACO Operations, Michelle Robinson
Clinical Integration & Quality Improvement Chief Operating Officer, Ravi Chari
Clinical Integration & Quality Improvement Quality, Dina Goldberg
Clinical Integration & Quality Improvement Medical Director for Clinical Services, Lilian Alevato
Clinical Integration & Quality Improvement Care Coordination, Lilian Alevato
Compliance Committee Director of Compliance, Misty Kelly
Compliance Committee Director of ACO Operations, Michelle Robinson
Compliance Committee Representative from Quality Oversight, Dina Goldberg
Compliance Committee Representative from Care Coordination, Lilian Alevato
Compliance Committee Chief Operating Officer, Ravi Chari

ACO Participants:

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

Shared Savings Distribution:

Quality Performance Results:

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Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 13.26 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 68.36 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 77.97 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 65.39 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 59.41 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 69.14 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 53.27 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 66.89 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 81.27 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 20.00 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1604 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 25.54 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CMS Web Interface 87.50 83.96
CAHPS-2 How Well Providers Communicate CMS Web Interface 94.40 93.47
CAHPS-3 Patient’s Rating of Provider CMS Web Interface 92.47 92.06
CAHPS-4 Access to Specialists CMS Web Interface 78.13 77.00
CAHPS-5 Health Promotion and Education CMS Web Interface 63.93 62.68
CAHPS-6 Shared Decision Making CMS Web Interface 65.08 60.97
CAHPS-7 Health Status and Functional Status CMS Web Interface 73.05 73.06
CAHPS-8 Care Coordination CMS Web Interface 87.22 85.46
CAHPS-9 Courteous and Helpful Office Staff CMS Web Interface 90.14 91.97
CAHPS-11 Stewardship of Patient Resources CMS Web Interface 29.24 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

 

Payment Rule Waivers

 

Fraud and Abuse Waivers

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.