Organizational Information

ACO Participants

ACO Governing Body

Key ACO Clinical and Administrative Leadership:

ACO Executive: Khalid Wahab, J.D., M.P.H.

Medical Director: Katrina McPherson, M.D.

Compliance Officer: Anju Kumar

Quality Assurance/Improvement Officer: Jorge Melendez, D.B.A, M.B.A.

Associated Committees and Committee Leadership:

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

• ACO professionals in a group practice arrangement
• Hospital employing ACO professionals
• Federally Qualified Health Center (FQHC)
• Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Fourth Agreement Period
  • N/A
• Third Agreement Period
  • N/A
• Second Agreement Period
  • N/A
• First Agreement Period
  • Performance Year 2020, $0.00
  • Performance Year 2021, $0.00
  • Performance Year 2022, $0.00
  • Performance Year 2023, $0.00

Shared Savings Distribution:

• Fourth Agreement Period
  • N/A
• Third Agreement Period
  • N/A
• Second Agreement Period
  • N/A
• First Agreement Period
  • N/A

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface collection type.

¹  A lower performance rate corresponds to a higher quality.

² For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks and, therefore, were not scored.

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

• Waiver for Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

• ACO Pre-Participation Waiver:
• 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.
  • Not applicable

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

  For each arrangement, provide the following information:

  • Parties to the arrangement: THPS Board of Directors
  • Date of arrangement: 03/18/2021
  • Items, services, goods, or facility provided: Specifically, the board has determined that the:
    • ACO arrangement contemplated in 2019 and implemented effective January 2020 meets CMS criteria for ACOs participating in the MSSP Program:
    • The ACO will put the beneficiary and family at the center of all its activities. It will honor individual preferences, values, backgrounds, resources, and skills, and it will thoroughly engage people in shared decision-making about diagnostic and therapeutic options.
    • The ACO will ensure coordination of care for beneficiaries regardless of its time or place.
    • The ACO will attend carefully to care transitions, especially as Beneficiaries journey from one part of the care system to another.
    • The ACO will manage resources carefully and respectfully. Because of its capabilities with respect to prevention and anticipation, especially for chronically ill people, an ACO will be able to continually reduce its dependence on in patient care, Instead, its patients will more likely be able to be home, where they often want to be, and, during a hospital admission, they receive assurance that their discharges will be well coordinate, and that they will not return due to avoidable complications.
    • The ACO will be proactive by reaching out to patients with reminders and advice that can help them stay healthy and let them know when it is time for a checkup or test.
    • The ACO will collect, evaluate, and use data on health care processes and outcomes sufficiently to measure what it achieves for beneficiaries and communities over time and use such data to improve care delivery and patient outcomes.
    • The ACO will be innovative in the service of the quadruple aim. It will draw upon the best, most advanced models of care, using modern technologies, including telehealth and electronic health records, and other tools to continually reinvent care in the modern age. It will monitor and compare its performance to other ACOs, identify and examine new processes for care improvement, and adopt those approaches that are demonstrated to be effective.
    • The ACO will continually invest in the development and pride of its own workforce, including affiliated clinicians. It will maintain and execute plans for helping build skill, knowledge, and teamwork.
  • Date and nature of any amendments to the arrangement, if applicable: N/A