MSSP ACO Public Reporting

ACO Name and Location

Genovista Health, LLC
Previous Names: Genesis Physicians Group, Inc.
5501 LBJ Freeway
Suite 950
Dallas, TX 75240

ACO Primary Contact

Organizational Information

ACO ParticipantsACO Participant in Joint Venture
ALLCARE FAMILY AND URGENT CARE CLINICS PAN
ULTIMATE MEDICAL PAN
North Texas Hospital Physicians GroupN
Jocelyn B Dunham, MD, PAN
DFW FAMILY CLINICN
CHERRY CHANDI, M.D., P.A.N
Kare Family ClinicN
MELROSE CLINIC PLLCN
Randall HayesN
BRYAN G. JOHNSON MD, PAN
IRVING COPPELL PRIMARY CARE DOCTORS PLLCN
QUESTCARE MEDICAL CLINICS PLLCN
Kenneth E. Baird, M.D., P.A.N
Allen Children's Clinic, PAN
YZ HEALTHCARE PAN
SOPHIA RAHMAN MD PLLCN
PREMIER FAMILY MEDICAL, PAN
Dr. Matthew Thompson PllcN
Irving Clinic PLLCN
LIVINGSTON MEDICAL PLLCN
HIGHLAND VILLAGE PRIMARY CARE, P.A.N
Mckinney Comprehensive CareN
KELSOM CLINIC PAN
Randall HayesN
METROPLEX CARE GROUPN
RUSHING FAMILY PRACTICEN
RAKESH SAININ
CURE WITH CARE, PLLCN
Aruna Koney, MD.,PAN
EDUARDO AGUIRRE DO, PAN
FAMILY CENTER VITALEHEALTH, PLLCN
CHUKWUMA OSUAGWU MD PAN
CHIJIOKE D. UKOHA MD PAN
Irwin S. Korngut MdpaN
HENRY R ARMSTRONG MD PAN
MESQUITE REGIONAL INTERNAL MEDICINEN
RUFINO G. TALATALA, M.D., P.A.N
AB Internal Medicine Group PAN
Dennis Dinh Tran M.D.,PA.N
NAUREEN I AGHA MD PLLCN
PRUNA FAMILY MEDICINE PLLCN
Forest Lane Family Medicine, PAN
DOCTOR IS IN, PAN
Sanders Johnston & AssociatesN
MDHELP PLLCN

ACO Governing Body

Member Last NameMember First NameMember Title / PositionMember's Voting Power (Expressed as a % or #)Membership TypeACO Participant Legal Business Name / DBA (if applicable)
KorngutIrwinVoting member1ACO Participant RepresentativeIrwin S. Korngut Mdpa
BairdKennethVoting Member1ACO Participant RepresentativeKenneth E. Baird, M.D., P.A.
YatesScottChairman Voting Member1ACO Participant RepresentativeNorth Texas Hospital Physicians Group
TalatalaRufinoVoting Member1ACO Participant RepresentativeRUFINO G. TALATALA, M.D., P.A.
DunhamJocelynChairman Voting Member1ACO Participant RepresentativeJocelyn B Dunham, MD, PA
Del RosarioEdwinVoting Member1ACO Participant RepresentativeQUESTCARE MEDICAL CLINICS PLLC
JamesWaltonVoting Member1ACO Participant RepresentativeNA
ConoverSkylarVoting Member1Medicare Beneficiary RepresentativeNA

Associated Committees and Committee Leadership

Committee Name
Committee Leader Name and Position
Quality Improvement Committee
Anna Tseng MD, Chair
IT / Compliance Committee
Charles Dunlap MD, Chair
Membership Committee
Scott Yates MD, Chair
Finance Committee
John Tan MD, Chair

Key ACO Clinical and Administrative Leadership

  • James Walton
    ACO Executive
  • Anna Tseng
    Medical Director
  • Jessica Johnson
    Compliance Officer
  • Anna Tseng
    Quality Assurance / Improvement Officer
Types of ACO participants, or combinations of participants, that formed the ACO:
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses
  • First Agreement Period
    • Performance Year 2018, $1,705,464
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: 23%
      • Proportion invested in redesigned care processes/resources: 44%
      • Proportion of distribution to ACO participants: 33%
    •  

Quality Performance Results (2018)

ACO#Measure NameRateACO Mean
ACO-1CAHPS: Getting Timely Care, Appointments, and Information91.1986.14
ACO-2CAHPS: How Well Your Providers Communicate95.4493.93
ACO-3CAHPS: Patients’ Rating of Provider95.3192.45
ACO-4CAHPS: Access to Specialists85.6881.5
ACO-5CAHPS: Health Promotion and Education64.1859.26
ACO-6CAHPS: Shared Decision Making69.0561.94
ACO-7CAHPS: Health Status/Functional Status76.1673.35
ACO-34CAHPS: Stewardship of Patient Resources36.1226.26
ACO-8Risk Standardized, All Condition Readmission15.2714.98
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)18.618.59
ACO-36All-Cause Unplanned Admissions for Patients with Diabetes33.3337.01
ACO-37All-Cause Unplanned Admissions for Patients with Heart Failure72.0776.75
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions56.6859
ACO-43Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)1.741.98
ACO-11Use of Certified EHR Technology10098.2
ACO-12Medication Reconciliation Post-Discharge53.0685.91
ACO-13Falls: Screening for Future Fall Risk7579.73
ACO-44Use of Imaging Studies for Low Back Pain6064.36
ACO-14Preventive Care and Screening: Influenza Immunization73.6172.71
ACO-15Pneumonia Vaccination Status for Older Adults75.975.97
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up79.8676.83
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention7572.81
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan66.5966.74
ACO-19Colorectal Cancer Screening63.6268.27
ACO-20Breast Cancer Screening74.4371.96
ACO-42Statin Therapy for the Prevention and Treatment of Cardiovascular Disease76.8881.47
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control8.2415.51
ACO-41Diabetes: Eye Exam4452.42
ACO-28Hypertension (HTN): Controlling High Blood Pressure76.8273.1
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet83.1988.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Genesis Physicians Group,Inc.” to view the quality performance results. This ACO can also be found by using the ACO ID A3596 in the public use files on data.cms.gov.

Payment Rule Waivers

  • Yes, our ACO does use the SNF 3-Day Rule Waiver.