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
Name
Ashley NelsonPhone
972.419.0012Email
Ashley.Nelson@genesisdocs.org
Organizational Information
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| 360 CLINICS PLLC | N |
| AB Internal Medicine Group PA | N |
| Allen Children's Clinic, PA | N |
| Aruna Koney, MD.,PA | N |
| BRYAN G. JOHNSON MD, PA | N |
| CHERRY CHANDI, M.D., P.A. | N |
| CHIJIOKE D. UKOHA MD PA | N |
| CHUKWUMA OSUAGWU MD PA | N |
| CORINTHIA MCLEROY, MD PA | N |
| DAPHNE L FAVROTH MD AND ASSOCIATES | N |
| DAVID F. CORRAL, M.D., P.A. | N |
| Dennis Dinh Tran M.D.,PA. | N |
| DOCTOR IS IN, PA | N |
| Dr. Matthew Thompson Pllc | N |
| FAMILY CENTER VITALEHEALTH, PLLC | N |
| FIROZ MEDICAL GROUP, PA | N |
| FLESCHLER & PHILLIPS MEDICAL GROUP LLC | N |
| Forest Lane Family Medicine, PA | N |
| GARY E GOFF MD PA | N |
| HIGHLAND VILLAGE PRIMARY CARE, P.A. | N |
| Irwin S. Korngut Mdpa | N |
| JAMES E RACE MD PA | N |
| JIRCIK MEDICAL GROUP | N |
| Jocelyn B Dunham, MD, PA | N |
| Kare Family Clinic | N |
| KELSOM CLINIC PA | N |
| Kenneth E. Baird, M.D., P.A. | N |
| LISA CLARK | N |
| LIVINGSPRING FAMILY MEDICAL CENTER PLLC | N |
| LIVINGSTON MEDICAL PLLC | N |
| Love Wounds | N |
| MAINMEDPLUS PLLC | N |
| MELROSE CLINIC PLLC | N |
| METROPLEX CARE GROUP | N |
| North Texas Hospital Physicians Group | N |
| PHILLIP M. ARONOFF, M.D., P.A. | N |
| PREMIER FAMILY MEDICAL, PA | N |
| PRUNA FAMILY MEDICINE PLLC | N |
| QUESTCARE MEDICAL CLINICS PLLC | N |
| RAKESH SAINI | N |
| Randall Hayes | N |
| RUFINO G. TALATALA, M.D., P.A. | N |
| RUSHING FAMILY PRACTICE | N |
| SCOTT NEUMANN DO PA | N |
| SINSOTE MEDICAL CARE PLLC | N |
| VITAL CARE CLINIC, LLC | N |
| YZ HEALTHCARE PA | N |
ACO Governing Body
| Member Last Name | Member First Name | Member Title / Position | Member's Voting Power (Expressed as a % or #) | Membership Type | ACO Participant Legal Business Name / DBA (if applicable) |
|---|---|---|---|---|---|
| Korngut | Irwin | Chairman Voting Member | 1 | ACO Participant Representative | Irwin S. Korngut Mdpa |
| Baird | Kenneth | Voting Member | 1 | ACO Participant Representative | Kenneth E. Baird, M.D., P.A. |
| Talatala | Rufino | Voting Member | 1 | ACO Participant Representative | RUFINO G. TALATALA, M.D., P.A. |
| Dunham | Jocelyn | Voting Member | 1 | ACO Participant Representative | Jocelyn B Dunham, MD, PA |
| Opalach | Matthew | Voting Member | 1 | ACO Participant Representative | QUESTCARE MEDICAL CLINICS PLLC |
| Boysselle | Skylar | Voting Member | 1 | Medicare Beneficiary Representative | NA |
Key ACO Clinical and Administrative Leadership
Adam Chabira
ACO ExecutiveAnna Tseng
Medical DirectorJessica Johnson
Compliance OfficerAnna Tseng
Quality Assurance / Improvement Officer
Associated Committees and Committee Leadership
Committee Name | Committee Leader Name and Position |
|---|---|
Quality Improvement Committee | Anna Tseng MD, Chair |
IT / Compliance Committee | Corinthia McLeroy, MD, Co-Chair & Ramon Kare, MD, Co-Chair |
Membership Committee | Scott Yates MD, Chair |
Finance Committee | John Tan MD, Chair |
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
- Performance Year 2019, $1,195,336
- Performance Year 2020, $4,182,206
- Performance Year 2021, $2,928,944
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%
- Performance Year 2019
- Proportion invested in infrastructure: 23%
- Proportion invested in redesigned care processes/resources: 44%
- Proportion of distribution to ACO participants: 33%
- Performance Year 2020
- Proportion invested in infrastructure: 23%
- Proportion invested in redesigned care processes/resources: 44%
- Proportion of distribution to ACO participants: 33%
- Performance Year 2021
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2018
Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| 1 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | 10.33 | 12.46 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 45.61 | 74.38 |
| 236 | Controlling High Blood Pressure | 72.09 | 74.87 |
| 318 | Falls: Screening for Future Fall Risk | 88.67 | 87.03 |
| 110 | Preventative Care and Screening: Influenza Immunization | 76.79 | 80.52 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 71.11 | 80.97 |
| 113 | Colorectal Cancer Screening | 59.8 | 73.63 |
| 112 | Breast Cancer Screening | 64.25 | 75.11 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 88.14 | 84.24 |
| 370 | Depression Remission at Twelve Months | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | 0.1706 | 0.154 |
| MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) | 34.89 | 33.99 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | 87.06 | 84.67 |
| CAHPS-2 | How Well Providers Communicate | 94.06 | 93.56 |
| CAHPS-3 | Patient’s Rating of Provider | 91.36 | 92.19 |
| CAHPS-4 | Access to Specialists | 83.27 | 78.80 |
| CAHPS-5 | Health Promotion and Education | 63.96 | 61.61 |
| CAHPS-6 | Shared Decision Making | 66.84 | 60.89 |
| CAHPS-7 | Health Status and Functional Status | 71.42 | 71.78 |
| CAHPS-8 | Care Coordination | 87.54 | 85.66 |
| CAHPS-9 | Courteous and Helpful Office Staff | 91.24 | 91.88 |
| CAHPS-11 | Stewardship of Patient Resources | 26.44 | 24.71 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
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.