Louisiana Primary Care Accountable Care Organization, LLC

The Louisiana Primary Care Accountable Care Organization, LLC (LPCACO) was founded by 22 Federally Qualified Health Centers and the Louisiana Primary Care Association in order to enter the Medicare Shared Savings Program (MSSP) for the 2017 program year. LPCACO was selected as one of 99 new Shared Savings Program ACOs, providing Medicare beneficiaries with access to high-quality, coordinated care across the United States. Beginning January 1, 2017, a total of 480 Shared Savings Program ACOs are serving over 9 million assigned beneficiaries.

What is an Accountable Care Organization (ACO)?

ACOs are established to bring together doctors, hospitals, and health care providers to collectively provide higher-quality coordinated care to their patients while helping to slow the growth of healthcare costs. Beneficiaries seeing health care providers in ACOs always have the freedom to choose doctors inside or outside of the ACO.  ACOs have the opportunity to receive a portion of the Medicare savings generated from lowering the growth in health care costs as long as they also meet standards for high-quality care.

For the Shared Savings Program Fact Sheet and a list of the new and renewing ACOs announced, visit the Shared Savings Program News and Updates webpage.

ACO Name and Location

Louisiana Primary Care Accountable Care Organization, LLC
Trade Name/DBA: LPCACO, LLC
503 Colonial Drive Baton Rouge, Louisiana 70806

ACO Primary Contact

Ms. Yvette DeLaune
919-449-4713
ydelaune@lpca.net

Organizational Information

ACO Participants:

ACO Participants ACO Participants in Joint Venture
BATON ROUGE PRIMARY CARE COLLABORATIVE INC
No
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED

DBA: CARESOUTH

No
Catahoula Parish Hospital District No 2
No
DAVID RAINES COMMUNITY HEALTH CENTER, INC.
No
EXCELTH, INCORPORATED
No
HIV/AIDS ALLIANCE FOR REGION TWO, INC
No
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INC
No
INNIS COMMUNITY HEALTH CENTER, INC
No
Jefferson Community Health Care Centers, Inc

DBA: INCLUSIVCARE

No
LAFOURCHE PARISH HOSPITAL DISTRICT NO 1
No
MARILLAC COMMUNITY HEALTH CENTERS

DBA: DEPAUL COMMUNITY HEALTH CENTERS

No
Morehouse Community Medical Centers, Inc.
No
MQVN Community Development Corporation

DBA: NOELA COMMUNITY HEALTH CENTER

No
No/Aids Task Force

DBA: CRESCENTCARE

No
ODYSSEY HOUSE INC LOUISIANA
No
OUTPATIENT MEDICAL CENTER, INC.
No
PRIORITY HEALTH CARE
No
Primary Care Providers For A Healthy Feliciana Inc.

DBA: RKM PRIMARY CARE BATON ROUGE

No
PRIMARY HEALTH SERVICES CENTER
No
SOUTHEAST COMMUNITY HEALTH SYSTEMS
No
Southwest Louisiana Primary Health Care Center, Inc.
No
ST GABRIEL HEALTH CLINIC INC
No
START CORPORATION
No
SWLA CENTER FOR HEALTH SERVICES
No
TECHE ACTION BOARD INC
No
TENSAS COMMUNITY HEALTH CENTER INC
No
Winn Community Health Center, Inc.
No

ACO Governing body:

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name/DBA, if applicable
DeanoThorntonBoard Vice-Chairperson11.11%ACO Participant RepresentativeWinn Community Health Center, Inc.
DodieLaMottBoard Member11.11%ACO Participant RepresentativeSouthwest Louisiana Primary Health Care Center, Inc.
WiltzGaryBoard Member11.11%ACO Participant RepresentativeTECHE ACTION BOARD INC
GerreldaDavisBoard Member11.11%Community Stakeholder RepresentativeN/A
Marshall WayneSmithBoard Member11.11%Medicare Beneficiary RepresentativeN/A
MatthewValliereBoard Member11.11%ACO Participant RepresentativeCAPITOL CITY FAMILY HEALTH CENTER, INCORPORATED/DBA: CARESOUTH
MichaelGriffinBoard Chairperson11.12%ACO Participant RepresentativeMARILLAC COMMUNITY HEALTH CENTERS/DBA: DEPAUL COMMUNITY HEALTH CENTERS
ShondraWilliamsBoard Member11.11%ACO Participant RepresentativeJefferson Community Health Care Centers, Inc./DBA: INCLUSIVCARE
WilliamBrentBoard Member11.11%ACO Participant RepresentativeSWLA CENTER FOR HEALTH SERVICES

Member's voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive:
Gerrelda Davis

Medical Director:
Gary Wiltz

Compliance Officer:
Harry Thompson

Quality Assurance/Improvement Officer:
Andy Principe, Brad Heywood, Gary Wiltz, Ulette Daniels

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Business Development & Payer RelationsMichael Griffin, PhD, Chair
Finance CommitteeMatthew Valliere, Chair
Governance CommitteeDodie LaMott, MD, Chair
Network AdequacyShondra Williams, MD, Chair

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

  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
    • Performance Year 2024, $5,028,780.74
    • Performance Year 2023, $2,215,313.83
    • Performance Year 2022, $4,983,090.00
  • Second Agreement Period
    • Performance Year 2021, $3,783,439.13
    • Performance Year 2020, $4,975,037.75
  • First Agreement Period
    • Performance Year 2019, $2,904,613.51
    • Performance Year 2018, $0
    • Performance Year 2017, N/A

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2026
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2025
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2024
      • Proportion invested in infrastructure: 40%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2023
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:
    • Performance Year 2022
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:
  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:
    • Performance Year 2020
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.

Measure # Measure Name Collection Type Performance Rate Current Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey--
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims-0.1517
484*Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims-37
318Falls: Screening for Future Fall RiskCMS Web Interface--
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface--
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface--
113Colorectal Cancer ScreeningCMS Web Interface--
112Breast Cancer ScreeningCMS Web Interface--
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface--
370Depression Remission at Twelve MonthsCMS Web Interface--
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControleCQM27.7628.16
134Preventative Care and Screening: Screening for Depression and Follow-up PlaneCQM81.9254.68
236Controlling High Blood PressureeCQM65.3971.39
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey--
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey--
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey--
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey--
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey--
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey--
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey--
CAHPS-8Care CoordinationCAHPS for MIPS Survey--
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey--
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey--

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.