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
503 Colonial Drive Baton Rouge, Louisiana 70806

ACO Primary Contact

Gerrelda Davis, CEO
225-927-7662, ext. 207
gdavis@lpca.net

Organizational Information

ACO Participants:

ACO Participants ACO Participants in Joint Venture
BATON ROUGE PRIMARY CARE COLLABORATIVE INCY
CAPITOL CITY FAMILY HEALTH CENTER, INCORPORATEDY
Catahoula Parish Hospital District No 2Y
DAVID RAINES COMMUNITY HEALTH CENTER, INC.Y
EXCELTH, INCORPORATEDY
HIV/AIDS ALLIANCE FOR REGION TWO, INCY
IBERIA COMPREHENSIVE COMMUNITY HEALTH CENTER INCY
INNIS COMMUNITY HEALTH CENTER, INCY
Jefferson Community Health Care Centers, IncY
MARILLAC COMMUNITY HEALTH CENTERSY
MQVN Community Development CorporationY
Morehouse Community Medical Centers, Inc.Y
ODYSSEY HOUSE INC LOUISIANAY
OUTPATIENT MEDICAL CENTER, INC.Y
No/Aids Task ForceY
PRIORITY HEALTH CAREY
Primary Care Providers For A Healthy Feliciana Inc.Y
PRIMARY HEALTH SERVICES CENTERY
SOUTHEAST COMMUNITY HEALTH SYSTEMSY
START CORPORATIONY
Southwest Louisiana Primary Health Care Center, Inc.Y
ST GABRIEL HEALTH CLINIC INCY
SWLA CENTER FOR HEALTH SERVICESY
TECHE ACTION BOARD INCY
TENSAS COMMUNITY HEALTH CENTER INCY
Winn Community Health Center, Inc.Y

ACO Governing body:

Member Last Name Member First Name Member Title/Position Member's Voting Power Membership Type ACO Participant Legal Business Name/DBA, if applicable
BrentWilliamMr/ Chairman1ACO Participant RepresentativeSWLA Center for Health Services, Inc.
ThorntonDeanoMr/Vice-Chairman1ACO Participant RepresentativeWinn Community Health Center, Inc.
CampbellRoderickMr/Secretary/Treasurer1ACO Participant RepresentativeIberia Comprehensive Community Health Center, Inc.
GriffinMichaelDr/Chairman1ACO Participant RepresentativeMarillac Community Health Centers
LaMottDodieDr/Voting Member1ACO Participant RepresentativeSouthwest LA Primary Health Care Center
ParnellKatieMs/Voting Member1ACO Participant RepresentativeMorehouse Community Medical Centers, Inc.
SmithMarshall WayneMr/Voting Member1Medicare BeneficiaryN/A
WiltzGaryDr/Voting Member1ACO Participant RepresentativeWinn Community Health Center, Inc.
WilliamsShondraDr/Voting Member1ACO Participant RepresentativeJefferson Community Health Care Centers, Inc.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Gerrelda Davis
ACO Network Director: Nakeisha R. Cleveland
Medical Director: Gary Wiltz, MD
Compliance Officer: Harry Thompson
Quality Assurance/Improvement Officer: Shannon Robertson

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Operations CommitteeShondra Williams, Chair
Finance CommitteeRoderick Campbell, Chair
Clinical CommitteeGary Wiltz, Chair
IT/Data CommitteeShondra Williams, 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 2022, $4,983,089.65
  • 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, $0

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 30%
  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 30%
    • Performance Year 2020
      • Proportion invested in infrastructure: 21%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 39%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 60%
    • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure # Measure Name Collection Type Rate ACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]CMS Web Interface20.5410.71
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface84.2376.97
236Controlling High Blood PressureCMS Web Interface57.0476.16
318Falls: Screening for Future Fall RiskCMS Web Interface67.5187.83
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface48.4377.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface66.6779.27
113Colorectal Cancer ScreeningCMS Web Interface51.2875.32
112Breast Cancer ScreeningCMS Web Interface58.2378.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface87.6086.37
370Depression Remission at Twelve MonthsCMS Web Interface23.2116.03
321CAHPS for MIPS [3]CMS Web InterfaceN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]CMS Web Interface------
484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]CMS Web Interface------
Measure # Measure Name Collection Type Rate ACO Mean
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey86.4783.96
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey91.4993.47
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey90.8592.06
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey83.7077.00
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey59.6862.68
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey57.4360.97
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey72.7373.06
CAHPS-8Care CoordinationCAHPS for MIPS Survey85.4385.46
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.4491.97
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey24.4425.62

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

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