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 Participants

ACO Governing Body

Key ACO Clinical & Administrative Leadership

ACO Executive
Gerrelda Davis
Louisiana Primary Care Association

Medical Director
Gary Wiltz
Teche Action Board, Inc.

Compliance Officer
Harry Thompson
Iberia Comprehensive Community Health Center

Quality Assurance/Improvement Officer
Shannon Robertson
Louisiana Primary Care Association

Associated Committees & Committee Leadership

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:

Second Agreement Period
- Performance Year 2020, $4,975,037.75
- Performance Year 2019, $2,904,613.51
First Agreement Period
- Performance Year 2018, $0
- Performance Year 2017, $0

Shared Savings Distribution:

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

2020 Quality Performance Results:

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.

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

N/A