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 Governing Body

Key ACO Clinical & Administrative Leadership

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

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 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:

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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

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.

Payment Rule Waivers

N/A

Fraud and Abuse Waivers

N/A