ACO NAME AND LOCATION

agilon health Texas ACO, Inc.
d/b/a Senior Health Connect ACO 7
440 Polaris Parkway, Suite 550
Westerville, OH 43082

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

8 am – 5 pm PST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 7 and any of its Participating Providers or Preferred Providers and Facilities.

• PARTICIPATING PROVIDERS
• PREFERRED PROVIDERS AND FACILITIES

CLINICAL AND ADMINISTRATIVE LEADERS

ACO Executive: Eric Becker, agilon health
ACO Head of Operations: Quenyona Patterson, agilon health
Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
Chief Technology Officer: Girish Venkatachaliah, agilon health
Finance Director: Kenny Bellendir, agilon health
Chief Legal Officer: Denise Zamore, agilon health
Quality Improvement Leader: Karen Phillippi, agilon health
Medical Director: Gurneet Kohli, MD, Premier Family Physicians

GOVERNING BODY

• Chasity Chase, Chair, Voting Member, Millennium Physician Group, 15.2%
• Kevin Spencer, MD, Voting Member, Premier Family Physicians, 4%
• Gurneet Kohli, MD, Medical Director, Voting Member, Premier Family Physicians, 15.2%
• Truly Peterson, MD, Voting Member, Premier Family Physicians, 15.2%
• Alan Keister, MD, Voting Member, Amarillo Medical Specialists, 15.2%
• Christopher Dingess, MD, Voting Member, Keller Family Medical Center, 15.2%
• Brian Morse, Voting Member, Acting Market President South-Central Region of agilon health, 4%
• Jack Rowe, MD, Voting Member, Senior Medical Director of agilon health, 4%
• Kenny Bellendir, Voting Member, SVP Finance of agilon health, 4%
• Karen Kerkering, Consumer Advocate, Voting Member, Retired, 4%
• John Kauffman, Medicare Beneficiary, Voting Member, Retired, 4%

SHARED SAVINGS & SHARED LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

• First Agreement Period
  • Performance Year 2023: $12,154,381
  • Performance Year 2022: $722,530.10
  • Performance Year 2021: $2,287,666

SHARED SAVINGS DISTRIBUTION

• First Agreement Period
  • Performance Year 2023
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 49%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 51%
  • Performance Year 2022
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 66%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 34%
  • Performance Year 2021
    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 48%
    • Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: 52%

QUALITY PERFORMANCE RESULTS

2023 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 15.09
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 29.72
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 78.81

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 14.85
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 28.15
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 72.36

2021 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%

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