ICPACO

ACO Name and Location

IntraCare Premier ACO
16200 Addison Road
Suite 155
Addison, TX 75001

ACO Primary Contact

Barbara Mueller
972-417-8937
intracare.vbc.communications@theintracare.com

Organizational Information:

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
ACCESS WELLNESS RESOURCES	N
ADVANCED FAMILY MEDICAL CARE PA	N
ALLEN FRIENDS & FAMILY CLINIC PLLC	N
ALPHA PHYSICIANS OF TEXAS P.A.	N
ALWAYS BEST CARE MEDICAL CTR	N
ANGELO VU DO PA	N
ARCHANA CHANDRA, MD, PA	N
BROOKS TROTTER	N
CAITLIN ZALAR	N
CHRIS L. STURCH, M.D., INC.	N
DAVID N PODGURECKI, MD PA	N
DFW PRIMARY CARE PLLC	N
DONALD WHITCOMB	N
DR. TANVIR AHMAD AND DR. FAUZIA KHALIDA OSAMA M.D. PA	N
FAMILY CARE MEDICAL CENTER	N
FREDERICKSBURG FAMILY CLINIC PA	N
GAMAL ABOUL NASR	N
HERIBERTO SALINAS MD PA	N
IKECHUKWU OSUJI, M.D PA	N
JAISWAL CLINIC PLLC	N
JOHN FERRIS	N
KEVIN J KALLAL MD PA	N
LIFES CYCLE WOMENS CARE PC	N
LONGVIEW WELLNESS CENTER INC	N
LOUIS A TORRES JR MD PLLC	N
MARK R. KLEIN, D.O. & ASSOCIATES, PLLC	N
MARTYN GORDON	N
MCKINNEY ADULT MEDICINE PA	N
MIMBRES INTERNAL MEDICINE PA	N
PATRICK W HISEL, MD, PA	N
PROJECT VIDA HEALTH CENTER	N
QUALITY CARE HEALTH CLINICS OF NORTH TEXAS PLLC	N
RACHEL SIM MD PA	N
RAJAN KHANNA MD APMC	N
RICHARDSON PRIMARY CARE CLINIC LLC	N
ROBERT R. MCLEROY, M.D. & ASSOCIATES A PROFESSIONAL LLC	N
ROBERT TULLY	N
SHANNON DESHAZO	N
SONG LEE	N
SOPHIA RAHMAN MD PLLC	N
SOUTHERN ENDOCRINOLOGY ASSOCIATES	N
SOUTHERN MEDICAL ASSOCIATES PLLC	N
STEVE WATKINS DO PC	N
THOMAS J. MILLER, M.D., P.A.	N
TIMARRON FAMILY MEDICINE PA	N
TIMOTHY BRINKMAN	N
TRUESMEDICINE PA	N
VIP HEALTHCARE PLLC	N
YVONNE REED	N

ACO Governing Body:

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage	Membership Type	ACO Participant Legal Business Name, if applicable
Deepak	Jaiswal	M.D., Chairmain, Voting Member	10%	Physician Participant	Jaiswal Clinic PLLC
Michael	Parisi	D.O., Vice Chairman, Voting Member	10%	Physician Participant	McKinney Adult Medicine, PA
Mohammad	Amir	Medical Director	10%	Physician Participant	Richardson Primary Care Clinic LLC
Song	Lee	M.D., Voting Member	10%	Physician Participant	Song Lee
Andrew	Carroll	M.D., Voting Member	10%	Physician Participant	Access Wellness Resources
C. Reene	Branch	D.O., Voting Member	10%	Physician Participant	Tyler Internal Medicine Associates PA
Alice	Chen	D.O., Voting Member	10%	Physician Participant	Alice Chen, DO
Keith	Rigsby	M.D., Voting Member	10%	Physician Participant	VIP Healthcare PLLC
		Medicare Beneficiary	10%	Medicare Beneficiary
Anwar	Kazi	CEO IntraCare, Voting Member	10%	ACO Executive	N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Anwar Kazi

Medical Director: Mohammad Amir, MD

Compliance Officer: Anwar Kazi

Quality Assurance/Improvement Officer: Barbara Viso

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
None	N/A

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

Networks of individual practices of ACO professionals

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- No
Waiver for Payment for Telehealth Services:
- No

Fraud and Abuse Waivers

ACO Pre-Participation Waiver:
- N/A
ACO Participation Waiver:
- N/A

Shared Savings and Losses

Amount of Shared Savings/Losses:

First Agreement Period
- Performance Year 2023, $2,239,299

Shared Savings Distribution:

First Agreement Period
- Performance Year 2023: $1,645,884.97

Quality Performance Results:

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface Measure Set

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	8.36	9.84
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	64.13	80.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	74.71	77.80
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	90.82	89.42
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	65.34	70.76
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	74.42	79.29
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	66.32	77.14
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	63.29	80.36
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	87.06	87.05
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	4.84	16.58
Quality ID# 321	CAHPS for MIPS [3]	CMS Web Interface	7.50	6.25
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	CMS Web Interface	0.1547	0.1553
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	CMS Web Interface	---	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	87.27	83.68
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.09	93.69
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.16	92.14
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	80.24	75.97
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	62.02	63.93
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.02	61.60
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.16	74.12
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.65	85.77
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.12	92.31
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	30.16	26.69