Skip to main navigation ABOUT US CONTACT US CAREERS FIND A DOCTOR ACO Model Breadcrumb HOME Next Generation ACO Model Information Notice: CMS has announced that the Next Generation ACO Model will end effective December 31, 2021. Southwestern Health Resources is committed to value-based care and will announce our 2022 participation soon. Next Generation ACO Model Public Reporting Guidance ACO Name and Location Southwestern Health Resources Accountable Care Network 1601 Lyndon B, Johnson Freeway, Suite 800 Farmers Branch, Texas 75234 Mailing address: 1601 Lyndon B. Johnson Freeway, Suite 800 Farmers Branch, Texas 75234 Hours of Operation: Monday: 8 a.m. – 5 p.m. Tuesday: 8 a.m. – 5 p.m. Wednesday: 8 a.m. – 5 p.m. Thursday: 8 a.m. – 5 p.m. Friday: 8 a.m. – 5 p.m. Phone Number: 214-389-7272 ACO Primary Contacts Christy Cawthon, Senior Director Medical Economics Email: Christy.Cawthon@southwesternhealth.org Michelle Mirkovic, Program Director Regulatory and Value-Based Care Email: Michelle.Mirkovic@southwesternhealth.org Accountable Care Organization Information Southwestern Health Resources Accountable Care Network (SWHRACN) represents a model of health care delivery based on a strategy to better align physicians, hospitals, and payers in order to provide better access to care, better clinical quality, and control costs. In January 2017, SWHRACN was selected to participate in Next Generation Accountable Care Organization (Next Generation ACO) Model through the Centers for Medicare and Medicaid Services (CMS) as an ACO. SWHRACN works with CMS through the Next Generation ACO Model to provide high-quality care in a cost-efficient manner with a patient-centered approach. SWHRACN shares the following information regarding its participation as a Next Generation ACO Model: Southwestern Health Resources Next Generation Model ACO Participants (names listed under each letter below): A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Southwestern Health Resources Next Generation Model ACO Preferred Providers (names listed under each letter below): A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # Southwestern Health Resources Next Generation Model ACO Participants in Joint Ventures Between ACO Professionals and Hospitals There are currently no ACO participants in joint ventures between ACO professionals and hospitals. Southwestern Health Resources Accountable Care Network Governing Body Dr. Herbert Zeh, Voting Member and Chairman, UT Southwestern Medical Center, ACO participant representative Dr. Donna Casey, Voting Member, Franklin Leroy Casey, P.A., ACO participant representative Dr. Donald Fowler, Voting Member, Texas Health Physicians Group, ACO participant representative Dr. Hicham Ibrahim, Voting Member, UT Southwestern Medical Center, ACO participant representative Dr. Thomas Wang, Voting Member, UT Southwestern Medical Center, ACO participant representative Dr. Shawn Parsley, Voting Member, Texas Health Physicians Group, ACO participant representative Dr. Randall Todd Richwine, Voting Member, Texas Health Physicians Group, ACO participant representative Dr. Neil Rofsky, Voting Member, UT Southwestern Medical Center, ACO participant representative Dr. George Shires, Voting Member, Texas Health Physicians Group, ACO participant representative Dr. Walton Taylor, Voting Member, Texas Health Physicians Group, ACO participant representative Donald Zale, Voting Member, Medicare Beneficiary Representative and Consumer Advocate Key Clinical and Administrative Leadership Senior Executive Officer: James Beiermann, SWHR Clinically Integrated Network Chief Medical Officer: Jason Fish, M.D., SWHR Clinically Integrated Network Chief Financial Officer: James Beiermann, SWHR Clinically Integrated Network Chief Risk and Compliance Officer: Wendy Carver, SWHR Clinically Integrated Network Chief Legal Officer/Corporate Secretary: David Springhetti, SWHR Clinically Integrated Network Treasurer: James Beiermann, SWHR Clinically Integrated Network Chief Human Resources Officer: Mary-Katherine Kutac, SWHR Clinically Integrated Network Chief Information Officer: Mac Marlow, SWHR Clinically Integrated Network Chief Data and Value Creation Officer: Shashi Vangala, SWHR Clinically Integrated Network Southwestern Health Resources Accountable Care Network Committees and Committee Leaderships Network Quality and Performance Committee: John Warner, M.D., Chair Academic Affiliation Committee: Dwain Thiele, M.D., Chair Finance Committee: Rick McWhorter, Chair Medical Management Committee: Lynn Myers, M.D., Chair Credentials Committee: Jason Bloom, M.D., Chair Clinical Integration Committee: Carlos Bagley, M.D., Chair Audit and Compliance Committee: Michael Serber, Chair ACO Composition Physician-led partnership between UT Southwestern Medical Center, Texas Health Physicians Group, community physicians, and other health care providers organized to improve health care in communities we serve. Shared Savings and Losses SWHRACN is obligated under its Next Generation ACO Model participation agreement with CMS to secure potential shared losses and other monies owed under the Next Generation ACO Model with a financial guarantee. Amount of Savings and Losses Medicare Shared Savings Program (SSP) Performance Year 2014: $2,945,035 (Amount of Shared Savings) Medicare Shared Savings Program (SSP) Performance Year 2015: $14,188,861 (Amount of Shared Savings) Medicare Shared Savings Program (SSP) Performance Year 2016: $17,464, 034 (Amount of Shared Savings) Next Generation ACO Model (NGACO) Performance Year 2017: $29,868,673 (Amount of Shared Savings) Next Generation ACO Model (NGACO) Performance Year 2018: $37,122,892 (Amount of Shared Savings) Next Generation ACO Model (NGACO) Performance Year 2019: $50,626,938 (Amount of Shared Savings) Next Generation ACO Model (NGACO) Performance Year 2020: $30,945,618 (Amount of Shared Savings) Savings Distribution Medicare Share Savings Program (SSP) Agreement period beginning 2014, Performance Years 2014, 2015, 2016: Proportion invested in infrastructure: 19 percent Invested in redesigned care processes/resources: 22 percent Proportion of distribution to ACO participants: 59 percent Next Generation ACO Model (NGACO) Agreement period beginning 2017, Performance Years 2017, 2018, 2019, 2020: Proportion invested in infrastructure: 19 percent Invested in redesigned care processes/resources: 22 percent Proportion of distribution to ACO participants: 59 percent Southwestern Health Resources Next Generation Model Skilled Nursing Facility (SNF) 3-Day Waiver Yes, our ACO utilizes the SNF 3-Day Rule Waiver. Burleson Rehab & Care LLC CC Young Memorial Home Christian Care Centers, Inc. Coryell County Memorial Hospital Authority Crowley Scc LLC Dallas County Hospital District Decatur Hospital Authority Haltom Operations, LLC Hamilton County Hospital District JSC Lake Highlands Operations, LP LCS-WP LLC Moc Fort Worth LLC Nexion Health at Garland Inc. Nocona Hospital District Northwest Senior Housing Corporation Onpointe TX Dal, LLC Op Ops Arl TX, LLC Plano Skilled Operations, LLC PM Management - Allen NC LLC Presbyterian Village North Regency lhs of Richardson LLC Rio One at Tarrant County, LLC Stonegate Scc LLC The Evangelical Lutheran Good Samaritan Society The Legacy at Willow Bend Retirement Community Inc. Watermark Broadway Cityview, LLC The SWHRACN Board has approved the following arrangement(s) for the waivers authorized by CMS and the Department of Health and Human Services Office of Inspector General pursuant to the Notice of Waiver of Certain Fraud and Abuse Laws in Connection with the Next Generation ACO Model (December 9, 2015), the Notice of Amended Waivers of Certain Fraud and Abuse Laws in Connection with the Next Generation ACO Model (December 29, 2016), and the Notice of Amended Waivers of Certain Fraud and Abuse Laws in Connection with the Next Generation ACO Model (December 12, 2018): The SWHRACN Board has approved an arrangement under which specialist physicians who are Preferred Providers of SWHRACN may receive an annual incentive payment from SWHRACN upon implementing certain care coordination and quality of care activities. The payment is intended to incentivize eligible physicians to deliver high quality and cost effective care and enhance access to specialty services for SWHRACN aligned patients. To be eligible, a physician must (i) maintain a certified electronic medical records (EMR) system connected to SWHRACN’s EMR system, (ii) utilize the services of the Population Health Services Company to coordinate care of SWHRACN’s patients, and (iii) participate in the care of at least twelve SWHRACN patient encounters per year. The amount of payment under the arrangement will be based on meeting the following collected metrics: (i) quality of care (determined by scores in patient satisfaction, control of diabetes, control of hypertension, annual vaccination against influenza, and tobacco use cessation), (ii) access to care (determined by time to set up an appointment and the utilization of continued care treatment guidelines), (iii) use of electronic health records in continued treatment process, (iv) patient satisfaction score, and (v) adherence to the care models approved by SWHRACN. The arrangement was approved by the SWHRACN Board for Performance Year. The SWHRACN Board has approved an arrangement under which physicians who are Preferred Providers of SWHRACN and agree to be subject to a population based fee reduction for covered services provided to beneficiaries aligned with SWHRACN receive from SWHRACN (i) resources and information to help identify patient readmissions into acute care facilities, and (ii) an opportunity to receive cost reduction incentive payments for meeting or exceeding SWHRACN's cost benchmark targets for covered services provided to aligned beneficiaries. The SWHR ACN Board has approved an arrangement under which physicians who are UTSCAP physicians and participants in SWHR ACN’s Next Generation Accountable Care Organization Program may receive quarterly incentive payments from SWHR ACN upon demonstrating a certain level of quality, cost-effectiveness, and efficiency in their provision of services to ACO beneficiaries (“QPP”). The QPP is intended to incentivize eligible physicians to deliver high quality, efficient, and cost-effective care for SHWR ACN aligned patients. Incentive payments paid under the QPP will be based on meeting the following metrics: (i) quality of care (determined by completing targeted measures of care delivery), (ii) coding practices (determined by recapture rates for Hierarchical Condition Category codes), and (iii) network effectiveness procedures. The SWHR ACN Board has approved an arrangement under which SWHR ACN will provide to physicians who are participants and/or preferred providers in SWHR ACN’s Next Generation Accountable Care Organization an electronic referral management tool called the Southwest Health Resources Referral Platform (“SRP”) designed to avoid disrupting physician workflow by incorporating into physician’s electronic medical records. The goal of the SRP is to streamline referral workflows to improve the efficiency of referral management within a physician’s preferred network of consulting providers, increase continuity of care for patients, and decrease lost or dropped referrals. Additionally, utilizing the SRP will assist physicians in compliance with Meaningful Use Stage III requirements for electronic transmission of clinical documentation. The provision of SRP to physicians does not prevent such physicians from making referrals to specialists outside of the SWHR ACN network. Next Generation ACO Quality Performance Results Performance Year 2020 Performance Year 2019 Performance Year 2018 Performance Year 2017 Talk to your doctor ACO Beneficiary Fact Sheet: Accountable Care Organizations and You: Frequently Asked Questions (FAQ) for People with Medicare (PDF) Visit www.cms.gov/aco Call 1-800-MEDICARE (1-800-633-4227) 24 hours a day/7 days a week. TTY users should call 1-877-486-2048 For Next Generation Model ACO Participants ONLY – Reporting Violations and Concerns To report suspected violations or compliance related concerns, please contact the ACO Compliance Officer and/or to the Compliance Hotline at the following: Wendy Carver, Chief Risk and Compliance Officer SWHR Network Entities 1601 Lyndon B, Johnson Freeway, Suite 800 Farmers Branch, Texas 75234 Email: Wendy.Carver@southwesternhealth.org Compliance Hotline: 1-800-673-0108 SWHRcompliance@southwesternhealth.org TALK TO US For more information about Southwestern Health Resources or to find out more about our healthcare options. Home For Employers For Doctors For Patients Find A Doctor About Us Next Generation ACO Model Information Privacy Policy Sitemap Texas Health Resources Request An Appointment Patient Portal (MyChart) UT Southwestern Medical Center Request An Appointment Patient Portal (MyChart)