Collom & Carney Clinic ACO, LLC
CMS Shared Savings Program ACO Reporting


  ACO Name and Location:
   
  Collom & Carney Clinic ACO, LLC
  5002 Cowhorn Creek Rd.
  Texarkana, TX 75503-9766

  ACO Primary Contact:
   
  Priscilla A. Newton
  pnewton@collom-carney.com 903-614-3395

  Organization Information:
   
  ∙ ACO Participants:
 
  1. Collom & Carney Clinic Association
 
  ∙ ACO Governing Body:
 
  1. Joseph Womack, MD, Chairman‐Voting Member/Physician, ACO Participant, Collom & Carney Clinic Association
  2. PuiSum Wong, MD, Secretary‐ Voting Member/Physician, ACO Participant, Collom & Carney Clinic Association
  3. Malcolm Smith, MD, Voting Member/ Physician, ACO Participant, Collom & Carney Clinic Association
  4. Jon Tarpley, MD, Voting Member/ Physician, ACO Participant, Collom & Carney Clinic Association
  5. Roger A. Hall, Voting Member/ COO, ACO Participant, Collom & Carney Clinic Association
  6. Mary E. Dwight, Voting Member/ Manager, ACO Participant, Collom & Carney Clinic Association
  7. Fay Durrant, Voting Member, Medicare Beneficiary Representative
 
  ∙ Key ACO Clinical and Administrative Leadership:
 
  1. ACO Executive: Mr. Roger A. Hall
  2. Medical Director: Joseph S. Womack, MD
  3. Utilization Review Committee – Joseph S. Womack, MD – Chair
 
  ∙ Associated Committees and Committee Leadership:
 
  1. Quality and Clinical Informatics Committee: Malcolm A Smith, MD – Chair
  2. Finance Committee: Gregory A. Richter, MD – Chair
  3. Utilization Review Committee – Joseph S. Womack, MD – Chair
 
  ∙ Types of ACO participants or combinations of participants that formed the ACO:
 
  1. ACO Professionals in a group practice arrangement

  Shared Savings and Losses:
  Amount of Shared Savings/Losses
   
  ∙ Agreement period beginning 2017, Performance Year(s):
  ∙ To be completed after the conclusion of the performance year
 
  Shared Savings and Distribution:
   
  ∙ Agreement period beginning 2017, Performance Year(s):
  ∙ Proportion invested in infrastructure
  ∙ Proportion invested in redesigned care processes/resources
  ∙ Proportion of distribution to ACO participants
 
  Payment Rule Waivers
   
  ∙ "No, Our ACO does not use the SNF 3-Day Rule Waiver"
 
  Quality Performance Results
   
  ∙ "To be completed after the conclusion of the performance year"