CMS Direct Contracting | Baptist Integrated Physician Partners

Primary Contact Name	Lee LaCroix
Primary Contact Phone Number	(469) 893-6167
Primary Contact Email Address	lee.lacroix@tenethealth.com

The Baptist Health System and HealthTexas Medical group is pleased to announce a collaborative partnership with the launch of a new Global and Professional Direct Contracting entity for the Centers for Medicare & Medicaid Services ("CMS") Global and Professional Direct Contracting Model. Together, we formed Quality Partners in Care ACO (QPIC ACO), a Global and Professional Direct Contracting Entity (DCE), or a group of healthcare providers who agree to work together to keep their patients healthy using proven methods, such as providing access to the right care, at the right time, and in the right setting. QPIC ACO has chosen to participate in the standard DCE under the Primary Care Capitation payment mechanism with voluntary alignment.

QPIC ACO assists its Medicare FFS beneficiaries by providing high quality coordinated care and works to keep members healthy, while treating them when sick or injured. If needed, a care management team will work with members to provide services such as chronic care management, as well as transitional care services by coordinating between the hospital system and the medical group, allowing for open communication & data sharing to reduce delays and duplication of services.

Click here to find a HealthTexas Medical Group provider.

Click here to find a Baptist Health System location.

Locations

GPDC Participants	Speciality	GPDC Participant in Joint Venture
GPDC Participant Providers
Physician Prime Care (HealthTexas Medical Group)	Primary Care	N

GPDC Preferred Providers
Alamo City Eye Physicians	Ophthalmology	N
Elysian Hospice	Hospice	N
Cantex Home Health	Home Health	N
Uvalde County Hospital Authority	Skilled Nursing	N
Dominion Care Management Group	Home Health	N
Compassus OP of Texas LLC	Hospice	N
Advance Hitech Nursing, Inc	Home Health	N
Brown and Brown Resources, Inc	Home Health	N
Laboratory Corporation of America Holdings	Reference Lab	N
Laboratory Corporation of America	Reference Lab	N
Regency IHS of San Antonio LLC	Skilled Nursing	N
Cardiovascular & Hypertension Clinic of San Antonio	Cardiology	N
San Antonio Eye Care	Ophthalmology	N
Brookdale Home Health	Home Heath	N
Girling Health Care, Inc	Home Heath	N
Odyssey Health Operating	Hospice	N
Guiding Light Hospice, Inc	Hospice	N
Signal Hospice Care, LLC	Hospice	N
Echo Hospice	Hospice	N
Morning House Ministries	SNF	N
San Antonio Vascular & Endovascular Clinic	Cardiovascular	N

GPDC Governing Body:

Member Last Name	Member First Name	Member Title/Position	Member's Voting Power: expressed as a percentage or number	Membership Type	GPDC Participant Legal Business Name/DBA, if applicable
Ruffner	Jeannine	Board Chair	14.3%	GPDC Participant Representative	Physician Prime Care
Torres, MD	Luis	Physician Board Member	14.3%	GPDC Participant Representative	Physician Prime Care
Powell, MD	Dan	Physician Board Member	14.3%	GPDC Participant Representative	Physician Prime Care
Phillips	Brady	Board Member	14.3%	Facility Participant Representative	N/A
Handley	Charles	Board Member	14.3%	Facility Participant Representative	N/A
Day	Lizette	Board Member	14.3%	Facility Participant Representative	N/A
Cooper	Connie	Board Member	14.3%	Medicare Beneficiary	N/A

The DCE arrangement seeks waiver protection provided by CMS pursuant to Section 1115A(d)(1) of the Social Security Act (Act), namely that section 1877(a) of the Act (relating to Federal physician self-referral law) and sections 1128(b)(1) and (2) of the Act (relating to the Federal anti-kickback statue) are waived with respect to any startup arrangement between DCE and one or more DC Participant Providers or Preferred Providers or both, providing that conditions set forth in the Global and Professional Direct Contracting Program are met.

CMS Global and Professional Direct Contracting

Quality Partners in Care ACO Global and Professional Direct Contracting

GPDC Governing Body: