DCE Model

Global and Professional Direct Contracting (GPDC) Model Information

 
Global and Professional Direct Contracting Model Public Reporting Guidance
 
Direct Contracting Entity (DCE) 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:  214-389-7272

 

DCE Primary Contacts

Christy Cawthon, Vice President, 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 2022, SWHRACN was selected to participate in Global and Professional Direct Contracting (GPDC) Model through the Centers for Medicare and Medicaid Services (CMS) as a Direct Contracting Entity (DCE). SWHRACN works with CMS through the GPDC 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 DCE:

Southwestern Health Resources GPDC Participants (names listed under each letter below by first letter of the FIRST NAME):

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Southwestern Health Resources GPDC Preferred Providers (names listed under each letter below by the first letter of the FIRST NAME)):

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Southwestern Health Resources GPDC Model Participants in Joint Ventures Between DCE Professionals and Hospitals

There are currently no DCE participants in joint ventures between DCE professionals and hospitals.

 

Southwestern Health Resources Accountable Care Network Governing Body

Dr. Herbert Zeh, Voting Member and Chairman, UT Southwestern Medical Center, DCE participant representative

Dr. Donna Casey, Voting Member, Franklin Leroy Casey, P.A., DCE participant representative

Dr. Donald Fowler, Voting Member, Texas Health Physicians Group, DCE participant representative

Dr. Hicham Ibrahim, Voting Member, UT Southwestern Medical Center, DCE participant representative

Dr. Thomas Wang, Voting Member, UT Southwestern Medical Center, DCE participant representative

Dr. Shawn Parsley, Voting Member, Texas Health Physicians Group, DCE participant representative

Dr. Randall Todd Richwine, Voting Member, Texas Health Physicians Group, DCE participant representative

Dr. Neil Rofsky, Voting Member, UT Southwestern Medical Center, DCE participant representative

Dr. George Shires, Voting Member, Texas Health Physicians Group, DCE participant representative

Dr. Walton Taylor, Voting Member, Texas Health Physicians Group, DCE participant representative

Donald Zale, Voting Member, Medicare Beneficiary Representative

Stacey Malcolmson, Voting Member, Consumer Advocate

 

Key Clinical and Administrative Leadership

Senior Executive Officer:  James (Jim) Beiermann, SWHR Clinically Integrated Network

Chief Medical Officer:  Jason Fish, M.D., SWHR Clinically Integrated Network

Chief Financial Officer:  James (Jim) Beiermann, SWHR Clinically Integrated Network

Chief Compliance Officer:  Wendy Carver, SWHR Clinically Integrated Network

Chief Legal Officer/Corporate Secretary:  David Springhetti, SWHR Clinically Integrated Network

Treasurer:  James (Jim) 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: Steven Bloom, M.D., Chair

Clinical Integration Committee:  Carlos Bagley, M.D., Chair

Audit and Compliance Committee:  Michael Serber, Chair

 

Direct Contracting Entity 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 Global and Professional Direct Contracting Model participation agreement with CMS to secure potential shared losses and other monies owed under the GPDC 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

Global and Professional Directing Contracting (GPDC) Model Performance Year 2022

  • Proportion invested in infrastructure:  19 percent
  • Proportion invested in redesigned care processes/resources:  22 percent
  • Proportion of distribution to DCE participants:  59 percent
 
Southwestern Health Resources Global and Professional Direct Contracting Model Skilled Nursing Facility (SNF) 3-Day Waiver

Yes, our DCE utilizes the SNF 3-Day Rule Waiver.

Allegiant Wellness And Rehab, LBN Burleson Rehab & Care LLC
Burleson Rehab & Care LLC
C.C. Young Memorial Home
Christian Care Center, Mesquite, LBN Christian Care Centers, Inc.
Christian Care Centers, Inc.
Coryell County Memorial Hospital Authority
Dallas County Hospital District
Ft. Worth Wellness & Rehabilitation, LBN Coryell County Memorial Hospital Authority
Good Samaritan Society - Denton Village, LBN The Evangelical Lutheran Good Samaritan Society
Haltom Operations, LLC
JSC Lake Highlands Operations, LP
LCS-WP LLC
Life Care Center Of Haltom, LBN Haltom Operations, LLC
Life Care Center Of Plano, LBN Plano Skilled Operations LLC
MOC Fort Worth LLC
Nexion Health At Garland, Inc.
Northwest Senior Housing Corporation
Onpointe Transitional Care At Texas Health Arlington Memorial Hospital, LBN Op Ops Arl TX, LLC
Onpointe Transitional Care At Texas Health Presbyterian Hospital Dallas, LBN Onpointe TX Dal LLC
Onpointe TX Dal LLC
Op Ops Arl TX, LLC
Plano Skilled Operations LLC
Pleasant Valley Healthcare And Rehabilitation Center, LBN Nexion Health At Garland, Inc.
PM Management - Allen NC LLC
Prairie Estates, LBN Dallas County Hospital District
Presbyterian Village North
Rapid Recovery Center Of Fort Worth, LBN MOC Fort Worth LLC
Regency IHS Of Richardson LLC
Remington Transitional Care Of Richardson, LBN Regency IHS Of Richardson LLC
Rio One At Tarrant County, LLC
The Evangelical Lutheran Good Samaritan Society
The Lodge At Bear Creek, LBN Rio One At Tarrant County, LLC
The Plaza At Edgemere, LBN Northwest Senior Housing Corporation
Town East Rehabilitation And Healthcare Center, LBN Dallas County Hospital District
Victoria Gardens Of Allen, LBN PM Management - Allen NC LLC
Villages Of Lake Highlands, LBN JSC Lake Highlands Operations, LP
Walnut Place, LBN LCS-WP LLC
Watermark Broadway Cityview LLC

 

The first Global and Professional Direct Contracting Model Quality Performance Results will be published in 2023

Next Generation ACO Quality Performance Results

To learn more about the Global and Professional Direct Contracting Model:

Talk to your doctor.

Visit Global and Professional Direct Contracting (GPDC) Model

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 Global and Professional Direct Contracting Model DCE Participants ONLY – Reporting Violations and Concerns

To report suspected violations or compliance related concerns, please contact the DCE Compliance Officer and/or to the Compliance Hotline at the following:

Wendy Carver, Chief 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