1. CPG Quality Care Alliance, LLC (“CPG QCA”)
MSSP Application- Section 4, Question 8 ACO Network Diagram, Governing Body, Committee Structure and Leadership Diagrams A3029 CPG Quality Care Alliance, LLC
CHRISTUS Health
ACO Network
CPG Quality Care Alliance, LLC (“CPG QCA”)
(Texas limited liability company)
See Note 1 below
MSSP Agreement
CMS
Potential MSSP Shared
Savings Distribution
ACO Participant Agreements
Potential MSSP
Shared Savings Distribution
C H Wilkinson DBA CHRISTUS Physician Group (“CPG”)
CHRISTUS Santa Rosa Health Care Corporation
Health Care Services
CHRISTUS Health Southeast Texas
Medicare FFS Beneficiaries
CHRISTUS Spohn Health System Corporation
Note 1: As discussed in more detail in the narrative provided in response to Question 2b, the “ACO participants” listed above (each a separate Texas nonprofit corporation) have come together to form CPG Quality Care Alliance, LLC (“CPG QCA”), a new Texas limited liability company to participate in the MSSP as an accountable care organization. As described in more detail in the narrative provided in response to Question 9b, CHRISTUS Health is the sole member of CPG QCA and each of the ACO Participants.
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2. MSSP Application- Section 4, Question 8 ACO Network Diagram, Governing Body, Committee Structure and Leadership Diagrams A3029 CPG Quality Care Alliance, LLC
ACO Board of Managers
CGP Quality Care Alliance, LLC, Governing Board Chair
1. Susan Kemp, MD, Voting Member, C H Wilkinson Physician Network dba CHRISTUS Health Network (“CPG”)
12 Voting Board Members 0 Non-Voting Board Members
ACO Participant Managers
Minimum 75% of the Board
10 Voting Managers
Other Managers (including Medicare FFS Beneficiary Manager)
2 Voting Managers
Narottambhai M Patel, Voting Manager, Medicare Beneficiary Representative
Stephen Wright, Voting Member, CHRISTUS Health Northern Louisiana (See note below)
Note: See Q14 and corresponding note for additional information regarding CHRISTUS Health Northern Louisiana).
Jason Markham, Voting Manager, CPG
David Mullican, MD Voting Manager, CPG
Tim Haman, MD Voting Manager, CPG
Peter Milder, MD Voting Manager, CPG
Crystal Campos Valls, MD Voting Manager, CPG
Bertron Brown, MD Voting Manager, CPG
Patrick Carrier, Voting Manager, CHRISTUS Santa Rosa Health Care Corporation
Kevin Parsley, Voting Manager, CHRISTUS Health Southeast Texas
Pam Robertson, Voting Member, CHRISTUS Spohn Health System Corporation
Board Committee
Operations Committees*
Nominations Committee
Chairperson: Susan Kemp, MD
Quality & Care Coordination Committee
ACO Chief Medical Officer
David Mullican, MD
President
Jason Markham, MBA
Secretary
Andy Navarro
Treasurer
Melissa Williams
ACO Compliance Officer
Nancy Vasto, MHA, CHC
Patient & Provider Engagement Committee
Finance Committee
Compliance Committee
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* See next page for additional information on Operations Committees

3. MSSP Application- Section 4, Question 8 ACO Network Diagram, Governing Body, Committee Structure and Leadership Diagrams A3029 CPG Quality Care Alliance, LLC
Operations Committees
Duties: The operations committees are responsible for implementing ACO’s quality assurance and improvement programs, including reviewing and making recommendations to the ACO’s Board of Managers regarding the ACO’s quality assurance and improvement programs regarding processes to (a) promote evidence-based medicine, (b) promote patient engagement, (c) report on quality and cost measures, and (d) coordinate care.
Quality & Care Coordination Committee
Responsible for responsible for supporting and promoting the functions of ACO with a focus on efforts to promote evidence-based medicine and improved coordination of care provided across the continuum in order to improve health outcomes for beneficiaries.
Committee Members
David Mullican, MD, Chair
Others TBD (See Note 1 below)
Finance Committee
Responsible for supporting and promoting the functions of ACO with respect to the distribution of shared savings, making recommendations to the ACO Board of Managers, and evaluation of financial metrics related to ACO and its ACO network providers.
Committee Members
Jason Markham, Chair
Others TBD (See Note 1 below)
Patient & Provider Engagement Committee
Responsible for supporting and promoting the functions of ACO with respect to communication with and education of providers and beneficiaries, improved adoption of ACO programs and methodology's, and active participation of beneficiaries in the management of their care.
Committee Members
Crystal Campos Valls, M.D, Chair
Others TBD (See Note 1 below)
Compliance Committee
Responsible for ensuring compliance of the ACO with all applicable laws and regulations, local, state and federal.
Committee Members:
Tim Haman, M.D.*
Others TBD (See Note 1 below)
Note 1: The remaining members of the Operations Committees will be appointed prior to January 1,
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