Public Reporting

Review our ACO structure and historical performance

ACO Name and Location

South Texas ACO Clinical Partners LLC
Address
367 S. Gulph Road, King of Prussia, PA 19406
Primary Contact
Fred Torres - (956) 490-5759

ACO Organizational Information

ACO Participants

 

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Adonis Zuniga-Goldwater MD N
Adult Health Clinic N
Agustin B Mego Md Pa N
ALLIANCE IN HEALTH PLLC N
Andres Garcia Zuniga, M.D.,PA N
Armando R Hinojosa, M.D., PA N
Arturo Garza Gongora N
BEACON HEALTH CARE PA N
Benjamin Fano MD PA Y
Carlos G. Cigarroa, M.D., PA N
Carlos Hornedo N
Carlose Llanes N
CARLOS N HORNEDO III DO PA N
Clinica Sagrado Corazon N
David H Cruz MD PA N
Dennis Cantu N
Dr. Americo M Baca PLLC N
Dr. Sergio Zamora, PA N
Eloy Zamarron, Jr MD, PA Y
FAMILY CARE SPECIALISTS, LLC N
FAMILY HEALTH CENTER OF MISSION PLLC  N
Family Medicine Associates PA N
Garza Medical Associates Y
Haitham Jifi, MD PA N
Humberto Varela, MD N
JOSE A ESCANDON, MD PA N
Jose Garcia Y
Jose Roel Maldonado Jr MD PA N
Juana Maria Espejo Md Pa N
Kallumadanda PLLC N
LAREDO MINOR EMERGENCY CLINIC PA Y
Laredo Physicians Group N
Laredo Premier Healthcare, PLLC Y
Luis Benavides Y
Marissa R. Gonzalez, MD PLLC N
MARY PLATTNER N
McAllen Hospitalist Group, PLLC Y
Miguel Villarino MD PA N
MONZER H YAZJI MD & ASSOCIATES PA Y
Pablo Olmedo N
RAFAEL J DELIZ MD PA N
Ruben D Bocanegra MD PA Y
South Laredo Family Clinic PA Y
Texas Lone Star Physician Services, PLLC N
VALLEY MEDICAL ARTS CLINIC PA N
Victoriano Valdez, MD PA N
Winder Vasquez N
ACO Governing Body

 

Last name First name Title/Position Member’s voting power (expressed as a percentage or number) Membership type ACO participant legal business name/DBA, if applicable
Yazji Monzer Chair 1 ACO Participant Representative Monzer H Yazji MD & Associates PA
Benavides Luis Physician 1 ACO Participant Representative Laredo Premier Healthcare, PLLC
Salinas Brenda Physician 1 ACO Participant Representative Brenda Salinas
Hornedo Carlos Physician 1 ACO Participant Representative Carlos Hornedo
Garza-Gongora Arturo Physician 1 ACO Participant Representative Arturo Garza Gongora
Reyes Mateo Physician 1 ACO Participant Representative Mateo Reyes
Stark Chuck Other 1 ACO Participant Representative  South Texas Health System Clinics
Jemmoua Kamal Other 1 Administration N/A
Sherwood Carol Other 1 Medicare Beneficiary Representative N/A
Key ACO clinical and administrative leadership

ACO Executive: Kamal Jemmoua
Medical Director: Monzer Yazji
Compliance Officer: Philip Ramirez
Quality Assurance/Improvement Officer: Jose Garcia

Associated committees and committee leadership
Committee Name Committee Leader Name and Position
Clinical Committee Dr. Andrew Levine, Chair
Finance Committee Dr. Luis Benavides, Chair
Quality Assurance and Improvement Committee Dr. Jose Garcia, Chair

 

Types of ACO participants, or combinations of participants, that formed the ACO:

• ACO professionals in a group practice arrangement

• Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021, $7,021,761
    • Performance Year 2020, $7,016,439
  • First Agreement Period
    • Performance Year 2019, $8,632,047
    • Performance Year 2018, $6,752,936
    • Performance Year 2017, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2018
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on the CMS Web Interface.

Meaure # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.52 84.67
ACO-2 CAHPS: How Well Your Providers Communicate 93.98 93.56
ACO-3 CAHPS: Patients’ Rating of Provider 92.62 92.19
ACO-4 CAHPS: Access to Specialists 85.04 78.80
ACO-5 CAHPS: Health Promotion and Education 64.27 61.61
ACO-6 CAHPS: Shared Decision Making 64.41 60.89
ACO-7 CAHPS: Health Status/Functional Status 68.09 71.78
ACO-34 CAHPS: Stewardship of Patient Resources 29.17 24.71
ACO-45 CAHPS: Courteous and Helpful Office Staff 91.87 91.88
ACO-46 CAHPS: Care Coordination 86.00 85.66
ACO-13 Falls: Screening for Future Fall Risk 91.03 87.03
ACO-14 Preventive Care and Screening: Influenza Immunization 84.82 80.52
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.43 80.97
ACO-19 Colorectal Cancer Screening 90.57 73.63
ACO-20 Breast Cancer Screening 73.72 75.11
ACO-42 Statin Therapy for Prevention and Treatment of Cardiovascular Disease 78.87 84.24
ACO-40 Depression Remission at Twelve Months 42.42 15.50
ACO-27 Diabetes: Hemoglobin A1c (HvA1c) Poor Control 13.40 12.46
ACO-28 Controlling High Blood Pressure 70.91 74.87
ACO-8 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1694 0.1540
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 28.90 33.99
  •  For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.

Types of ACO participants, or combinations of participants, that formed the ACO

Networks of individual practices of ACO professionals
Hospital employing ACO professionals