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 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 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

2020 Quality Performance Results:

ACO # Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 0.69 0.95
ACO-13 Falls: Screening for Future Fall Risk 92.78 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 90.36 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 94.12 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 79.11 71.46
ACO-19 Colorectal Cancer Screening 84.51 72.59
ACO-20 Breast Cancer Screening 80.07 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 74.32 83.37
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 18.64 14.70
ACO-28 Controlling High Blood Pressure 69.31 72.87
  • Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures. 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