Public Reporting
Review our ACO structure and historical performance
ACO Name and Location
ACO Organizational Information
| 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 |
| 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 |
| Garza-Gongora | Arturo | Physician | 1 | ACO Participant Representative | Arturo Garza Gongora |
| Contreras | Daniel | Physician | 1 | ACO Participant Representative | ASAS - Family Health Center of Mission |
| Solis | Joel | Physician | 1 | ACO Participant Representative | ASAS - Laredo Premier Healthcare |
| 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 |
| Medina | Jorge | Other | 1 | Consumer Advocate | N/A |
| Sherwood | Carol | Other | 1 | Medicare Beneficiary Representative | N/A |
ACO Executive: Kamal Jemmoua
Medical Director: Monzer Yazji
Compliance Officer: Philip Ramirez
Quality Assurance/Improvement Officer: Dr. Luis Benavides
| Committee Name | Committee Leader Name and Position |
|---|---|
| Clinical Committee | Dr. Joel Solis, Chair |
| Finance Committee | Dr. Garza-Gongora, Chair |
| Quality Assurance and Improvement Committee | Dr. Luis Benavides, 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
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2022, $7,443,865
- 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 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 70%
- 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%
- Performance Year 2022
- 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
- Performance Year 2019
2022 Quality Performance Results:
Quality performance results are based on the CMS Web Interface measures.
| Measure # | Measure Name | Rate | ACO Mean |
| CAHPS-1 | CAHPS: Getting Timely Care, Appointments, and Information | 85.63 | 83.96 |
| CAHPS-2 | CAHPS: How Well Your Providers Communicate | 93.12 | 93.47 |
| CAHPS-3 | CAHPS: Patients’ Rating of Provider | 90.88 | 92.06 |
| CAHPS-4 | CAHPS: Access to Specialists | 77.61 | 77.00 |
| CAHPS-5 | CAHPS: Health Promotion and Education | 61.12 | 62.68 |
| CAHPS-6 | CAHPS: Shared Decision Making | 62.45 | 60.97 |
| CAHPS-7 | CAHPS: Health Status and Functional Status | 70.26 | 73.06 |
| CAHPS-8 | CAHPS: Care Coordination | 86.10 | 85.46 |
| CAHPS-9 | CAHPS: Courteous and Helpful Office Staff | 89.93 | 91.97 |
| CAHPS-11 | CAHPS: Stewardship of Patient Resources | 25.96 | 25.62 |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | 10.64 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 86.76 | 76.97 |
| 236 | Controlling High Blood Pressure | 82.40 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | 90.31 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | 82.77 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94.12 | 79.27 |
| 113 | Colorectal Cancer Screening | 74.71 | 75.32 |
| 112 | Breast Cancer Screening | 72.10 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 87.89 | 86.37 |
| 370 | Depression Remission at Twelve Months | 32.61 | 16.03 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | 0.1508 | 0.1510 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | 30.52 | 30.97 |
- For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
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
