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
Annail Gutierrez - (956) 605-6220

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
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
Key ACO clinical and administrative leadership

ACO Executive: Kamal Jemmoua
Medical Director: Monzer Yazji
Compliance Officer: Philip Ramirez
Quality Assurance/Improvement Officer: Dr. Luis Benavides

Associated committees and committee leadership
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

Shared Savings and Losses

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%
  • 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

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
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