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.