MSSP ACO – BHS

BHS Accountable Care LLC
215 E. Quincy, Suite 312
San Antonio, Texas 78215

ACO Primary Contact

Robin Clark
Robin.Clark@tenethealth.com
210-297-1332

Organizational Information

ACO participants:

 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Lan-Anh Ngo, M.D., P.A.  N
Worcester County Orthopedics  N
Cypress Physicians Association  N
M &M North, LLP  N
Gary Wolf  N
Sunita Godiwala  N
Tatiana Hamawi  N
Bruce Karlin MD  N
Worcester Ophthalmology Associates Inc  N
Ear, Nose & Throat Associates of Worcester, Inc.  N
Wayne B Glazier Md Pc  N
Affiliated Podiatrists Pc  N
Gary Wolf  N
Retina Consultants of Worcester, P.C.  N
Webster Square Medical Center, Inc  N
Grove Medical Associates, P.C.  N
Advanced Dermatology, Inc.  N
Mary E. Scannell, MD PC  N
New England Gastroenterology Associates, Pc  N
Joseph M. Williams, M.D.,P.C.  N
Raymond Zhou, M.D., P.C.  N
Jeffrey Levine  N
Alan Albert  N
GI Liver Group PC  N
Dr. Brajesh Bhatla, MD PA  N
El Paso Wellness & Healthcare Center PA  N
North Hills Family Medicine  N
BHS Physicians Network Inc  N
Premiere Care LLC  N
Partners in Internal Medicine, PC  N
Juana Maria Espejo M.D., PA  N
Valdez Family Clinic, PA  N
Greater Dallas Healthcare Enterprises  N
Tenet Florida Physician Services, LLC  N
Mansoora A. Sheikh, MD, PA  N
Luis H. Robles MD, PA  N
Cristo A. Calle MD, PA  N
Cedar Hills Family Practice PA  N
Le & Chang Family Urgent Care PC  N
Carol N. Abalihi, MD, PA  N
Irina A. Minina MD PLLC  N
Rutland Family Health Center  N
Jibrail Kasperkhan, MD, PLLC  N
Xavier J Munoz DO PA  N
Valley House Calls, PLLC  N
Rhonda Fleming, MD PA  N
John Patterson, Md, Pa  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Arturo Hernandez MD PA  N
Valley Doctors Clinic Of Brownsville PLLC  N
Moazam Pa  N
Tatiana Hamawi  N
Paul A Cournoyer, DPM PC  N
Perry Wolfe  N
Borderland Medica PA  N
Kellum Physician Partners  N
Kingsway Medical Center, PLLC  N
Suncity Sports Medicine and Family Clinic  N
David A Ramos Md PA  N
Regent Cross Medical Clinic PLLC  N
Medland Associates  N
West Boca Health Services, LLC  N
Worcester Gastroenterology Partners Inc  N
Partners in Primary Care  N
SHIFA Comprehensive Health Center  N
Janice Hitzhusen  N
Marcos Reis  N
James Pease, MD  N
Stephen M Desio, MD PC  N
Carol A Barrette, MD PC  N
Michael H. Annabi MD  N
Grabias Medical Group P.C.  N
Maria Elena Gonzalez-Sozer MD  N
Project Vida Health Center  N
N. H. Shannon MD PA  N
North San Antonio Healthcare Associates  N
Marcos Reis MD  N
Dr. Leo K Edwards, Jr  N
Centro San Vicente  N
Perry Wolfe  N
Jose J Silva MD PA  N
Robert T. Ching, DO, PA  N
Jaime L Silva MD, PA  N
Dr Ajai J Agarwal Md PA  N
Andres S Enriquez Md PA  N
San Antonio-Mmc, PA  N
Carlos A Lozano Md PA  N
Stone Oak Family Doctors, PA  N
Muneer E. Assi DO PA  N
Segundo Abraham Briones MD, PA  N
Chinwe Nduka, Md, Family Practice, PA  N
Kevin P. Comfort MD  N
Lytle Family Practice  N
Medwin Family Medicine & Rehabilitation Pc  N

ACO governing body:

 Member Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Lazono, Carlos Physician  9.09  N/A  Carlos A. Lozano, MD
Alprin, Clifford Physician  9.09  N/A  North San Antonio Healthcare Associates
Comfort, Kevin Physician  9.09  N/A  Kevin P. Comfort, MD
Enriquez, Andres Physician  9.09  N/A  Franklin Medical Center
Korte, Joan Medicare Beneficiary  9.09  N/A  Medicare Beneficiary
Siegel, David CMO, Baptist Health System  9.09  N/A  BHS Physician Network
Ching, Robert Physician  9.09  N/A  Ching Healthcare Institute
Edwards, Leo Physician  9.09  N/A  Leo K. Edwards, MD
Garza, Herberto Physician  9.09  N/A  
Manocha, Lovelesh Physician  9.09  N/A   BHS Physician Network
Clark, Robin Executive Director  9.09  N/A   BHS Physician Network

Key ACO clinical and administrative leadership:

Robin Clark ACO Executive
Dana Kellis Medical Director
Melanie Roberts Compliance Officer
Sahana Sharan Quality Assurance/Improvement Officer

Associated committees and committee leadership:
N/A

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
  •  Partnerships or joint venture arrangements between hospitals and ACO professionals
  •  Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2016, $12,479,101
  • First Agreement Period
    • Performance Year 2015, $2,708,375
    • Performance Year 2014, $2,816,277
    • Performance Year 2013, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources 25%
      • Proportion of distribution to ACO participants: 50%
  • First Agreement Period
    • Performance Year 2015
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2014
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2013
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources 25%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A 79.9
ACO-2 CAHPS: How Well Your Providers Communicate N/A 92.63
ACO-3 CAHPS: Patients' Rating of Provider N/A 91.93
ACO-4 CAHPS: Access to Specialists N/A 83.52
ACO-5 CAHPS: Health Promotion and Education N/A 60
ACO-6 CAHPS: Shared Decision Making N/A 75.28
ACO-7 CAHPS: Health Status/Functional Status N/A 71.82
ACO-34 CAHPS: Stewardship of Patient Resources N/A 27.52
ACO-8 Risk-Standardized, All Condition Readmission N/A 14.7
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) N/A 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes N/A 53.2
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure N/A 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions N/A 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) N/A 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) N/A 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements N/A 82.72
ACO-39 Documentation of Current Medications in the Medical Record N/A 87.54
ACO-13 Falls: Screening for Future Fall Risk N/A 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization N/A 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults N/A 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up N/A 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention N/A 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan N/A 53.63
ACO-19 Colorectal Cancer Screening N/A 61.52
ACO-20 Breast Cancer Screening N/A 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented N/A 76.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease N/A 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control N/A 18.24
ACO-41 Diabetes: Eye Exam N/A 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure N/A 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic N/A 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) N/A 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) N/A 79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.   

  • For 2016 Quality Performance Results Please Click Here
  • For 2015 Quality Performance Results Please Click Here
  • For 2014 Quality Performance Results Please Click Here
  • For 2013 Quality Performance Results Please Click Here

Note: In the Quality Performance Results file(s) above, search for “BHS Accountable Care LLC” or "Baptist Integrated Physician Partners" to view the quality performance results. This ACO can also be found by using the ACO ID A62480 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.