MSSP ACO – BHS

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

ACO Primary Contact
Primary Contact Name Robin Clark
Primary Contact Phone Number 210-297-1332
Primary Contact Email Address Robin.Clark@Tenethealth.com

Organizational Information

ACO participants:
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
M & M North, LLP  N
Dr. Brajesh Bhatla, MD PA  N
El Paso Wellness & Healthcare Center PA  N
VHM Services Inc  N
Saint Vincent Physician Services Inc  N
North Hills Family Medicine  N
BHS Physicians Network Inc  N
Valdez Family Clinic, PA  N
Greater Dallas Healthcare Enterprises  N
Tenet Florida Physician Services, LLC  N
Luis H. Robles MD, PA  N
Cristo A. Calle MD, PA  N
Irina A. Minina MD PLLC  N
Cristo A. Calle MD, PA  N
Irina A. Minina MD, PLLC  N
Jibrail Kasperkhan, MD, PLLC  N
Valley House Calls, PLLC  N
Mercy Clinics MD, PA  N
Rhonda Fleming, MD PA  N
John Patterson, Md, Pa  N
Arturo Hernandez MD PA  N
Valley Doctors Clinic Of Brownsville PLLC  N
Moazam PA  N
Perry Wolfe  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Borderland Medica PA  N
Suncity Sports Medicine and Family Clinic  N
David A. Ramos MD, PA  N
Medland Associates  N
West Boca Health Services, LLC  N
Marcos Reis  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
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
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  ACO Partcipant Representative  Carlos A. Lozano, MD
Alprin, Clifford Physician  9.09  ACO Partcipant Representative  North San Antonio Healthcare Associates
Comfort, Kevin Physician  9.09  ACO Partcipant Representative  Kevin P. Comfort, MD
Enriquez, Andres Physician  9.09  ACO Partcipant Representative  Franklin Medical Center
Korte, Joan Beneficiary  9.09  ACO Partcipant Representative  Medicare Beneficiary
Watkins, Lynette CMO, Baptist Health System  9.09  ACO Partcipant Representative  BHS Physician Network
Ching, Robert Physician  9.09  ACO Partcipant Representative  Ching Healthcare Institute
Edwards, Leo Physician  9.09  ACO Partcipant Representative  Leo K. Edwards, MD
Garza, Herberto Physician  9.09  ACO Partcipant Representative BHS Physician Network
Manocha, Lovelesh Physician  9.09  ACO Partcipant Representative   BHS Physician Network
Clark, Robin Executive Director  9.09  ACO Partcipant Representative   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 76.98 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 93.83 93.01
ACO-3 CAHPS: Patients' Rating of Provider 92.83 92.25
ACO-4 CAHPS: Access to Specialists 86.16 83.49
ACO-5 CAHPS: Health Promotion and Education 62.23 60.32
ACO-6 CAHPS: Shared Decision Making 76.64 75.40
ACO-7 CAHPS: Health Status/Functional Status 71.92 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 24.03 26.97
ACO-8 Risk-Standardized, All Condition Readmission 14.63 14.70
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.15 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 51.66 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.51 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.00 59.81
ACO-9 Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 10.12 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8 ) 14.90 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 82.47 82.72
ACO-39 Documentation of Current Medications in the Medical Record 92.57 87.54
ACO-13 Falls: Screening for Future Fall Risk 54.71 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 54.20 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 51.48 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 86.31 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97.79 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 34.35 53.63
ACO-19 Colorectal Cancer Screening 50.20 61.52
ACO-20 Breast Cancer Screening 63.60 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-up Documented 79.00 76.79
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 77.04 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 19.56 18.24
ACO-41 Diabetes: Eye Exam 34.07 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 69.15 70.52
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 83.29 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 91.47 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%) 74.47 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.