MSSP ACO – BHS
ACO Primary Contact
Primary Contact Name | Lizette Day |
Primary Contact Phone Number | (210) 202-9958 |
Primary Contact Email Address | [email protected] |
Organizational Information
ACO Participants | ACO Participant in Joint Venture |
---|---|
Alma Lemez M.D. P.A. | N |
Andres S Enriquez, M.D. P.A. | N |
Bhs Physicians Network Inc. | N |
Borderland Medica, P.A. | N |
Community Family Medicine P.A. | N |
El Paso Wellness And Healthcare Center P.A. | N |
Juarez & Juarez Family Medical Clinic, Inc. | N |
Kevin P. Comfort M.D. | N |
Leo Edwards | N |
Mariaelena Gonzalez-Sozer, M.D. P.A. | N |
Muneer E. Assi D.O. P.A. | N |
North San Antonio Healthcare Associates | N |
Saint Vincent Physician Services, Inc. | N |
Sun City Sports Medicine And Family Clinic, P.A. | N |
Westwind Medical Associates, P.A. | N |
ACO Governing Body:
Member Last Name | Member First Name | Member Title/Position | Member's Voting Power: expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if applicable |
---|---|---|---|---|---|
Alprin | Clifford | Physician Board Chair | 12.50% | ACO Participant Representative | North San Antonio Healthcare Associates |
Comfort | Kevin | Physician Board Member | 12.50% | ACO Participant Representative | Kevin P. Comfort, MD |
Enriquez | Andres | Physician Board Member | 12.50% | ACO Participant Representative | Andres S Enriquez MD, PA |
Chopra-Miller | Monica | Physician Board Member | 12.50% | ACO Participant Representative | BHS Physicians Network, Inc. |
Edwards | Leo | Physician Board Member | 12.50% | ACO Participant Representative | Dr. Leo K. Edwards, Jr |
Bocanegra | Javier | Physician Board Member | 12.50% | ACO Participant Representative | Community Family Medicine |
Wolfe | Perry | Board Member | 12.50% | Medicare Beneficiary Representative | N/A |
Neakarse | Jennifer | Senior Director Quality, TPR | 0% | Other | N/A |
Earp | Dean | Physician Board Member | 12.50% | ACO Participant Representative | BHS Physicians Network, Inc. |
Key ACO clinical and administrative leadership:
- ACO Executive: Lizette Day
- Medical Director: Clifford Alprin
- Compliance Officer: Adam Fielding
- Quality Assurance/Improvement Officer: Lizette Day
Associated committees and committee leadership:
Committee Name | Committee Leader Name and Position |
---|---|
N/A | N/A |
Types of ACO participants, or combinations of participants, that formed the ACO:
ACO professionals in a group practice arrangementNetworks 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:
- Third Agreement Period
- Performance Year 2023, $3,924,083
- Performance Year 2022, $6,448,615
- Performance Year 2021, $6,824,866
- Performance Year 2020, $9,993,608
- Performance Year 2019, $9,290,277
- Second Agreement Period
- Performance Year 2019, $9,290,277
- Performance Year 2018, $9,666,039
- Performance Year 2017, $17,479,903
- 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
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Shared Savings Distribution:
- Third Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 23.7%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 51.3%
- Performance Year 2022
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2021
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2020
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance year 2019
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2023
- Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2018
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2017
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2016
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Proportion invested in infrastructure: 25%
- Performance Year 2019
- First Agreement Period
- Performance Year 2015
- 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 2014
- 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 2013
- 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 2015
Quality Performance Results
2023 Quality Performance Results:
Quality performance results are based on CMS Web Interface Collection Type
Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | CMS Web Interface | 8.80 | 9.84 |
Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 84.29 | 80.97 |
Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 77.97 | 77.80 |
Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 88.02 | 89.42 |
Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 55.51 | 70.76 |
Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 87.50 | 79.29 |
Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 79.20 | 77.14 |
Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 83.40 | 80.36 |
Quality ID#438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 91.24 | 87.05 |
Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 2.35 | 16.58 |
Measure# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1592 | 0.1553 |
Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | n/a | 35.39 |
CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS | 81.67 | 83.68 |
CAHPS-2 | How Well Providers Communicate | CAHPS | 93.98 | 93.69 |
CAHPS-3 | Patient’s Rating of Provider | CAHPS | 91.79 | 92.14 |
CAHPS-4 | Access to Specialists | CAHPS | 79.57 | 75.97 |
CAHPS-5 | Health Promotion and Education | CAHPS | 67.48 | 63.93 |
CAHPS-6 | Shared Decision Making | CAHPS | 61.08 | 61.60 |
CAHPS-7 | Health Status and Functional Status | CAHPS | 73.33 | 74.12 |
CAHPS-8 | Care Coordination | CAHPS | 85.69 | 85.77 |
CAHPS-9 | Courteous and Helpful Office Staff | CAHPS | 90.70 | 92.31 |
CAHPS-11 | Stewardship of Patient Resources | CAHPS | 29.32 | 26.69 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.