CMS Global and Professional Direct Contracting

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Quality Partners in Care ACO Global and Professional Direct Contracting

Tenet Health
14201 N. Dallas Parkway
Dallas, TX 75254

HealthTexas Medical Group
2961 Mossrock
San Antonio, Texas 78230

Primary Contact Name Lee LaCroix
Primary Contact Phone Number (469) 893-6167
Primary Contact Email Address lee.lacroix@tenethealth.com

The Baptist Health System and HealthTexas Medical group is pleased to announce a collaborative partnership with the launch of a new Global and Professional Direct Contracting entity for the Centers for Medicare & Medicaid Services ("CMS") Global and Professional Direct Contracting Model. Together, we formed Quality Partners in Care ACO (QPIC ACO), a Global and Professional Direct Contracting Entity (DCE), or a group of healthcare providers who agree to work together to keep their patients healthy using proven methods, such as providing access to the right care, at the right time, and in the right setting. QPIC ACO has chosen to participate in the standard DCE under the Primary Care Capitation payment mechanism with voluntary alignment.

QPIC ACO assists its Medicare FFS beneficiaries by providing high quality coordinated care and works to keep members healthy, while treating them when sick or injured. If needed, a care management team will work with members to provide services such as chronic care management, as well as transitional care services by coordinating between the hospital system and the medical group, allowing for open communication & data sharing to reduce delays and duplication of services.

Click here to find a HealthTexas Medical Group provider.

Click here to find a Baptist Health System location.

Locations

GPDC Preferred Providers

GPDC Participants Speciality GPDC Participant in Joint Venture
GPDC Participant Providers
Physician Prime Care
dba HealthTexas Medical Group
Primary Care No
Claudia Aguero Family Medicine No
Jesus Aguilar Internal Medicine No
Christian Aldrete Physician Assistant No
Douglas Bahr Internal Medicine No
Crystal Banda Nurse Practitioner No
Mayery Barroso Nurse Practitioner No
Joseph Blydenburgh Physician Assistant No
Ana Maria Calderon Internal Medicine No
Mary Casiwa Family Medicine No
Christopher Caulfield Family Medicine No
Kristi Clark Internal Medicine No
Ramon Colen Internal Medicine No
Michael Dominguez Family Medicine No
Taylor Ely Physician Assistant No
Benito Enriquez Physician Assistant No
Yedlisbett Garrett Physician Assistant No
Patricia Garza Physician Assistant No
Stephanie Garza Nurse Practitioner No
Matthew Gibbs Family Medicine No
Andrine Grant Family Medicine No
Blanca Gray Internal Medicine No
Terry Grover Internal Medicine No
Sergio Hernandez Physician Assistant No
Evelyn Hettler-Lopez Physician Assistant No
Rebecca Hunt Internal Medicine No
Rochelle Huntsman Nurse Practitioner No
Priya Indira Family Medicine No
Michael Konopacki Family Medicine No
Timothy Kosmatka Family Medicine No
Amita Kumar Internal Medicine No
John Brian Lim Internal Medicine No
Rosa Lott Nurse Practitioner No
Angela Malarcher Internal Medicine No
Marie Mae Martinez Family Medicine No
Tamre Mcclelland Family Medicine No
Lenibet Montemayor Internal Medicine No
Stephanie Munoz Nurse Practitioner No
Nagalakshmi Nallapaneni Internal Medicine No
Melanie Olivarez Physician Assistant No
Gabriel Ortiz Family Medicine No
Jose Ortiz Internal Medicine No
Bharath Pola Internal Medicine No
Dan Powell Family Medicine No
Manuel Quinones Family Medicine No
Michelle Ramos Nurse Practitioner No
Steven Ramos Internal Medicine No
Lisa Reyna Physician Assistant No
Orlando Rodriguez Family Medicine No
Stacie Rydell Physician Assistant No
Claudia Santos Internal Medicine No
Raul Santoscoy Family Medicine No
Sheri Schoenbaum Physician Assistant No
Ricardo Arevalo Sosa Family Medicine No
Iveth Soza Family Medicine No
Kelly Thurmon Internal Medicine No
Francisco Torres Family Medicine No
Luis Torres Family Medicine No
April Hain Trevino Family Medicine No
Lorrin Tschirhart Physician Assistant No
Joshua Urteaga Family Medicine No
Julie Valdez Physician Assistant No
Archana Varma Family Medicine No
Matthew Vela Nurse Practitioner No
Sonia Villarreal Physician Assistant No
James Walter Family Medicine No
Cynthia Gneco Wilamo Internal Medicine No
A+ Abundant Care Home Health LLC
dba All Season Home Health and Palliative Care
Home Health and Palliative Care No
Adoration Hospice Care Texas, LLC
dba Embrace Hospice
Hospice No
Advance Hitech Nursing, Inc Home Health No
Alamo City Eye Physicians Ophthalmology No
Jon Berry Ophthalmology No
Aaron Pittard Ophthalmology No
William Walton Ophthalmology No
Amedisys Hospice, L.L.C. Hospice No
Amedisys Texas LLC Home Health No
Be Healthy at Home, LLC Home Health No
Brown and Brown Resources, Inc.
dba Home Nursing & Therapy Services
Home Health No
Cantex Home Health Fort Worth LLC
dba TheraCare Home Health
Home Health No
Cardiovascular & Hypertension Clinic of San Antonio Cardiology No
Juan Diego Martinez Cardiology No
Compassus OP of Texas, LLC
dba Compassus San Antonio
Hospice No
Dominion Care Management Group, LLC
dba Elara Caring
Home Health No
Echo Hospice Hospice No
Elysian Hospice San Antonio, LLC Hospice No
Foundation Bariatric Hospital of San Antonio Surgical Hospital No
Girling Health Care, Inc.
dba KindredAtHome
Home Health No
Guiding Light Hospice, Inc Hospice No
Innovative Infusions LLC
dba Paragon Infusion Centers
Infusion Center No
Innovative Senior Care Home Health of San Antonio, LCC Home Health No
KTS Partners, Inc.
dba Capitol Home Health
Home Health No
Laboratory Corporation of America Reference Lab No
Laboratory Corporation of America Holdings Reference Lab No
Medina County Hospital District
dba Cibolo Creek Health and Rehabilitation Center
Skilled Nursing No
Morningside Ministries
dba Kendall House Wellness and Rehabilitation
SNF No
Mission Cardiovascular Consultants, PA
dba New Braunfels Cardiology
Cardiovascular No
Sheri Boyd Cardiology No
Yasser Farra Cardiology No
Ronnie Garcia Cardiology No
Zack Nash Vascular Surgery No
Julie Remo Cardiology No
Mario Rossbach Vascular Surgery No
Frank Rubalcava Cardiology No
Theodore Trusevich Cardiology No
MOC San Antonio II LLC
dba Ignite Medical Resort San Antonio
Skilled Nursing No
New Braunfels Regional Rehabilitation Hospital, Inc Rehab Hospital No
Odyssey Health Operating Hospice No
POST ACUTE MEDICAL OF NEW BRAUNFELS, LLC
dba PAM Specialty Hospital of New Braunfels
Long Term Acute Care No
POST ACUTE MEDICAL OF NEW BRAUNFELS, LLC
dba PAM Specialty Hospital of New Braunfels
Rehab Hospital No
POST ACUTE MEDICAL AT SAN ANTONIO, LLC
dba Warm Springs Rehabilitation Hospital
Rehab Hospital No
POST ACUTE MEDICAL AT SAN ANTONIO LLC
dba Warm Springs Rehabilitation Hospital of Thousand Oaks
Rehab Hospital No
POST ACUTE MEDICAL AT SAN ANTONIO LLC
dba Warm Springs Rehabilitation Hospital of Westover Hills
Rehab Hospital No
PAM Specialty Hospital of San Antonio, LLC
dba PAM Specialty Hospital of San Antonio Medical Center, LLC
Long Term Acute Care No
Paragon Infusion Care, Inc Infusion Center No
Regency IHS of San Antonio LLC Skilled Nursing No
San Antonio Eye Care Ophthalmology No
David Abrams Ophthalmology No
Manpreet Chhabra Ophthalmology No
Gawain Dyer Ophthalmology No
Aaron Erdmanczyk Optometry No
Sora Hahn-Navas Ophthalmology No
Diem Herscovici Optometry No
Maria Stephanie Jardeleza Ophthalmology No
Randy Mauffray Ophthalmology No
Kundandeep Nagi Ophthalmology No
Tamanna Odea Ophthalmology No
Vasudha Panday Ophthalmology No
Christopher Ramirez Optometry No
Sanford Roberts Ophthalmology No
Donald Semler Optometry No
Georgia Stephenson Ophthalmology No
Scott Thomas Ophthalmology No
Jake Trinidad Ophthalmology No
Da Thuy Van Ophthalmology No
Jason Zhao Ophthalmology No
San Antonio Vascular & Endovascular Clinic Cardiovascular No
Amber Ritenour Vascular Surgery No
Lyssa Ochoa Vascular Surgery No
Sherry Mullins Physician Assistant No
Monica Kincade Certified CNS No
Marlin Causey Vascular Surgery No
Carolina Calvo Physician Assistant No
Nydia Gonzalez Nurse Practitioner No
Shepherd Living Hospice LLC
dba Four Seasons Hospice
Hospice No
Signal Hospice Care, LLC Hospice No
South Texas Spinal Clinic Spine/Pain Center No
M Dennis Orthopedic Surgery No
Ralph Garza Orthopedic Surgery No
Paul Geibel Orthopedic Surgery No
Gerald Greenfield Orthopedic Surgery No
David Hirsch Rehabilitation No
Joel Jenne Orthopedic Surgery No
Ajeya Joshi Orthopedic Surgery No
Yan Li Neurosurgery No
Gilbert Meadows Orthopedic Surgery No
Stephanie Pearson Rehabilitation No
Edward Pettyjohn Orthopedic Surgery No
Charles Pipkin Orthopedic Surgery No
Stephanie Prado Rehabilitation No
David Roberts Orthopedic Surgery No
James Simmons Orthopedic Surgery No
Pablo Vazquez Seoane Orthopedic Surgery No
David Vizurraga Orthopedic Surgery No
Antonio Webb Orthopedic Surgery No
Rachel Xu Rehabilitation No
Touchstone Strategies Stone Oak2 LLC
dba Stone Oak Care Center
Skilled Nursing No
Uvalde County Hospital Authority
dba Windemere at Westover Hills
Skilled Nursing No
Uvalde County Hospital Authority
dba Coronado at Stone Oak
Skilled Nursing No
Uvalde County Hospital Authority
dba Sorrento
Skilled Nursing No
Uvalde County Hospital Authority
dba The Heights of Bulverde
Skilled Nursing No
Visiting Practitioners & Palliative Care LLC Home Health, Hospice No
Warm Springs Rehabilitation Hospital of Kyle, LLC Rehab Hospital No
Warm Springs Specialty Hospital of San Antonio, LLC Long Term Acute Care No

GPDC Governing Body:

Member

Last Name

Member

First Name

Member

Title/Position

Member's Voting Power: expressed as a percentage or number Membership Type GPDC Participant Legal Business Name/DBA, if applicable
Ruffner Jeannine Board Chair 14.3% GPDC Participant Representative Physician Prime Care
Torres, MD Luis Physician Board Member 14.3% GPDC Participant Representative Physician Prime Care
Powell, MD Dan Physician Board Member 14.3% GPDC Participant Representative Physician Prime Care
Phillips Brady Board Member 14.3% Facility Participant Representative N/A
Handley Charles Board Member 14.3% Facility Participant Representative N/A
Day Lizette Board Member 14.3% Facility Participant Representative N/A
Cooper Connie Board Member 14.3% Medicare Beneficiary N/A

Key ACO clinical and administrative leadership:

  • GPDC Executive: Lee LaCroix
  • Medical Director: Dan Powell, MD
  • Compliance Officer: Stephanie Carpenter
  • Quality Assurance/Improvement Officer: Lizette Day

The DCE arrangement seeks waiver protection provided by CMS pursuant to Section 1115A(d)(1) of the Social Security Act (Act), namely that section 1877(a) of the Act (relating to Federal physician self-referral law) and sections 1128(b)(1) and (2) of the Act (relating to the Federal anti-kickback statue) are waived with respect to any startup arrangement between DCE and one or more DC Participant Providers or Preferred Providers or both, providing that conditions set forth in the Global and Professional Direct Contracting Program are met.