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 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

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • 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: N/A
      • Proportion invested in redesigned care processes/resources N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 76.57 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.43 93.13
ACO-3 CAHPS: Patients' Rating of Provider 90.29 92.31
ACO-4 CAHPS: Access to Specialists 85.76 83.32
ACO-5 CAHPS: Health Promotion and Education 65.04 62.30
ACO-6 CAHPS: Shared Decision Making 80.01 75.85
ACO-7 CAHPS: Health Status/Functional Status 72.08 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 24.06 25.68
ACO-8 Risk-Standardized, All Condition Readmission 15.60 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 19.12 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.08 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 81.07 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 61.54 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91) 1.98 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 91.59 75.32
ACO-13 Falls: Screening for Future Fall Risk 49.15 74.38
ACO-44 Imaging Studies for Low Back Pain 63.11 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 60.54 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 57.55 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 90.00 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.22 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 30.12 61.98
ACO-19 Colorectal Cancer Screening 50.00 64.58
ACO-20 Breast Cancer Screening 70.70 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.33 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 22.39 16.74
ACO-41 Diabetes: Eye Exam 40.30 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.03 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 80.24 86.86

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

  • For 2017 Quality Performance Results Please Click Here
  • 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.