MSSP ACO – BHS

BHS Accountable Care LLC
19026 Stone Oak Pkwy
Suite 100
San Antonio, TX 78258

ACO Primary Contact
Primary Contact Name Lizette Day
Primary Contact Phone Number (210) 202-9958
Primary Contact Email Address Lizette.Day@tenethealth.com

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
Carlos A Lozano, M.D. 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
Leon Springs Family Practice, P.A. 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
San Antonio Preventive & Diagnostic Medicine N
Segundo Abraham Briones, M.D., P.A. N
Sun City Sports Medicine And Family Clinic, P.A. N
Westwind Medical Associates, P.A. N
Yolanda Marcos, M.D. 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
Lozano Carlos Physician Board Member 12.50% ACO Participant Representative Carlos A. Lozano, MD
Enriquez Andres Physician Board Member 12.50% ACO Participant Representative Andres S Enriquez Md Pa
Alves Patrice Physician Board Member 12.50% ACO Participant Representative San Antonio Preventive & Diagnostic Medicine
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
Lara Steve Sr. Director Physician Practice Operations 0% Facility Participant Representative N/A
Petroff Peter Board Member 12.5% Medicare Beneficiary N/A

Key ACO clinical and administrative leadership:

  • ACO Executive: Lizette Day
  • Medical Director: Clifford Alprin
  • Compliance Officer: Cindy Simmonds
  • 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 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:

  • Third Agreement Period
    • 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 2021
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2020
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance year 2019
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
  • 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%
    • Performance Year 2018
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • 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: 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

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

ACO # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 8.44 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 78.52 74.38
236 Controlling High Blood Pressure 75.59 74.87
318 Falls: Screening for Future Fall Risk 89.92 87.03
110 Preventative Care and Screening: Influenza Immunization 81.30 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 70.21 80.97
113 Colorectal Cancer Screening 78.53 73.63
112 Breast Cancer Screening 78.83 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.16 84.24
370 Depression Remission at Twelve Months 11.88 15.50
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1596 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 32.27 33.99
Conditions for ACOs (MCC)2

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.