MSSP ACO – BHS
BHS Accountable Care LLC
19026 Stone Oak Pkwy
Suite 100
San Antonio, TX 78258
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%
- Performance Year 2021
- 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%
- 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
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.