Coordinated Care

Welcome to Houston Methodist Coordinated Care (HMCC), an Accountable Care Organization

ACO Name and Location          

Houston Methodist Coordinated Care
7550 Greenbriar Drive
Suite 5-330
Houston, TX 77030

ACO Primary Contact

Julia Andrieni, MD
346.356.1553
jdandrieni@houstonmethodist.org

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Cypress Physicians Association

N

Fort Bend Primary Care, P.A.

N

N. Christine Le, M.D., P.A.

N

IKP Family Medicine, P.A.

N

Northern Pines Health Partners, P.A.

N

Khan and Mujeeb, PLLC

N

Highlands Medical Associates, P.A.

N

TMH Physician Associates, PLLC

N

Katy Internists

N

Priti Jadav

N

Ronald R. Galfione, M.D., P.A.

N

Center for Family & Preventive Medicine, P.A.

N

Family Health Consultants, P.A.

N

Parul R. Shah, D.O., P.A.

N

Amir Salim M.D., P.A.

N

Conroe Family Doctor PLLC

N

Progressive Medical Clinic LLP

N

St. Michael Medical Clinic, P.A.

N

Sweetwater Medical Associates, PLLC

N

Preventive Medicine Institute, P.A.

N

Rakesh Patel M.D. P. A.

N

Hanh Truong, M.D., P.A.

N

Woodlands Family Medicine Professional Limited Liability Company

N

Luda Kamenetsky, M.D., P.A.

N

James J. Bernick, M.D., P.A.

N

Michael Esantsi, M.D., P.A.

N

Daniel Dsouza, M.D., P.A.

N

Slim Healthcare Associates, PPLC

N

Harish Thakkar, M.D., P.A.

N

Primary Care Consultants, P.A.

N

Vasu Medical, PLLC

N

Esper Concierge and Sleep Medicine, P.A.

N

Space Center Primary Care, PLLC

N

Shadow Creek Family Physicians, P.A.

N

Premier NW Houston Medical Group, P.A.

N

Hillcroft Medical Clinic

N

College Park Medicine, P.A.

N

Hema Patel, M.D., P.A.

N

Katy Internal Medicine Assoc. LLP

N

Quoc Le, 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 and D/B/A, if applicable

Andrieni, MD

Julia

Chair, President & CEO - HMCC

100%

President

 

Robben, MD

Chris

Medical Director – HMCC Employed Physicians

100%

ACO Participant and Management

TMH Physician Associates, PLLC

Jackson, MD

Robert

Medical Director – HMCC Private Physicians

0%

ACO Management

 

Kumar, MD

Varun

Medical Director – HMCC Inpatient Services

0%

ACO Management

 

Agarwal, MD

Kathryn

Medical Director – HMCC Post-Acute

0%

ACO Management

 

Allmon, MD

Brent

ACO Board Member

100%

ACO Participant

Woodlands Family & Community Medicine Professional Limited Liability Company

Lee, MD

Nicoline

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Terry, MD

Gregory

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Septimus, MD

Joshua

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC
Ziegler, MD  Kathryn  ACO Board Member  100%  ACO Participant Cypress Physicians Association

Patel, MD

Maya

ACO Board Member

100%

ACO Participant

Preventive Medicine Institute

Dryden, MD

Natalie

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Roach, MD

Robert

ACO Board Member

100%

ACO Participant

Center for Family & Preventive Medicine, PA

Papageorge, MD

Seva

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Miller, MD

Susan

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Burns, MD

Tiffany

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

Irvine, MD

Timothy

ACO Board Member

100%

ACO Participant

IKP Family Medicine PA

Nguyen, MD

Tom-Thuan

ACO Board Member

100%

ACO Participant

St Michael Medical Clinic, PA

Dyer

Connie

ACO Board Member

100%

Medicare Beneficiary

 

Jackson

Ryane

ACO Board Member

100%

Community Stakeholder Representative

 

Meents

Cathy

Director, Corporate Business Practices - Houston Methodist

0%

ACO Management

 

Carr, MBA, MHA

Jeff

Treasurer - HMCC

0%

ACO Management

 

Clark, PhD

Dale

Secretary – HMCC

0%

ACO Management

 

Burns

Kevin

HMH Executive VP and Chief Financial Officer

0%

ACO Management

 

Easterly, JD

Mark

Vice President, Legal Services - Houston Methodist

0%

ACO Management

 

Spielman, MBA, MHA

Stephen

Senior Vice President; President, HMPCG; COO, HMSPG

0%

ACO Management

 

McLendon, MD

Terry

System Medical Director, Clinical Documentation - Houston Methodist

0%

ACO Management

 

Montgomery

LeTesha

Vice President, Access and Operations

0%

ACO Management

 

Cantu, JD

Mick

Executive Vice President - Houston Methodist

 

Chief Legal Officer - Houston Methodist Strategic and Business Development Officer - Houston Methodist

0%

ACO Management

 

 

Key ACO Clinical and Administrative Leadership:

ACO Executive

Julia Andrieni, MD, FACP

Medical Director

Robert Jackson, MD, MACP

Compliance Officer

Catherine Meents

Quality Assurance/Improvement Officer

Chris Robben, MD, MBA, FACP

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Physician Advisory Committee

Rohit Kashyap, MD, Chair

Quality Improvement Committee

Chris Robben, MD, Chair

Finance & Operations Committee

Jeff Carr, MBA, MHA, Chair

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period

  • Performance Year 2021, $21,796,178
  • Performance Year 2020, $ 19,439,369

 

First Agreement Period

  • Performance Year 2019, $ 4,511,285
  • Performance Year 2018, $ 1,280,660
  • Performance Year 2017, $ 1,258,180

Shared Savings Distribution:

Second Agreement Period

Performance Year 2021

  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 25%
  • Proportion of distribution to ACO participants: 45%

Performance Year 2020

  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 24%
  • Proportion of distribution to ACO participants: 46%

 

First Agreement Period

Performance Year 2019

  • Proportion invested in infrastructure: 25%
  • Proportion invested in redesigned care processes/resources: 18%
  • Proportion of distribution to ACO participants: 57%

 

Performance Year 2018

  • Proportion invested in infrastructure: 20%
  • Proportion invested in redesigned care processes/resources: 12%
  • Proportion of distribution to ACO participants: 68%

 

Performance Year 2017

  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 17%
  • Proportion of distribution to ACO participants: 53%

 

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.










ACO Quality Measure Number

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1C (HbA1C) Poor Control

8.26

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

93.82

74.38

236

Controlling High Blood Pressure

70.5

74.87

318

Falls: Screening for Future Fall Risk

95.92

87.03

110

Preventive Care and Screening: Influenza Immunization

90.23

 80.52

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

 93.33 80.97

113

Colorectal Cancer Screening

 84.31

73.63

112

Breast Cancer Screening

 80.69 75.11

438

  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.66 84.24
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Group  0.1541  0.1540
MCC1  All-Cause Unplanned Admission for Patients with Multiple Chronic Conditions for ACO (MCC)  35.80  33.94
CAHPS-1 Getting Timely Care, Appointments, and Information  80.55 84.67
CAHPS-2 How Well Providers Communicate 94.33  93.56
CAHPS-3 Patient's Rating of Provider  93.65 92.19
CAHPS-4 Access to Specialist 76.21  78.80
CAHPS-5 Health Promotion and Education 62.85 61.61
CAHPS-6 Shared Decision Making 61.33  60.89
CAHPS-7 Health Status and Functional Status 71.18 71.78
CAHPS-8 Care Coordination  89.06  85.66
CAHPS-9 Courteous and Helpful Office Staff  92.96  91.88
CAHPS-11 Stewardship of Patient Resources 35.09 24.71
    

Please note, the Quality ID # 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. 

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:

Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Waiver for Payment for Telehealth Services:

Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.