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

Mohammad A Haque, M.D., P.A.

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

Bhagwat Patel, 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

Fernando Bueso, M.D., P.A.

N

Asha Kohli

N

College Park Medicine, P.A.

N

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

N

Northwest Med Care, 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

Sims, MD

Kimberly

ACO Board Member

100%

ACO Participant

TMH Physician Associates, PLLC

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:

Julia Andrieni, MD, FACP

ACO Executive

Robert Jackson, MD, MACP

Medical Director

Catherine Meents

Compliance Officer

Chris Robben, MD, MBA, FACP

Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Physician Advisory Committee

Kimberly Sims, 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 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 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

2020 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

0.74

0.95

ACO-13

Falls: Screening for Future Fall Risk

95.11

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

83.39

76.03

ACO-17

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

100.00

81.67

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

90.62

71.46

ACO-19

Colorectal Cancer Screening

77.36 72.59

ACO-20

Breast Cancer Screening

80.59

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90.85 83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

9.21 14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

70.08 72.87

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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.