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

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

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

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

Southwest Primary Care, P.A.

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

 

Chung, RN, MSN, PhD NE-BC             Heather       

ACO Board Member

100%

Community Stakeholder Representative

System Behavioral Health Transitions in Care

Meents

Cathy

Director, Corporate Business Practices - Houston Methodist

0%

ACO Management

 

Burger, MBA, MHA

Lora

Treasurer - HMCC

0%

ACO Management

 

Byers, MPH

Rashaan

Secretary – HMCC

0%

ACO Management

 

Tyrrell

Ed

Senior Vice President Corporate Financial Service Revenue Cycle and Managed Care

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

 

Head, RN

Margaret

Vice President, Clinical 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

Shawn Tittle, MD

 

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

Lora Burger, 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 2022, $33,189,781
  • 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 2022

  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 36%
  • Proportion of distribution to ACO participants: 34%

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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface Collection Type.

 

Measure #

Measure Name

Collection Type

Reported Performance Rate

Current Year Mean Performance Rate (SSP ACOS)

001

Diabetes: Hemoglobin A1C (HbA1C) Poor Control

CMS Web Interface

6.75

10.71

134

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

CMS Web Interface

93.90

76.97

236

Controlling High Blood Pressure

CMS Web Interface

80.40

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

97.56

87.83

110

Preventive Care and Screening: Influenza Immunization

CMS Web Interface

90.84

77.34

226

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

CMS Web Interface

92.00 79.27

113

Colorectal Cancer Screening

CMS Web Interface

84.83 75.32

112

Breast Cancer Screening

CMS Web Interface

87.01 78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

87.98 86.37

370

Depression Remission at Twelve Months

CMS Web Interface

15.38

16.03

321

CAHPS for MIPS

CAHPS for MIPS survey N/A N/A

479

Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Group

Administrative Claims

0.1497

0.1540

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Administrative Claims

31.87

30.97

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

85.91

83.96

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

94.67 93.47

CAHPS-3

Patient's Rating of Provider

CAHPS for MIPS Survey

93.62 92.06

CAHPS-4

Access to Specialists

CAHPS for MIPS Survey

79.63 77.00

CAHPS-5

Health Promotion and Education

CAHPS for MIPS Survey

63.95 62.68

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

60.74 60.97

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

75.46 73.06

CAHPS-8


 Care Coordination

CAHPS for MIPS Survey

87.72 85.46

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

92.46 91.97

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

35.69 25.62
      

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.

Fraud and Abuse Waivers:

N/A