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

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