Medicare ACO

ACO Name and Location

St Joseph Regional Health Partners ACO

Address

2801 Franciscan Dr

Bryan, TX 77802
Get Directions

ACO Primary Contact

Megan Harkey

512-433-9051

[email protected]

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
BCS ABUNDANT LIFE FAMILY PRACTICE N
Bryan Radiology Associates N
Central Texas Digestive Disease Association PA N
Central Texas Heart Center N
James M Kirby And Joseph J Fedorchik N
Julie Lim N
Kuppusamy Ragupathi, M.D. N
PAUL ROQUET MD PA N
REGENERATIVE & RESTORATIVE REHAB, PLLC N
Remon Fino, Md, Pa N
St Joseph Regional Health Center N

ACO Governing Body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type-

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Parsi

Kia

MD, Chair

1

ACO Participant

St. Joseph Regional Health Center

Damien

David

MD, Voting Member

1

ACO Participant

St. Joseph Regional Health Center

Cheng

Clint

MD, Voting Member

1

ACO Participant

St. Joseph Regional Health Center

Waer

Amy

MD, Voting Member

1

Community Stakeholder

  

Stigler

Carolyn

Medicare Beneficiary

1

Community Stakeholder

  

Key ACO Clinical and Administrative Leadership:

ACO Executive: Megan Harkey

Medical Director: Clint Cheng, MD

Compliance Officer: David Walsh

Quality Assurance/Improvement Officer: Tracy Maddox

 

Associated Committees and Committee Leadership:

 

Committee Name

Committee Leader Name and Position

Patient and Family Advisory Council

Chris Hagerman

 

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

  • Critical Access Hospital (CAH) billing under Method II

  • Hospital employing ACO professionals

  • Networks of individual practices of ACO professionals

  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • 3rdAgreement Period

    • Performance Year 2022, $3,964,507

    • Performance Year 2021, $3,304,126

    • Performance Year 2020, $1,613,185

  • Second Agreement Period

    • Performance Year 2019, $0

    • Performance Year 2018, $0

    • Performance Year 2017, $0

  • First Agreement Period

    • Performance Year 2016, $0

    • Performance Year 2015, $0

    • Performance Year 2014, $0

Shared Savings Distribution:

  • Third Agreement Period

    • Performance Year 2022

      • Proportion allocated to confirmed PY FTE infrastructure expenditures: 72.1% for 2022 (percentage variable due to fixed cost allocation)

      • Proportion of distribution to ACO participants: 27.9%

    • Performance Year 2021

      • Proportion allocated to confirmed PY FTE infrastructure expenditures: 69% for 2021 (percentage variable due to fixed cost allocation)

      • Proportion of distribution to ACO participants: 31%

    • Performance Year 2020

      • Proportion allocated to confirmed PY FTE infrastructure expenditures: 34% for 2020 (percentage variable due to fixed cost allocation)

      • Proportion held for Reserves for Potential Downside Payment: 40%

      • Proportion of distribution to ACO participants: 26%


Quality Performance Results

2022 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface and MIPS CQMs

 

Measure #

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control2

9.89

10.71

134

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

75.10

76.97

236

Controlling High Blood Pressure

84.17

74.16

318

Falls: Screening for Future Fall Risk 

94.27

87.83

110

Preventative Care and Screening: Influenza Immunization

81.32

77.34

226

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

58.62

79.27

113

Colorectal Cancer Screening

81.47

75.32

112

Breast Cancer Screening

80.31

78.07

321

CAHPS for MIPS3

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2

0.1520

0.1510

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

34.88

30.97

CAHPS-1

Getting Timely Care, Appointments, and Information

86.57

83.96

CAHPS-2

How Well Providers Communicate

95.45

93.47

CAHPS-3

Patient’s Rating of Provider

94.02

92.06

CAHPS-5

Health Promotion and Education

62.96

62.68

CAHPS-6

Shared Decision Making

70.09

60.97

CAHPS-8

Care Coordination

90.86

85.46

CAHPS-9

Courteous and Helpful Office Staff

94.65

91.97

CAHPS-11

Stewardship of Patient Resources

27.21

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

  • ACO Pre-Participation Waiver: 

    • NA

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