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ACO Public Reporting Information

ACO Name and Location

Memorial Hermann Accountable Care Organization
929 Gessner, Suite 2700
Houston, Texas 77024

ACO Primary Contact

Susan Garcia
(713) 338-5795
susan.garcia@memorialhermann.org

Composition of ACO

  • Network of individual practices of ACO professionals
  • Partnership or joint venture arrangements between hospitals and ACO professionals
  • Hospital employing ACO professionals

ACO Participants

Abbas Jafri Md Pa
Affiliates Of Family Medicine Inc
Alexandria Medical Association PA
Alfredo Huerta Jr MD
Allison Blazek, MD, PA
Ambreen Sharaf, MD, PA
Ami C Foster, MD, PA
Anil A Dara M.D. P.A.
Ankur Doshi, MD, PA
Balance Family Medicine, Lllp
Barker Cypress Family Practice, Pa
Bay Area Geriatrics
BAY AREA TOTAL HEALTH MEDICAL GRP PA
Bharat B Latthe, MD, PA
Brian C Castillo, MD PA
Campbell, Ghebranious, Hung, PLLC
Carol A Strickland, MD, PA
Center for Integrated Medicine, PA
Cesario A Castillo MD PA
College Park Medicine PA
Conroe Family Doctor Pllc
Conroe Family Medicine PA
David E Auer, MD, PA
David W Reininger Md And Ramon A Solis Md Llp
DEIRDRE MCMULLEN M.D.
Dr Mubarak Khawaja Pa
Dr Saleha Ahmed
DR. ALICE A. LIM M.D.
Dr. Richard C. Lock M.D.
DR. ROBERT D MOCK MD
DR. SYED VIQAR AHMED MD
Durga P Sunkara, MD, PA
Ella Family Medicine Pa
Family & Senior Medical Clinic, PA
Family Practice Clinic Of Crestwater Llc
First Colony Primary Care, P.A
Fuqua Family Practice and Urgent Care PA
G A Valdez & Associates Inc
Gary W Brewton
Genesis Family Care, P.A.
Georgina Loya MD PA
Gregg C. Castillo, MD, PA
Gulf Coast Primary Care, Pllc
HAZEM EL ZUFARI MD PA
Heidi Schultz, MD, PA
High Tech Family Care And Women's Health Pa
Houston Urology Partners, PA
HUAIGUANG LI M.D., PLLC
Ike Eni, M.D., P.A.
Ilsong Jason Chong, MD, PA
IMD Healthcare and Imaging
ImranNathaniMDPA
INPATIENT PROVIDERS OF TEXAS, PLLC
Integrative Primary Care PLLC
INTERNAL MEDICINE ASSOCIATES OF HOUSTON PA
Ivor W Foox, MD, PA
J Kevin Giglio, MD, PA
Jimin Wang, MD, PA
JOSE FERNANDO ZAVALETA M.D., P.A.
JY Family Medicine & Urgent Care PLLC
Katy Supportive Medicine
Medical Associates of Katy PLLC
Medical Colleagues of Texas, LLP
MehtaMedicalGroupPLLC
Memorial Hermann Hospital System
Memorial Hermann Medical Group
Memorial Hermann Rehabilitation Hospital Katy, Llc
Memorial-Katy Gastroenterology Constultants, P.A.
MHS Physicians of Texas
MICHAEL E. BUXBAUM, D.O. P.A.
Michael Y Chang, DO, PA
MOONAT MEDICAL ASSOC INC
MTL MD PLLC
Murtaza Mussaji
Nghia C. Nguyen M.D.
Nibu Mathew
Northeast Medical Associates
NORTHEAST PRIMARY CARE ASSOCIATES P.A.
NorthWoodsFamilyMedicinePLLC
Orlando Fonseca, MD, PLLC
PachieSChanMDPLLC
Panther Creek Medical Center, PA
PhysiciansGroupofTheWoodlandsPA Pinewood Medical Clinic, PA
Pratibha R Kulkarni, MD, PA
Providence Family Practice, PA
Pucillo Family Practice, PA
Qingguo Tao MD PA
Raja Abusharr, MD, PA
Rios Family Medicine Clinic PA
Rishi Hingorani DO, PA ROSEWOOD FAMILY PHYSICIANS I PLLC
Rudolph Medical Associates
Samuel L Siegler,ii,j.D.,m.D.,p.A.
Shengkun Yao, MD, PA
Sistla B Krishna, MD
Southeast Medical Group Pa
Southwest Family Physicians, PA
Southwest Memorial Physician Associates, PA
Spuhler Medical Associates, PA
Sr Medical Clinic Pllc
St Elizabeth Family Care LLC
St Johns Physician Associates Pa
Stuart A Shapiro, MD
Sugar Lakes Family Practice, PA
SUGAR LAND MED PED CLINIC, P.A.
Suparna Chhibber MD PA
SYED A GARDEZI
Sylvia Wu, Md, Pa
Tamirisa Renu Pa
Tanveer F. Syed, M.D., P.A.
Tara H Shani, MD, PA
Thanh Ho Taylor, DO, PA
Thanh K. Hoang, M.D., P.A,
Thomas FP, PLLC
TLC CLINIC, PLLC
Town and Country Internal Medicine, P.A.
Tran & Thomas, PA
Trang T Trinh, MD, PA
UT Physicians Specialty Services
Virgil C Carandang
Wang & Jiang MD PA
WESTCHASE CLINICAL ASSOCIATES INC
Westwood Primary Care PLLC
Woodlands Internal Medicine Pa
WoodlandsPrimaryCarePA
Woon Ki Sim
Zealth Care Pllc
Zhengnan Yin, MD

MHACO Governing Body 

Last Name

First Name

Title

Responsibilities

Member Type

ACO Participant (TIN) Legal Name

Lloyd

Chris

Board Member, CEO

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

Laraway

Dennis L.

Board Member;
Treasurer

Serves on  Board of Directors; Responsible for oversight of the Corporation's funds.

ACO Participant

Memorial Hermann Hospital System

Shabot, M.D.

M. Michael

Board Member;
Chairman

Serves on Board of Directors; Serves as principal officer of the Board of Directors.

ACO Participant

Memorial Hermann Hospital System

Stokes

Charles D.

Board Member, Chair of MHACO Board of Directors

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

Alexander, MD

Charlotte

Board Member

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

Jackson

Grover

Board Member

Serves on Board of Directors

Medicare Beneficiary

N/A

Cannon

Deborah

Board Member

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

Doshi, MD

Ankur

Board Member

Serves on Board of Directors

ACO Participant

Ankur, Doshi, MD, PA

Giglio, MD

J. Kevin

Board Member

Serves on Board of Directors

ACO Participant

J Kevin Giglio, MD, PA

Gogola, M.D.

Jon

Board Member

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

MHACO Committees and Key Leadership Personnel

 Click Here for the ACO organizational Chart.

Aggregate Amount of Shared Savings/Losses 

  • Performance Year 1: Total Shared Savings $28,338,705.
  • Performance Year 2: Total Shared Savings $22,723,305
  • Performance Year 3: TBD

How Shared Savings Are Distributed 

  • Reinvest in infrastructure:  6%
  • Distribution to ACO Participants:  94%
  • Facility Fund Surplus
    • Physicians 25%
    • Hospital 75%
  • Professional Fund Surplus
    • Physicians 100%

NOTE: Percentages are included by way of example only. The distribution may vary from organization to organization.

Arrangements Disclosed

The MHACO Board has approved the following arrangements for the waivers authorized by CMS and the OIG pursuant to the “Medicare Program; Final Waivers in Connection with the Shared Savings Program” published on November 2, 2011.

  1. Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization (“MHACO”) has approved a modification and the continuation of the program administered by MHMD to advance evidence-based medicine, increase patient satisfaction, and manage the cost of care for the cardiovascular, orthopedic, and hospital medicine service line of MHHS.  The overall focus will remain the same, but the MHACO board approved the specific maximum payments to the physicians and approved minor modifications to the process program dates.
  2. The Memorial Hermann Accountable Care Organization Board has approved a small holdback of the available bonus pool if in-network utilization for the MHACO members remains flat or declines over the baseline. The MHACO Board considered documentation showing evidence that use of the network improved care quality and decreased the overall cost on a per patient basis.  The impact on the bonus pool is aggregate, and does not take into account the utilization of physicians at the individual level.
  3. The Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization, will engage MHMD, the Memorial Hermann Physician Network, to administer a program to advance evidence-based medicine, increase patient satisfaction, and manage the cost of care for the orthopedic service line of MHHS. The focus will be total joint replacement, and eligible physicians will be eligible for compensation based upon meeting quality and cost metrics.
  4. The Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization, will engage MHMD, the Memorial Hermann Physician Network, to administer a program to advance evidence-based medicine, increase patient satisfaction, and manage the cost of care for the hospitalist services provided at MHHS hospital. The focus will be on services provided by hospitalists, intensivists and anesthesiologists, and eligible physicians will be eligible for compensation based upon meeting quality and cost metrics.
  5. The Memorial Hermann Accountable Care Organization (“MHACO”) will provide to referral coordination service to physicians who participate in MHACO. MHACO will identify preferred providers, utilizing quality, cost and operational efficiency considerations, but will also coordinate referrals to physicians outside the preferred network. The expectation is that this will make the delivery of care more efficient, and will influence patients to utilize physicians with demonstrated quality and efficiency.
  6. The Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization (“MHACO”) has engaged the University of Texas Health Science Center (“UTHSC”) to provide academic, professional and administrative services, including the configuration of an ambulatory orthopedic network. Additionally, UTHSC will provide clinical and administrative leadership to advance quality and safety metrics of the orthopedic service line inclusive of a regional leadership structure; supplement and support the orthopedics call coverage requirements of the Hospital emergency departments; provide qualified physician leaders to coordinate the medical direction of local campuses and programs; provide guidance on operating room efficiency and operations to ensure the safest environment possible for patient care where requested; provide guidance on strategic sourcing solutions to improve overall quality of care and value to patients; and provide high quality care.
  7. The Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization (“MHACO”) has engaged the MHS Physicians of Texas (“PhyTex”), a certified nonprofit healthcare corporation of which MHHS is the sole member, to provide academic, professional and administrative services, including the configuration of an ambulatory neuroscience network. Additionally, PhyTex will provide clinical and administrative leadership to advance quality and safety metrics of the neuroscience service line inclusive of a regional leadership structure; supplement and support the neuroscience call coverage requirements of the Hospital emergency departments; provide qualified physician leaders to coordinate the medical direction of local campuses and programs; provide guidance on operating room efficiency and operations to ensure the safest environment possible for patient care where requested; provide guidance on strategic sourcing solutions to improve overall quality of care and value to patients; provide high quality care. An initial component of the program will provide financial incentives to neurosurgeons for meeting defined quality and cost metrics.
  8. The MHACO Board has approved an extension to program administered by MHMD to advance evidence-based medicine, increase patient satisfaction, and manage the cost of care for the cardiovascular, orthopedic, and hospital medicine service line of MHHS.  The program includes several modifications to make the program adaptable as new information becomes available to incentive activities to advance MSSP, but maintains the overall purposes of the original program.  The program is extended through the end of the MSSP renewal period.
  9. The MHACO Board has approved a pilot program to utilize a scribe in certain physician offices to determine whether the program should be expanded and utilized to increase physician productivity, quality and patient satisfaction.  
  10. The MHACO Board has approved a subsidy to cover part of the cost for its academic affiliated physician group to transition to the EMR platform as Memorial Hermann.  

Quality Performance Results