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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

Mary Raby-Grover
(713) 338-6465
mary.raby-grover@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 
Affinity Family Medicine and Wellness Center PA
Alexandria Medical Association PA 
Allison Blazek MD PA
Ambreen Sharaf MD  PA
Ami C. Foster MD PA
Anil A. Dara M.D. P.A. 
Ankur Doshi MD PA
Barker Cypress Family Practice PA
Bay Area Geriatrics
Bharat B. Latthe MD PA
Brian C. Castillo MD PA 
Campbell, Ghebranious, Hung PLLC
Care Today PA
Carol A. Strickland MD PA
Cesario A. Castillo MD PA 
David E. Auer MD PA
David W. Reininger MD and Ramon A Solis MD LLP
Dierdre McMullen M.D.
Dr. Mubarak Khawaja PA 
Dr. Richard C. Lock M.D.
Dr Robert D. Mock MD
Dr. Saleha Ahmed
Dr. Syed Viqar Ahmed MD 
Durga P. Sunkara, MD, PA
Elite Family Health and Wellness Center PA
Ella Family Medicine PA
Family & Senior Medical Clinic PA
First Colony Primary Care, P.A. 
Genesis Family Care PA
Gregg C. Castillo, MD, PA 
Heidi Schultz MD PA
High Tech Family Care And Women's Health PA 
Houston Urology Partners PA
Ike Eni, M.D., P.A. 
Ilsong Jason Chong MD PA
Ivoor W. Foox MD PA
J. Kevin Giglio MD PA
Janice A. Mudd DO
Jimin Wang MD PA
Jose Fernando Zavaleta M.D., P.A. 
Kaisen Fang MD
Lillian Howard MD PA
Medical Colleagues of Texas LLP
Mehta Medical Group PLLC
Memorial Hermann Hospital System
Memorial Hermann Medical Group
Memorial Hermann Rehabilitation Hospital Katy LLC
Memorial-Katy Gastroenterology Consultants PA
MHS Physicians of Texas
Michael Y. Chang DO PA
Moonat Medical Assoc. Inc.
Murtaza Mussaji
Nibu Mathew
North Woods Family Medicine 
Northeast Medical Associates
Northeast Primary Care Associates P.A.
Orlando Fonseca MD PLLC
Pachie S. Chan MD PLLC
Panther Creek Medical Center PA
Paramount Medical Associates
Physicians Group Of The Woodlands 
Pinewood Medical Clinic PA
Pratibha R. Kulkarni MD PA
Providence Family Practice
Pucillo Family Practice PA
Raja Abusharr MD PA
Ravindra Kumar MD 
Rishi Hingorani DO PA
Robert L. McClendon PLLC
Rosewood Family Physicians I PLLC 
Samuel L. Siegler JD MD PA
Shengkun Yao MD PA
Sistla B Krishna MD
Sohail Noor MD PA
Southeast Medical Group PA
Southwest Family Physicians, PA 
Southwest Memorial Physician Associates PA
Spuhler Medical Associates PA
St. Johns Physician Associates PA 
Stuart A. Shapiro MD
Sugar Lakes Family Practice PA
Sugar Land Med Ped Clinic, P.A. 
Summer Creek Physicians PLLC
Suparna Chhibber MD PA
Tamirisa Renu PA 
Tara H. Shani MD PA
Thanh Ho Taylor DO PA
The Institute for Rehabilitation and Research
The Pearland Clinic PA
Thomas FP PLLC
Thomas G. Diaz MD PA
TLC Clinic, PLLC 
Tran & Thomas PA
Trang T. Trinh MD PA
Virgilio C. Carandang
Westwood Primary Care PLLC
Woon Ki Sim
Zhengnan Yin MD

MHACO Governing Body 

Last Name

First Name

Title

Responsibilities

Member Type

ACO Participant (TIN) Legal Name

Stokes

Charles D.

Board Member

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

Fernandez, M.D.

D. Keith

Board Member;
Chief Medical Officer

Serves on Board of Directors; Responsible for clinical management and oversight of the Corporation.

ACO Participant

Memorial Katy Gastroenterology Consultants, PA

Duco, Jr.

Bernard A.

Board Member;
Secretary

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

ACO Participant

Memorial Hermann Hospital System

King

Brent R.

Board Member

Serves on Board of Directors

Other

 

Brownawell

H. Jeffrey

Board Member

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

McDonald, M.D.

R. Emmett

Board Member

Serves on Board of Directors

ACO Participant

Houston Urology Partners, PA

Wells

Brian D.

Board Member

Serves on Board of Directors

ACO Participant

Memorial Hermann Hospital System

Bauer, M.D.

David W.

Board Member

Serves on Board of Directors

ACO Participant

MHS Physicians of Texas

Kim, M.D.

Dong

Board Member

Serves on Board of Directors

ACO Participant

MHS Physicians of Texas

Wine

Kenneth

Board Member

Serves on Board of Directors

Medicare Beneficiary

 

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 $16,595,264 with capped earned incentive payment of $16,263,359.
  • Performance Year 2: TBD
  • 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. The Memorial Hermann Health System (“MHHS”), a participant in the Memorial Hermann Accountable Care Organization (“MHACO”) 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 cardiovascular service line of MHHS. The focus will be on CABG and PCI, and eligible physicians will be eligible for compensation based upon meeting quality and cost metrics.
  2. 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.
  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 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.
  4. 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.
  5. 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 orthopedic 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.
  6. 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 orthopedic service line inclusive of a regional leadership structure; supplement and support the orthopedic 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.