Memorial Hermann Accountable Care Organization
929 Gessner, Suite 2700
Houston, Texas 77024
Name | Nicole Clarke Luck |
Phone Number | (713) 242-4429 |
Email Address | Nicole.ClarkeLuck@memorialhermann.org |
Office Name |
ACO Participant in Joint Venture |
Affiliates Of Family Medicine Inc |
N |
Alexandria Medical Association PA |
N |
Allison Blazek, MD, PA |
N |
Ambreen Sharaf, MD, PA |
N |
Anil A Dara MD, PA |
N |
ANURADHA KANTAMANI MD PA |
Y |
Aslam Loya MD PA |
Y |
Barker Cypress Family Practice, PA |
N |
Bay Area Total Health Medical Grp PA |
N |
Berta De Leon Scaglia MD PA |
N |
Brian C Castillo, MD PA |
N |
Campbell Ghebranious PLLC |
N |
Cesario A Castillo MD PA |
N |
David W Reininger M.D and Ramon A. Solis MD. LLP |
Y |
Dr Saleha Ahmed |
N |
Dr. A Family Clinic |
N |
Durga Sunkara |
N |
Ella Family Medicine PA |
Y |
FAIRFIELD FAMILY PHYSICIANS, PA |
N |
Faizun Anwar, M.D. P.A. |
N |
Family Healthcare Affiliates PLLC |
N |
Family Medicine Associates of Conroe PLLC |
N |
First Colony Primary Care, P.A |
N |
Fulshear Medical Associates PLLC |
N |
Fuqua Family Practice and Urgent Care PA |
N |
Genesis Family Care, P.A. |
N |
Georgina Loya MD PA |
N |
Gulf Coast Primary Care, PLLC |
N |
HAZEM EL ZUFARI MD PA |
N |
Heidi Schultz, MD, PA |
N |
High Tech Family Care And Women's Health PA |
Y |
Huaiguang Li M.D.,, PLLC |
N |
Ike Eni, MD, PA |
N |
IMD Healthcare and Imaging |
N |
Inpatient Providers Of Texas, PLLC |
N |
Internal Medicine Associates Of Houston PA |
N |
J Kevin Giglio, MD, PA |
N |
Jimin Wang, MD, PA |
Y |
JY Family Medicine & Urgent Care PLLC |
N |
Kannappan Krishnaswamy |
N |
Katy Supportive Medicine PA |
Y |
Luis Diaz |
N |
MA Medical Care PLLC |
N |
Medical Associates of Katy PLLC |
N |
Medical Colleagues Of Texas LLP |
Y |
Memorial Hermann Health System |
N |
Memorial Hermann Medical Group |
Y |
Memorial Hermann Rehabilitation Hospital Katy, Llc |
Y |
MHS Physicians of Texas |
N |
MICHAEL Y. CHANG. D.O., P.A. |
N |
Moonat Medical Assoc Inc. |
N |
MTL MD PLLC |
N |
NIBU MATHEW, M.D., P.A. |
Y |
Northeast Medical Associates |
N |
Northeast Primary Care Associates P.A. |
Y |
NorthWoodsFamilyMedicinePLLC |
N |
Orlando Fonseca, MD, PLLC |
N |
Pachie S Chan MD PLLC |
N |
Pearland Integrative Family Medicine Clinic |
N |
Pinewood Medical Clinic, PA |
N |
Pratibha R.Kulkarni M.D.P.A. |
N |
Premier Internal Medicine Associates Of Houston PLLC |
N |
Primecare Medical Group, PLLC |
Y |
Providence Family Practice, PA |
N |
Raja Abusharr, MD, PA |
N |
Rajnikant Kushwaha MD PA |
N |
Richard C. Lock, MD, PA |
N |
Rios Family Medicine Clinic Pa |
N |
Rishi Hingorani DO, PA |
N |
Ruan Medical Group |
N |
Samuel Gan |
N |
Samuel L Siegler,ii,j.D.,m.D.,p.A. |
N |
Sheng-Kun Yao |
N |
Sistla Krishna |
Y |
Southwest Family Physicians, PA |
N |
Southwest Memorial Physician Associates, PA |
N |
Spuhler Medical Associates, PA |
N |
St Johns Physician Associates PA |
N |
Star Primary Care,PA |
N |
Stuart A Shapiro, MD |
Y |
Suparna Chhibber MD PA |
N |
Syed A Gardezi |
N |
Syed V Ahmed MD PA |
N |
Sylvia Wu, Md, Pa |
N |
Tamirisa Renu,M.D,PA |
N |
Tanveer F. Syed, M.D., P.A. |
Y |
Tehmina Sami MD PA |
N |
Thanh K. Hoang, M.D., P.A. |
N |
Thomas FP, PLLC |
N |
Tran & Thomas, PA |
N |
Trinity Primary Care PA |
N |
UT Physicians Specialty Services |
Y |
Virgilio Carandang |
N |
Wang & Jiang MD PA |
N |
Westwood Primary Care PLLC |
N |
Zealth Care Pllc |
N |
Zhengnan Yin, MD, PLLC |
N |
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 |
|||
Callender, MD |
David |
Serves on Board of Directors; MHHS CEO |
1 |
Participant Representative |
Memorial Hermann Health System |
Cannon |
Deborah |
Serves on Board of Directors |
1 |
At-Large Member |
Memorial Hermann Health System |
King |
Alec |
Serves on Board of Directors; Treasurer |
1 |
Participant Representative |
Memorial Hermann Health System |
Doshi, MD |
Ankur |
Serves on Board of Directors |
1 |
Participant Representative |
Primecare Medical Group, PLLC |
Giglio, MD |
J. Kevin |
Serves on Board of Directors; Medical Director |
1 |
Participant Representative |
J. Kevin Giglio, MD, PA |
Jackson |
Grover |
Serves on Board of Directors |
1 |
Medicare Beneficiary Representative |
N/A |
McCarthy, MD |
James J. |
Serves on Board of Directors; President |
1 |
Participant Representative |
Memorial Hermann Health System |
Salcedo, MD |
Christophe C. |
Serves on Board of Directors |
1 |
Participant Representative |
Christophe C. Salcedo, MD & Associates PA |
McDonald, MD |
Emmett |
Serves on Board of Directors |
1 |
Participant Representative |
Memorial Hermann Health System |
James McCarthy, MD | ACO Executive, Quality Assurance/Improvement Officer |
J. Kevin Giglio, MD | Medical Director |
Robert McStay | Chief Compliance Officer |
Committee Name | Committee Leader Name and Position |
---|---|
ACO Incentive Appeals Committee | Nicole Clarke Luck, Senior Vice President |
“Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”
“Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.”
ACO # | Measure Name | Rate | ACO Mean |
---|---|---|---|
ACO-13 | Falls: Screening for Future Fall Risk | 91.32 | 84.94 |
ACO-14 | Preventive Care and Screening: Influenza Immunization | 76.36 | 76.03 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 69.23 | 81.67 |
ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 76.00 | 71.46 |
ACO-19 | Colorectal Cancer Screening | 76.24 | 72.59 |
ACO-20 | Breast Cancer Screening | 75.56 | 74.05 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 83.71 | 83.37 |
ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 12.45 | 14.70 |
ACO-28 | Controlling High Blood Pressure | 64.73 | 72.87 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
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” originally published on November 2, 2011 and finalized on October 29, 2015.