Medicare ACO

ACO Name and Location

St Joseph Regional Health Partners ACO
2801 Franciscan Dr, Bryan, TX 77802

ACO Primary Contact

Primary Contact Name                   Megan Harkey

Primary Contact Phone Number      512-433-9051

Primary Contact Email Address         [email protected]

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)
Julie Lim

N

Kuppusamy Ragupathi, MD

N

BCS Abundant Life Family Practice

N

Remon Fino, MD, PA

N

Regenerative & Restorative Rehab, PLLC

 N

St. Joseph Regional Health Center

 N

Bryan Radiology Associates

 N

James M. Kirby and Joseph J. Fedorchik

 N

Central Texas Heart Center

 N

Paul Roquet, MD, PA

 N

ACO governing body:

Last Name 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
Parsi Kia MD, Chair 12.5% ACO Participant  St. Joseph Regioanl Health Center
Steins Michael MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
White Brad MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
Ficklen David MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
Damien David MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
Cheng Clint MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
Colato Fernando MD, Voting Member 12.5% ACO Participant  St. Joseph Regioanl Health Center
Wear Amy MD, Voting Member 12.5% Community Stakeholder  N/A

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Megan Harkey
  • Medical Director: Clint Cheng, MD
  • Compliance Officer: Christi Knox
  • Quality Assurance/Improvement Officer: Corryne Wicks

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 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 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

2021 Quality Performance Results:
Quality Performance Results are based on CMS Web Interface and MIPS CQMs

Measure #

Measure Name

Rate

ACO Mean

318

Falls: Screening for Future Fall Risk

91.87

87.03

226

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

61.54

80.97

110

Preventive Care and Screening: Influenza Immunization

95.49

80.52

113

Colorectal Cancer Screening

78.64

73.63

112

Breast Cancer Screening

98.73

75.11

001

Diabetes: Hemoglobin A1c Poor Control (>9%)

6.67

12.46

236

Controlling High Blood Pressure

93.26

74.87

479

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

0.1392

0.154

MCC1

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

37.41

33.99

321

 CAHPS for MIPS3 N/A N/A

CAHPS-1

Getting Timely Care, Appointments, and Information

87.01

84.67

CAHPS-2

How Well Providers Communicate

94.85

93.56

CAHPS-3

Patient’s Rating of Provider

94.29

92.19

CAHPS-5

Health Promotion and Education

61.83

61.61

CAHPS-6

Shared Decision Making

64.55

60.89

CAHPS-8

Care Coordination

87.80

85.66

CAHPS-9

Courteous and Helpful Office Staff

92.89

91.88

CAHPS-11

Stewardship of Patient Resources

25.44

 24.71

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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