ACO name and location
Baylor Quality Health Care Alliance LLC
2301 N Washington Ave
Dallas, TX 75246
ACO primary contact
Sarah Habeeb
Sarah.Habeeb@BSWHealth.org
Organizational information
ACO Participants | ACO Participant in Joint Venture (Y/N) |
---|---|
Baylor Heart & Vascular Center LLP | N |
Baylor Scott & White Medical Center – Centennial | N |
Baylor Scott & White Medical Centers – Capitol Area | N |
Baylor All Saints Medical Center | N |
Baylor Medical Center at Irving | N |
Baylor Medical Center at Waxahachie | N |
Baylor Medical Centers at Garland and McKinney | N |
Baylor Regional Medical Center at Grapevine | N |
Baylor Regional Medical Center at Plano | N |
Baylor University Medical Center | N |
HealthTexas Provider Network | N |
Hillcrest Baptist Medical Center | N |
Hillcrest Family Health Center | N |
Hillcrest Physician Services | N |
Lake Pointe Operating Company LLC | N |
Scott & White Clinic | N |
Scott & White Hospital - Brenham | N |
Scott & White Hospital – College Station | N |
Scott & White Hospital – Marble Falls | N |
Scott & White Hospital – Round Rock | N |
Scott & White Hospital – Taylor | N |
Scott & White Memorial Hospital | N |
Texas Heart Hospital of the Southwest LLP | N |
Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage) |
Membership Type | ACO Participant Legal Business Name, if applicable |
---|---|---|---|---|---|
Aval-Na’Ree | Green | MD, Voting Member, Secretary | 11% | ACO Participant Representative | Scott & White Memorial Hospital |
James | Graham | MD, Voting Member, Vice Chair | 11% | ACO Participant Representative | Hillcrest Baptist Medical Center |
W. Stuart | Johnston | MD, Voting Member | 11% | ACO Participant Representative | Baylor Scott & White – Plano |
Joseph | Kilianski | MD, Voting Member | 11% | Other | N/A |
Kimberly | McMillin | MD, Voting Member, Chair | 11% | ACO Participant Representative | Baylor Scott & White – Plano |
Leigh | Nordstrom | MD, Voting Member | 11% | ACO Participant Representative | Baylor Scott & White Medical Center - Waxahachie |
Alberto | Parra | MD, Voting Member | 11% | Other | N/A |
Mohanakrishnan | Sathyamoorthy | MD, Voting Member | 11% | Other | N/A |
Suneel | Vallabhaneni | MD, Voting Member | 11% | ACO Participant Representative | Scott & White Memorial Hospital |
Clarence | Miller | Business Consultant | 0% | Medicare Beneficiary Representative | N/A |
Key ACO clinical and administrative leadership
- ACO Executive: Jennifer Reed
- Medical Director: Dr. Michael Massey
- Compliance Officer: Alyssa Moore
- Quality Assurance/Improvement Officer: Melissa Arana
Committee Name | Committee Leader Name and Position |
---|---|
Quality Improvement Committee | Mike Massey MD, Chair; James Graham MD, Vice-Chair |
Compliance Committee | Keith Newman MD, Chair |
Membership and Standards Committee | Joseph Kilianski MD, Chair |
Types of ACO participants or combinations of participants that formed the ACO
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
Shared savings and losses
Amount of shared savings/losses
Fourth agreement period
- Performance year 2022, $61,442,789
Third agreement period
- Performance year 2021, $61,050,959
- Performance year 2020, $47,128,683
- Performance year 2019-A, $20,420,593
Second agreement period
- Performance year 2019, $13,907,640
- Performance year 2018, $18,761,481
First agreement period
- Performance year 2017, $0
- Performance year 2016, $0
- Performance year 2015, $0
Shared savings distribution
Fourth agreement period
Performance year 2022
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 42.5%
- Proportion of distribution to ACO participants: 42.5%
Third agreement period
Performance year 2021
- Proportion invested in infrastructure: 16%
- Proportion invested in redesigned care processes/resources: 42%
- Proportion of distribution to ACO participants: 42%
Performance year 2020
- Proportion invested in infrastructure: 11% Proportion invested in redesigned care processes/resources: 45%
- Proportion of distribution to ACO participants: 44%
Second agreement period
Performance year 2019
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 40%
Performance year 2018
- Proportion invested in infrastructure: 16%
- Proportion invested in redesigned care processes/resources: 42%
- Proportion of distribution to ACO participants: 42%
First agreement period
Performance year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2015
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Quality performance results
Quality performance results are based on CMS Web Interface
Measure # | Measure Name | Collection Type | Rate | ACO Mean |
---|---|---|---|---|
001 | Diabetes: Hemoglobin A1c Poor Control | CMS Web Interface | 8.02 | 10.71 |
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 92.55 | 76.97 |
236 | Controlling High Blood Pressure | CMS Web Interface | 75.23 | 76.16 |
318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 99.04 | 87.83 |
110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 84.19 | 77.34 |
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 90.62 | 79.27 |
113 | Colorectal Cancer Screening | CMS Web Interface | 84.27 | 75.32 |
112 | Breast Cancer Screening | CMS Web Interface | 88.61 | 78.07 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 91.89 | 86.37 |
370 | Depression Remission at Twelve Months | CMS Web Interface | 8.75 | 16.03 |
321 | CAHPS for MIPS | CAHPS for MIPS Survey | N/A | N/A |
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 15.26 | 15.10 |
484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 31.36 | 30.97 |
For previous year's 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.