ACO Public Reporting

ACO Name and Location

Physicians ACO, LLC
1900 N. Loop West #400
Houston, Texas 77018
Telephone: 281-447-6800

ACO Primary Contact

Larry Wedekind, CEO
lwedekind@integranethealth.com
281-591-5271

Organizational Information:

  • ACO participants:
  1. Nehme Alkarra MD PA
  2. Alfred R. Louis, MD
  3. Allcare Family and Urgent Care Clinics, PA
  4. Bretshire Medical Clinic, PA
  5. Clyde McMorris, MD, PA
  6. NorthShore Medical Association, PLLC
  7. Clinica Hispana, PA
  8. MedCure Primary Care
  9. Emwil Medical Associates, PA
  10. Warren T. Longmire, Jr. MD
  11. Rhonda Barnes Jordan, MD, PA
  12. Manuel Griego, Jr. DO, PA
  13. GI Specialists of Houston, LLP
  14. Jennifer Johnson-Caldwell, MD, PA
  15. Magnolia First Family Medicine, MD, PA
  16. Malladi Reddy, MD, FACC
  17. Michael G. Casagrande
  18. Canal Family and Industrial Medicine, P.A.
  19. Rheumatic Disease Clinic of Houston
  20. William L. Nguyen, MD
  21. Albert Boyd, MD, PA
  22. Andrew B. Burke Associated
  23. Setal Rana, MD, PA
  24. Cumbre Medical Center, LLC
  25. Compassion Care Clinic
  26. Gary E. Goff, MD, PA
  27. Legend Internal Medicine, Urgent Care & Diagnostics, PA
  28. Le Croy Family Medicine, PA
  29. Clinica Hispana II, PA
  30. Michael A. Benavides, DO, PA
  31. Bong Mui, MD, PA
  32. Jeffrey M. Shadle, MD, PA
  33. Christie U. Egbuchunam
  34. Salma Mazhar, MD, PA
  35. Todd T.Q. Nguyen, MD, PLLC
  36. De Valle & Associates
  37. Unity Family Clinic, PA
  38. Family Practice Doctors, PA
  39. Bruce E. Wardle, DO, PA
  • ACO participants in joint ventures between ACO professionals and hospitals(annotated by asterisk[*]):
  1. No participants are involved in a joint venture between ACO professionals and hospital

 

  • ACO governing body:
  1. Jaime Duarte, Chairman and Voting Member, ACO Participant Representative, Canal Family and Industrial Medicine P.A.
  2. James Larose, Voting Member, ACO Participant Representative, Bretshire Medical Clinic, PA
  3. Clyde McMorris, Voting Member, ACO Participant Representative, Clyde McMorris, PA
  4. Alfred Louis, Voting Member, ACO Participant Representative, Alfred Louis
  5. H.D. Patel, Voting Member, ACO Participant Representative, GI Specialists of Houston, LLP
  6. Oscar Devalle, Voting Member, ACO Participant Representative, Clinica Hispana, PA
  7. Donald Hearn, Voting Member, ACO Participant Representative, Northshore Medical Association PLLC
  8. Richard Stampp, Voting Member, Medicare Beneficiary RepresentativeDonald Hearn, Voting Member, ACO Participant Representative, Northshore Medical Association PLLC
  9. Larry Wedekind, President, CEO

 

  • Key ACO clinical and administrative leadership:
  1. ACO Executive: Larry Wedekind, CEO
  2. Medical Director: Jaime Duarte, MD
  3. Compliance Officer: Bill Nantz

 

  • Associated committees and committee leadership:

Quality Assurance Committee:

  1. Jaime Duarte, MD – Chairman
  2. Clyde McMorris, MD – Member
  3. Donald Hearn, MD – Member
  4. Derinda Frye, RN, ACO Quality Assurance Coordinator

 

  • Types of ACO participants or combinations of participants that formed the ACO:
  1. Network of individual practices of ACO professionals

 

Shared Savings and Losses:

  • Amount of Shared Savings/Losses:
  • Agreement period beginning 2013, Performance Year 1: $0
  • Agreement period beginning 2013, Performance Year 2014: $4,948,128.00
  • Agreement period beginning 2013, Performance Year 2015: $6,991,847.00
  • Agreement period beginning 2013, Performance Year 2016: TBA

Shared losses are designated with a minus sign (-) in front of the dollar amount and red font.

 

Shared Savings Distribution:

  • Agreement period beginning 2012, Performance Year 1
  1. Distribution to ACO Participants: 25%
  2. Reinvested  to Infrastructure:  25%
  3. Development and Operations Costs from Investors:   50%
  • Agreement period beginning 2012, Performance Year 2014, 2015
  1. Distribution to ACO Participants: 25%
  2. Reinvested  to Infrastructure:  25%
  3. Development and Operations Costs from Investors:   50%
  • Agreement period beginning 2016, Performance Year 2016
  1. Distribution to ACO Participants: 25%
  2. Reinvested  to Infrastructure:  25%
  3. Development and Operations Costs from Investors:   50%

 

Payment Rule Waivers:

  • No, Our ACO does not use the SNF 3-Day Rule Waiver

Quality Performance Results:

  1. 2015 Quality Performance Results Table
  2. 2012-2014 Quality Performance Results Table