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 |
Richard C Lock MD PA |
N |
Pinewood Medical Clinic |
N |
Star Primary Care PA |
N |
Ike Eni MD PA |
N |
Family Healthcare Affiliates PLLC |
N |
UT Physicians Family Medicine TMC |
Y |
Spuhler Medical Associates PA |
N |
Jimin Wang MD PA |
N |
Fairfield Family Physicians PA |
N |
Prompt Care Medical Doctors |
N |
Westside Medical Clinic |
N |
Faizun Anwar MD PA |
N |
Pratibha R Kulkarni |
N |
Hazem El Zufari MD PA |
N |
Family Medicine at Sterling Ridge |
N |
Rosewood Family Physicians PLLC |
N |
Memorial Hermann Medical Group |
N |
Southeast Medical Group PA |
N |
Barker Cypress Family Practice PA |
N |
Rishi Hingorani DO PA |
N |
Nibu Mathew MD PA |
N |
Elite Medical Care |
N |
Allison Blazek MD PA |
N |
Murtaza Mussaji DO PA |
N |
Magnolia Family Medicine |
N |
Orlando Fonseca MD PLLC |
N |
Bay Area Total Health Medical Group PA |
N |
Suparna Chhibber MD PA |
N |
Thomas Family Practice PLLC |
N |
Summerwood Family Clinic |
N |
Trinity Primary Care PA |
N |
Rios Family Medicine Clinic PA |
N |
Dr A Family Clinic PLLC |
N |
Rajnikant Kushwaha MD PA |
N |
Saleha R Ahmed |
N |
Zealth Care PLLC |
N |
Alexandria Clinic |
N |
Internal Medicine Associates of Houston PA |
N |
Inpatient Providers of Texas PLLC |
N |
IMD Healthcare and Imaging |
N |
Tehmina Sami MD PA |
N |
North Star Medical |
N |
Zhengnan Yin MD |
N |
North Woods Family Medicine PLLC |
N |
Family Medicine Associates of Conroe PLLC |
N |
Saint Johns Physician Associates PA |
N |
JY Family Medicine & Urgent Care PLLC |
N |
Medical Associates of Katy PLLC |
Y |
Fuqua Family Practice and Urgent Care |
N |
First Colony Primary Care PA |
N |
Gulf Coast Primary Care PLLC |
N |
Golden Care Medical Center |
N |
Southeast Houston Medical Clinic |
N |
Katy Supportive Medicine PA |
N |
Samuel Gan MD |
N |
Primecare Medical Group |
Y |
Genesis Family Care PA |
N |
High Tech Family Care & Women's Health PA |
N |
Westchase Health Clinic |
N |
Moonat Medical Associates |
N |
Sistla B Krishna |
Y |
Stuart A Shapiro MD |
N |
Summerwood Family Clinic |
N |
Georgina Loya MD PA |
N |
Virgil C Carandang MD |
N |
Providence Family Practice PA |
N |
Northwest Medical Group |
N |
Southwest Family Physicians PA |
N |
Mehta Medical Group PLLC |
N |
Texas Family Practice |
N |
J Kevin Giglio MD PA |
N |
Mischer Neuroscience Associates |
N |
Katy Internal Medicine Associates LLP |
N |
Medical Colleagues of Texas LLP |
Y |
Horizon Healthcare Clinic |
N |
Sheng Kun Yao MD PA |
N |
Sylvia Wu MD |
N |
Northeast Primary Care Associates PA |
N |
Northeast Medical Associates PA |
N |
Affiliates of Family Medicine PA |
N |
Campbell Family Practice and Ghebranious Internal Medicine |
N |
Ella Family Medicine PA |
N |
Anil A Dara MD PA |
N |
Southwest Memorial Physician Associates PA |
N |
Coastal Medical Group |
N |
Anuradha Kantamani |
N |
David E Auer MD PA |
N |
Paramount Medical Associates |
N |
Tamirisa Renu MD PA |
N |
Pachie Chan MD PLLC |
N |
Fulshear Family Medicine |
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 |
MHHS CEO |
Memorial Hermann Health System |
Cannon |
Deborah |
Serves on Board of Directors |
1 |
MHHS Board Member |
Memorial Hermann Health System |
King |
Alec |
Serves on Board of Directors; Treasurer |
1 |
MHHS CFO |
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 |
MHHS Board Member/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 |
MHHS Chief Physician Executive |
Memorial Hermann Health System |
Salcedo, MD |
Christophe C. |
Serves on Board of Directors |
1 |
Participant Representative |
Christophe C. Salcedo, MD & Associates PA |
James McCarthy, MD | ACO Executive |
J. Kevin Giglio, MD | Medical Director |
Robert McStay | Chief Compliance Officer |
Amanda Gusart | Compliance Officer |
Joseph Wardlow | 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.”
Performance Year 2015
Performance Year 2014
Performance Year 2013
“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-1 | CAHPS: Getting Timely Care, Appointments, and Information | 86.34 | 85.86 |
ACO-2 | CAHPS: How Well Your Providers Communicate | 95.59 | 94.11 |
ACO-3 | CAHPS: Patients' Rating of Provider | 92.90 | 92.69 |
ACO-4 | CAHPS: Access to Specialists | 81.57 | 81.54 |
ACO-5 | CAHPS: Health Promotion and Education | 57.99 | 60.44 |
ACO-6 | CAHPS: Shared Decision Making | 62.67 | 62.78 |
ACO-7 | CAHPS: Health Status/Functional Status | 71.90 | 73.79 |
ACO-34 | CAHPS: Stewardship of Patient Resources | 27.61 | 26.17 |
ACO-45 | CAHPS: Courteous and Helpful Office Staff | 92.93 | 92.84 |
ACO-46 | CAHPS: Care Coordination | 88.63 | 86.89 |
ACO-8 | Risk Standardized, All Condition Readmission | 15.28 | 14.86 |
ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 56.51 | 58.15 |
ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 1.68 | 1.87 |
ACO-13 | Falls: Screening for Future Fall Risk | 89.33 | 84.04 |
ACO-14 | Preventive Care and Screening: Influenza Immunization | 81.89 | 74.77 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 83.78 | 78.04 |
ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 66.59 | 70.40 |
ACO-19 | Colorectal Cancer Screening | 72.87 | 70.76 |
ACO-20 | Breast Cancer Screening | 75.09 | 73.84 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 82.35 | 82.17 |
ACO-40 | Depression Remission at Twelve Months | 12.35 | 13.58 |
ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 11.89 | 13.88 |
ACO-28 | Controlling High Blood Pressure | 69.03 | 75.04 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
Note: In the Quality Performance Results file(s) above, search for “Memorial Hermann Accountable Care Organization” to view the quality performance results. This ACO can also be found by using the ACO ID A1175 in the public use files on 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.