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RGV ACO Health Providers, LLC

ACO Details

ACO Service Area(s):  TX 

RGV ACO Health Providers, LLC

303 North D Salinas Blvd.DonnaTexas 78537 

Executive Contact

Jose F. Pena
Request Contact Details

Public Contact

Yolanda Salinas
(956) 454-3193
ysalinas.rgvaco@gmail.com
Overview

RGV ACO Health Providers, LLC was started in April 2012. In its second year, this organization spent $12,044 on average for each of its 7,863 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $13,795 per beneficiary, a difference of $1,751. The ACO successfully reported, having earned its participants $7,528,797 of the $13,767,494 saved for Medicare.

This is a Track 2 Shared Savings ACO which means it has accepted both upside and downside risk in exchange for a larger maximum earned savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO accepted an advanced payment to help pay for its startup costs.

2014 Performance

Earned Savings

$7,528,797

Cost Reduction

12.7%

Quality Points

49.55 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

70-80th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

70-80th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Above 90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Above 90th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

80-90th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

40-50th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

50-60th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

Above 90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

Above 90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

70-80th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

70-80th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

60-70th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

60-70th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

60-70th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

70-80th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

Above 90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

80-90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

Above 90th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

80-90th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

80-90th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

Above 90th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

Above 90th
ACO Statistics
Participants
Melecia Fuentes MD PA
Charles R Cervantes Jr MD
PEDRO J. PENALO, M.D., P.A.
HECTOR G AMAYA MD PA
DONNA MEDICAL CLINIC, P.A.
Guillermo I Rocha, MD, PA
Yolanda Marcos MD PA
JOSE T SANDOVAL MD PA
Mid Valley Adult Specialist, PA
ALFONSO OCHOA MD PA
Monzer H. Yazji, MD & Associates
Quiroz Adult Medicine Clinic, PA
Solo Doc, MD, PA
Abreu Adult Clinic, PA
Johnson & Havener Medical Service, PA
Rio Grande Medicine Inc.
Nelson R. Kalaf, MD PA
RIO GRANDE VALLEY ADULT
Alejandro Arizmendi MD PLLC