Public Reporting

ACO Name and Location
Integrated ACO LLC
5910 Courtyard Drive
Suite 350
Austin, Texas 78731

ACO Primary Contact

Primary Contact Name Patricia Grimes
Primary Contact Phone Number 512-821-2774
Primary Contact Email Address patricia.grimes@integrated-aco.com

 

 

 

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Abimbola M. Banjo, MD PA Y
Alicia W Grossmann, MD PA Y
Austin Medical Group, PLLC Y
Bastrop County Medical Associates, PA Y
Dominion Medical Associates, PA Y
Emmanuel C. Edoka, MD Y
Family Medical Center of Georgetown, PA Y
Flora Medical Clinic, PLLC Y
Inspire Family Health Y
Jesus G. Garcia, MD PA Y
Joseph A Marotta, MD PA Y
Kendall Wong, MD Y
Kevin Stephens, MD PA Y
Legends Medical Clinic, PLLC Y
Leo Toupin, MD PA Y
Lisa Davis, MD PA Y
Luis Bieler, MD PA Y
Manuel R. Carrasco, MD PA Y
North Star Family Medicine, PA Y
North Austin Family Medicine, PA Y
Odessa Consultants, PLLC Y
Oscar Garza, MD PA Y
Pankaj J Patel, MD PA Y
Paul E. Bristol, MD Y
Pleasanton Family Medicine, PLLC Y
Port Lavaca Clinic Associates, PA Y
Psychiatric Medical Associates PA Y
Raj Patel, MD PA Y
Rajanikant Pandya, MD Y
Rajesh M Mehta, MD Inc Y
Rajesh J Patel, MD PA Y
Raul Gaona, Jr., MD Y
Sammy Lerma III, MD PA Y
Shane Edward Keller, MD PA Y
Shroff Cardiology & Internal Medicine Clinic, PA Y
Shylesh Ganta, MD PA Y
South San Antonio Medical Associates Y
South Texas Internal Medicine Associates, PA Y
Sumant A Kumar, MD Y
Suresh Prasad, MD PA Y
Texas Midwest Gastroenterology Center, PA Y
The Eagle Ford Clinics, PA Y
Vikram Vadyala, PLLC Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Integrated ACO Governing Body

Member Last Name Member First Name Member Title/Position Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Shroff Nick Chairman 1 Stakeholder HiFu Urology of Texas PLLC
Mankad Vipul Sr Medical Advisor 1 Stakeholder Qualitas Healthcare Solutions Inc
Garza Oscar Medical Director 1 Participant Oscar Garza MD PA
Ganta Shylesh 1 Participant Shylesh Ganta MD PA
Gupta Rajeev 1 Participant Bastrop County Medical Associates PA
Kumar Sumant 1 Participant Sumant A Kumar MD
Marotta Joseph 1 Participant Joseph A Marotta MD PA
Pamganamamula Madhu 1 Participant Odessa Consultants, PLLC
Patel Raj 1 Participant Raj Patel MD PA
Perkins William 1 Beneficiary William Perkins
Sanchez David Secretary/Treasurer 1 Participant Alpine Medical Center Pllc
Wong Kendall 1 Participant Kendall Wong MD
Wright John 1 Participant Port Lavaca Clinic Associates, PA
Ganeshappa K. P. 0 Stakeholder Dr K P Ganeshappa
Rao Nagi 0 Stakeholder SysInformation Inc

Key ACO Clinical and Administrative Leadership

Patricia Grimes ACO Executive
Oscar Garza Medical Director
Matt Thompson Compliance Officer
Patricia Grimes Quality Assurance/Improvement Officer

 

 

 

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Finance William Ritter, Chairman
Governing Nick Shroff, MD, Chairman

Types of ACO participants, or combinations of participants, that formed the ACO:

  • A network of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

    • Performance Year 2017, $3,840,574
    • Performance Year 2016, $1,222,234

First Agreement Period

    • Performance Year 2015, $3,518,859
    • Performance Year 2014, $3,952,716
    • Performance Year 2013, $1,748,262

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2017
    • Proportion invested in infrastructure:  3%
    • Proportion invested in redesigned care processes/resources:  11%
    • Proportion of distribution to ACO participants: 86%
  • Performance Year 2016
    • Proportion invested in infrastructure: 39%
    • Proportion invested in redesigned care processes/resources: 12%
    • Proportion of distribution to ACO participants: 49%

First Agreement Period

  • Performance Year 2015
    • Proportion invested in infrastructure: 62%
    • Proportion invested in redesigned care processes/resources: 3%
    • Proportion of distribution to ACO participants: 35%
  • Performance Year 2014
    • Proportion invested in infrastructure: 48%
    • Proportion invested in redesigned care processes/resources: 37%
    • Proportion of distribution to ACO participants: 15%
  • Performance Year 2013
    • Proportion invested in infrastructure: 82%
    • Proportion invested in redesigned care processes/resources: 18%
    • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 83.51 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.94 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 90.91 92.31
ACO-4 CAHPS: Access to Specialists 85.04 83.32
ACO-5 CAHPS: Health Promotion and Education 60.43 62.30
ACO-6 CAHPS: Shared Decision Making 76.38 75.85
ACO-7 CAHPS: Health Status/Functional Status 71.56 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 31.09 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.86 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.87 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 52.12 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 76.14 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.26 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 2.33 1.93
ACO-11 Use of Certified EHR Technology 97.37 98.48
ACO-12 Medication Reconciliation 87.60 75.32
ACO-13 Falls: Screening for Future Fall Risk 56.76 74.38
ACO-44 Imaging Studies for Low Back Pain 78.13 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 57.19 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 55.32 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 75.00 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 89.33 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 29.34 61.98
ACO-19 Colorectal Cancer Screening 51.08 64.58
ACO-20 Breast Cancer Screening 58.09 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.66 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 36.05 16.74
ACO-41 Diabetes: Eye Exam 39.34 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 66.31 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 81.89 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Integrated ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A54437 in the public use files on data.cms.gov.

Payment Rule Waivers

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