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 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 |
Centro médico de la Universidad Baylor |
N |
Red de proveedores de HealthTexas |
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 |
ACO governing body
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% |
Otro |
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% |
Otro |
N/A |
Mohanakrishnan |
Sathyamoorthy |
MD, Voting Member |
11% |
Otro |
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
Associated committees and committee leadership
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
2022 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 |
Detección de cáncer de mama |
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.