ACO Name and Location
Rio Grande Valley Health Alliance, LLC
Previous Names: N/A
200 S. 10th Street, Suite 407
McAllen, TX 78501
ACO Primary Contact
Primary Contact Name | Victoria Farias |
Primary Contact Phone Number | (956) 627-4602 |
Primary Contact Email Address | vfarias@rgvha.org |
Organizational Information
ACO participants:
ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
Alfredo V. Gonzalez, M.D., P.A. | N |
Sobia Nasir MD PA | N |
Mario R. Anzaldua MD PA | N |
Alfredo Lopez, Jr., M.D., P.A. | N |
Alcides N. Amador, MD | N |
Manuel J Mercado Md Pa | N |
Rene Vela M.D., P.A. | N |
Luis Delgado, Jr., M.D., P.A. | N |
La Joya’s Neighborhood Doctor, P.A. | N |
Maximiliano Hernandez, MDPA | N |
Dona E. Cooper-Dockery, M.D., P.A. | N |
Socrates A. Garrigos M.D. P.A. | N |
Valley Internal Medicine Associates, PLLC. | N |
Javier A. Saenz, M.D., P.A. | N |
Samuel Garcia Jr. MD PLLC | N |
ACO governing body:
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 | |||
Delgado | Luis | President | 14.29% | Voting Member | Luis Delgado, Jr., M.D., P.A. |
Garcia | Samuel | Vice-President | 14.29% | Voting Member | Samuel Garcia Jr. MD PLLC |
Saenz | Javier | Treasurer | 14.29% | Voting Member | Javier A. Saenz, M.D., P.A. |
Anzaldua | Mario | Medical Director | 14.29% | Voting Member | Mario R. Anzaldua MD PA |
Lopez | Alfredo | Quality Assurance/ Improvement Officer | 14.29% | Voting Member | Alfredo Lopez, Jr., M.D., P.A. |
Swarup | Anu | Compliance Officer | 14.29% | Voting Member | Valley Internal Medicine Associates, PLLC. |
Espinosa | Juan | Medicare Beneficiary Representative | 14.29% | Voting Member |
Key ACO clinical and administrative leadership:
Victoria Farias | ACO Executive |
Mario Anzaldua | Medical Director |
Anu Swarup | Compliance Officer |
Alfredo Lopez, Jr. | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
Committee Name | Committee Leader Name and Position |
Executive Committee | Luis Delgado, Jr., M.D., Chair |
Clinical Best Practices Committee | Mario Anzaldua, M.D., Chair |
Finance Committee | Javier A. Saenz, M.D., Chair |
Health Information and Data Committee | Norma Cavazos-Salas, M.D., Chair |
Compliance Committee | Anu Swarup, M.D., Chair |
Quality Improvement and Assurance Committee | Alfredo Lopez, Jr., M.D., Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
-
- Performance Year 2019, $2,562,303
- Performance Year 2019-A, $1,443,839
- Performance Year 2018, $6,762,864
- Performance Year 2017, $6,844,479
- Performance Year 2016, $6,175,625
- First Agreement Period
-
- Performance Year 2015, $6,947,600
- Performance Year 2014, $3,403,175
- Performance Year 2013, $2,945,246
Shared Savings Distribution
- Second Agreement Period
-
- Performance Year 2019
-
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- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
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-
- Performance Year 2018
-
-
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2017
-
-
-
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
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-
- Performance Year 2016
-
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- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
-
- First Agreement Period
-
- Performance Year 2015
-
-
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
-
-
- Performance Year 2014
-
-
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 80%
-
-
- Performance Year 2013
-
-
- 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
2019 Quality Performance Results:
ACO# | Measure Name | Rate | ACO Mean |
ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 87.61 | 85.86 |
ACO-2 | CAHPS: How Well Your Providers Communicate | 93.70 | 94.11 |
ACO-3 | CAHPS: Patients’ Rating of Provider | 92.39 | 92.69 |
ACO-4 | CAHPS: Access to Specialists | 81.89 | 81.54 |
ACO-5 | CAHPS: Health Promotion and Education | 70.23 | 60.44 |
ACO-6 | CAHPS: Shared Decision Making | 58.67 | 62.78 |
ACO-7 | CAHPS: Health Status/Functional Status | 72.37 | 73.79 |
ACO-34 | CAHPS: Stewardship of Patient Resources | 29.12 | 26.17 |
ACO-45 | CAHPS: Courteous and Helpful Office Staff | 89.82 | 92.84 |
ACO-46 | CAHPS: Courteous and Helpful Office Staff | 86.31 | 92.84 |
ACO-8 | Risk Standardized, All Condition Readmission | 15.22 | 14.86 |
ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 55.79 | 58.15 |
ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI | 1.56 | 1.87 |
ACO-13 | Falls: Screening for Future Fall Risk | 100.00 | 84.04 |
ACO-14 | Preventive Care and Screening: Influenza Immunization | 94.97 | 74.77 |
ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 90.91 | 78.04 |
ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 95.08 | 70.40 |
ACO-19 | Colorectal Cancer Screening | 93.15 | 70.76 |
ACO-20 | Breast Cancer Screening | 81.02 | 73.84 |
ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 90.30 | 82.17 |
ACO-40 | Depression Remission at Twelve Months | 24.24 | 13.58 |
ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 9.45 | 13.88 |
ACO-28 | Controlling High Blood Pressure | 94.76 | 74.04 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
- For 2019 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2019-Shared-Savings-Program-SSP-Accountable-Care-O/v3c3-qqff/data
- For 2019-A Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2019A-Shared-Savings-Program-SSP-Accountable-Care-/jzuc-h562/data
- For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
- For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
- For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
- For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
- For 2013 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/yuq5-65xt/data
Note: In the Quality Performance Results file(s) above, search for “Rio Grande Valley Health Alliance, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A94912 in the public use files on data.cms.gov.
Payment Rule Waivers
- Our ACO uses the SNF 3-Day Rule Waiver