Public Reporting

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
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources:  5%
      • Proportion of distribution to ACO participants: 80%
    • 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%
    • Performance Year 2016
      • 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.

 

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