Identification of ACO participant(s)
ACO Participants:
- Adult Care of Austin, PA
- Doctors Wagner & Wagner, PA
- The Vaz Clinic, PA
- Youens & Duchicela Clinic
- Dr. Laura Birnbaum, PA
- Riverwood Medical Clinic
*No participants are involved in a joint venture between ACO professionals and hospitals
Alliance ACO Address and Location
Alliance ACO, LLC (located in various rural communities of Texas)
1103 N Sarah Dewitt Dr., Gonzales, TX 78629-3311
ACO Primary Contact
Marshall Bishop, MD, President
361-594-3824
124 E Wolters 2nd St., Shiner, TX 77984
Identification of the Members of the ACO Governing Body
- Marshall Bishop, MD President - Doctors Wagner & Wagner, PA
- Olga Duchicela, MD Vice President - Youens & Duchicela Clinic
- Garth Vaz, MD Secretary/Treasurer - The Vaz Clinic, PA
- Jorge Duchicela, MD - Youens & Duchicela Clinic
- Steven Dobberfuhl, DO - Adult Care of Austin, PA
- David Gumper - Medicare Beneficiary Representative
Identification of the Types of ACO Participants or Combinations of Participants that Formed the ACO:
Alliance ACO LLC is a Texas, Limited Liability Company comprised of networks of individual practices of ACO professionals.
Amount of Shared Savings/Losses
- Performance Year 2016, $0
- Performance Year 2017, $6,605,210
- Performance Year 2018, $9,387,144
- Performance Year 2019, $12,524,608
- Performance Year 2020, $3,561,106
- Performance Year 2021, $5,422,667
- Performance Year 2022, $3,031,788
How Shared Savings are distributed
Reinvestment in the ACO Infrastructure – 75%
Includes rewarding ACO providers and suppliers, as well as development of complex case management, care coordination, analytics, redesigning care processes, and physician education.
Rewarding Quality and Cost-efficient Care of the ACO Participants – 25%
Used to reward physician quality outcomes, beneficiary satisfaction, and financial efficiency in the management of care.
Alliance ACO Operating Agreement
For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.
Quality Performance Results
| Performance Year 2021 | ||
| Performance Measure | Performance Rate | Measure Score |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 24.23% | 10.19 |
| Controlling High Blood Pressure | 73.5% | 8.35 |
| Preventive Care & Screening: Screening for Depression & Follow-Up Plan | 47.16% | 4.52 |
| Getting Timely Care, Appointments, and Information | 83.76% | 5.60 |
| CAHPS: Stewardship of Patient Resources | 28.29% | 7.67 |
| How Well Your Providers Communicate | 92.67% | 3.98 |
| Patients' Rating of Provider | 91.46% | 4.49 |
| Health Promotion and Education | 61.22% | 6.63 |
| Access to Specialists | 79.51% | N/A |
| Shared Decision Making | 60.32% | 5.16 |
| Health Status/Functional Status | 71.20% | N/A |
| Care Coordination | 85.44% | 4.45 |
| Courteous and Helpful Office Staff | 90.86% | 3.00 |
| CAHPS for MIPs Clinician/Group Survey | N/A | 7.13 |
| Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment System (MIPS) Groups | 0.1574 | 4.53 |
| All-Cause Unplanned Admissions for Patient's with Multiple Chronic Conditions for ACOs (MCC) | 32.13% | 6.79 |
| Performance Year 2022 | ||
| Performance Measure | Performance Rate | Measure Score |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 33.91% | 7.60 |
| Controlling High Blood Pressure | 71.37% | 8.13 |
| Preventive Care & Screening: Screening for Depression & Follow-Up Plan | 47.91% | 3.34 |
| Getting Timely Care, Appointments, and Information | 87.81% | 8.86 |
| CAHPS: Stewardship of Patient Resources | 29.31% | 9.81 |
| How Well Your Providers Communicate | 93.79% | 6.47 |
| Patients' Rating of Provider | 93.98% | 9.14 |
| Health Promotion and Education | 65.64% | 9.93 |
| Access to Specialists | 76.56% | 3.00 |
| Shared Decision Making | 60.92% | 6.26 |
| Health Status/Functional Status | 73.53% | N/A |
| Care Coordination | 88.10% | 9.21 |
| Courteous and Helpful Office Staff | 93.69 | 7.35 |
| CAHPS for MIPs Clinician/Group Survey | N/A | 7.79 |
| Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment System (MIPS) Groups | 0.01462 | 7.05 |
| All-Cause Unplanned Admissions for Patient's with Multiple Chronic Conditions for ACOs (MCC) | 25.22% | 10.00 |