Baylor Scott & White Quality Alliance Medicare Shared Savings Public Reporting

Baylor Scott & White Quality Alliance (BSWQA) i​​s an Accountable Care Organization (ACO).  An ACO is a group of doctors, hospitals, and other healthcare providers who voluntarily come together to provide quality coordinated care to patients. 

ACO Name and Location

Baylor Scott & White Quality Alliance (BSWQA)
8080 N Central Expressway, Suite 700
Dallas, TX 75206

ACO Primary Contact

Alyssa Endres
Alyssa.Endres@BSWHealth.org
214.265.3735​​​​​

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.

Organizational Information

ACO Participants ​

• Baylor Scott & White All Saints Medical Center – Fort Worth
  
• Baylor Scott & White Medical Center – Brenham
• Baylor Scott & White Medical Center – Centennial
• Baylor Scott & White Medical Center – College Station
• Baylor Scott & White Medical Center – Grapevine
• Baylor Scott & White Medical Center – Hillcrest
• Baylor Scott & White Medical Center – Irving
• Baylor Scott & White Medical Center – Lake Pointe
• Baylor Scott & White Medical Center – Llano
  
• Baylor Scott & White Medical Center – Marble Falls
• Baylor Scott & White Medical Center – Plano
• Baylor Scott & White Medical Center – Round Rock
• Baylor Scott & White Medical Center – Taylor
• Baylor Scott & White Medical Center – Temple
• Baylor Scott & White Medical Center – Waxahachie
• Baylor Scott & White Medical Center – McKinney
• Baylor Scott & White The Heart Hospital – Plano
• Baylor Scott & White Heart and Vascular Hospital –​ Dallas
• Baylor University Medical Center, part of Baylor Scott & White Health
• HealthTexas Provider Network
• HealthTexas Provider Network –​ Surgical Institute
• HealthTexas – Dallas Diagnostic Association
• HealthTexas – MedProvider
• Hillcrest Family Health Center
• Hillcrest Physician Services
• Scott & White Clinic

ACO Participants in Joint Ventures between ACO professionals and hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body

BSWQA is overseen by a Board of Managers that is comprised of physicians on the medical staff of a Baylor Scott & White Health facility who represent many specialties, as well as members of the Baylor Scott & White Health administrative team and a member of the community who is a Medicare beneficiary.

• Glen Couchman, MD, Secretary, 1, ACO Participant Representative, Baylor Scott & White Medical Center – Temple
• Cliff Fullerton, MD, President, 1, ACP Participant Representative, Baylor University Medical Center 
• Prasanthi Ganesa, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White All Saints Medical Center – Fort Worth
• Glenn Ledbetter, MD, Vice Chairman, 1, ACO Participant Representative, HealthTexas Provider Network
• Kimberly McMillin, MD, Voting Member, 1, ACO Participant Representative, HealthTexas Provider Network
• Clarence Miller, Voting Member, 1, Medicare Beneficiary Representative
• Jim Morrison, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – Hillcrest
• Keith Newman, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – McKinney
• Bill Rayburn, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – College Station
  
• Clifford Simmang, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – Grapevine
  
• Rob Watson, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – Round Rock
• Suneel Vallabhaneni, MD, Voting Member, 1, ACO Participant Representative, Baylor Scott & White Medical Center – Round Rock
• Nestor Zenarosa, MD, Voting Member, 1, ACO Participant Representative, Baylor University Medical Center
• David Winter, MD, Voting Member, 1, ACO Participant Representative, HealthTexas Provider Network
• LaVone Arthur, Voting Member, 1, Chief Strategy Officer, Baylor Scott & White Health
• Gary Brock, Voting Member, 1, Executive Vice President and Chief Integrated Delivery Network Officer, Baylor Scott & White Health

Key ACO Clinical and Administrative Leadership

• Clifford T. Fullerton, MD, MSc, ACO Executive
• Robert Watson, Medical Director
• Katharine Roberson, Compliance Officer
• Tiffany Berry, Quality Assurance/Improvement Officer

Associated Committees and Committee Leaderships

BSWQA has five committees, four sub-committees, five councils and seven taskforces.

Committee and Chairs:

• Quality Improvement Committee; Mike Massey MD, NTX CMO, Chair; Tiffany Berry MD, CTX CMO, Chair
• Compliance Committee; Keith Newman, MD, Chair and BSWQA Board Member
• Finance, Contracting and Compensation Committee; John Bousquet, MD, Chair and BSWQA Board Member
  
• Value-Based Care IS Committee; Brandon Pope, PhD, Co-Chair; Tiffany Berry, MD, Co-Chair
• Membership and Standards Committee; Robert K. Watson MD, Chair

Board of Managers include:

• LaVone Arthur
• Gary Brock
• Jeff Fullerton, MD, Chairman
• Glen Couchman, MD
• Prasanthi Ganesa, MD
• James Gray, MD
• Glenn Ledbetter, MD, Vice Chairman
• Kathryn Levy, MD
  
• Kimberly McMillin, MD
• Jim Morrison, MD
• Keith Newman, MD
• Bill Rayburn, MD
  
• Dawn Sears, MD
• Clifford Simmang, MD
• Suneel Vallabhaneni, MD
• Rob Watson, MD
• David Winter, MD
• Nestor Zenarosa, MD

Types of ACO Participants or Combinations of Participants that Formed the ACO

• Network of individual practices of ACO professionals
• Partnership or joint venture arrangement between hospitals and ACO professionals​​​​

Shared Savings and Losses: Amount of Shared Savings/Losses

Amount of Shared Savings/Losses

Second Agreement Period

• Performance Year 2018, $18,761,481
  
  

First Agreement Period

• Performance Year 2017, $0
  
• Performance Year 2016, $0
  
• Performance Year 2015, $0

Shared Savings Distribution

Second Agreement Period

• 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

Download 2016 quality performance results

Download 2017 quality performance results

Download 2018 quality performance results

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

• 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​

Note: In the Quality Performance Results file(s) above, search for “Baylor Quality Health Care Alliance LLC” or “Baylor Scott & White Quality Alliance” to view the quality performance results. This ACO can also be found by using the ACO ID A65633 in the public use files on data.cms.gov.

Payment Rule Waivers

Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.