ACO Name and Location:

RGV ACO Health Providers, LLC

303 N D Salinas Blvd
Donna, TX 78537

ACO Primary Contact:

Dr. Jose F. Pena, FACHE, CEO,
Chief Medical Director
jpena@rgvacollc.com
(956) 969-0120

Organizational Information:

  • RGV ACO Health Providers, LLC Participants

  • A & S General Physician LLC
  • Abreu Adult Clinic, PA
  • Alejandro Arizmendi, MD, PLLC
  • Alfonso Ochoa, MD, PA
  • Center for Adult Medicine and Preventive Care, PC
  • Center for Med Care, PC
  • Centro Medico Iberoamericano, Inc.
  • Donna Medical Clinic, PA
  • Gamil Makar, MD, LLC
  • Guillermo I. Rocha, MD, PA
  • Hector G. Amaya, MD, PA
  • Internal Medicine and Geriatric Practice, Inc.
  • Johnson & Havener Medical Service, PA
  • Jose T. Sandoval, MD, PA
  • Melecia Fuentes, MD, PA
  • Melva Palacios, MD and Chris Casso, MD, PA
  • Michael WM Mann, MD PA
  • Mid Valley Adult Specialists, PA
  • Nelson R. Kalaf, MD, PA
  • Passaic Primary Care Physicians
  • Pedro J. Peñalo, MD, PA
  • Providence Medical & Geriatric Associates, PA
  • RGV Adult & Internal Medicine Specialists, PA
  • Rio Grande Medicine, Inc.
  • Samuel Landero, MD, PA
  • Solo Doc, MD, PA
  • Yolanda Marcos, MD, PA

  • ACO participants in joint ventures between ACO professionals and hospitals:

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


  • RGV ACO Governing Body

The governing body of RGV ACO Health Providers, LLC, formed as a limited liability company under
the laws of the State of Texas (the “ACO” or the “Company”) is a Board of Managers.

  • Jose F. Peña, MD, FACHE
    Voting Member
    President
    ACO Participant
    Donna Medical Clinic, PA


  • Pedro E. McDougal, MD
    Voting Member
    ACO Participant
    RGV Adult & Internal
    Medicine Specialists, PA


  • Pedro J. Peñaló, MD
    Voting Member
    ACO Participant
    Pedro J. Peñaló, MD, PA


  • J. Matthew Johnson, MD
    Voting Member
    ACO Participant
    Johnson & Havener Medical Service, PA


  • Guillermo I. Rocha, MD
    Voting Member
    ACO Participant
    Guillermo I. Rocha, MD, PA


  • Jose Soto,
    Voting Member
    Medicare Beneficiary
    Representative


  • Manuel Moquete, MD, MBA
    Voting Member
    Partner
    New Jersey Medical Director


  • Key Clinical and Administrative Leadership

  • Chief Executive Officer: Jose Pena, MD, FACHE
  • Chief Medical Director: Jose Pena, MD, FACHE
  • Chief Medical Information Officer: Pedro Penalo, MD
  • Chief Operating Officer: Yolanda Salinas
  • Chief Strategy Officer: Edwin Estevez, PhD
  • Compliance Official: Gloria Ortiz, MD
  • Director of Care Coordination: Yahaira Almonte

  • Associated Committees and Committee Leadership

  • Beneficiary Engagement Committee: Mr. Jose Soto
  • Quality Assurance and Performance Improvement Committee: Pedro Penalo, MD
  • Utilization Committee: Jose Pena, MD FACHE

  • Types of ACO Participants

  • Network of individual practices of ACO professionals

Shared Savings

  • Amount of Shared Savings

  • Agreement period beginning 2012, Performance Year 1: $11,900,756
  • Agreement period beginning 2012, Performance Year 2014: $7,528,797
  • Agreement period beginning 2012, Performance Year 2015: $12,619,152

  • Shared Savings Distribution

Agreement period beginning 2012, Performance Year 1, 2014, 2015:

  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 2%
  • Proportion of distribution to ACO participants: 68%

Payment Rule Waivers

Yes, our ACO uses the SNF 3-Day Rule Waiver.

  • Golden Palms Retirement Center and Healthcare
  • La Hacienda Healthcare
  • Valley Grande Manor Nursing & Rehabilitation Center

Quality Performance Results