to Serve Thousands of South Texas Patients
Nov. 18, 2015
(AUSTIN, TX) — TMA
PracticeEdge today announces the signing of an agreement to provide ACO
Services to UPSA ACO, LLC (UPSA), a group of San Antonio physicians, in
conjunction with a Blue Cross and Blue Shield of Texas (BCBSTX) value-based
agreement beginning Jan. 1, 2016.
The two agreements will provide UPSA with shared
savings opportunities while managing the population health of 5,400 BCBSTX
members. The deal includes the TMA PracticeEdge turnkey solution for ACO
Services, such as population health management tools, local care coordination
resources, and a state-of-the-art IT solution.
"The independent physicians who compose the
UPSA organization have been serving the health care needs of their community
for decades," said Lou Goodman, CEO of TMA PracticeEdge. "By
transitioning to a value-based care model, UPSA will be positioned to remain a
health care leader in San Antonio for years to come."
Created by the Texas Medical Association (TMA), TMA
PracticeEdge is a physician services organization providing solutions to
strengthen the independent private practice of medicine in Texas. Its programs
bring physicians the technology, expertise, and resources needed to take
advantage of newly emerging health care payment models.
"High-quality patient care and population
health management, delivered by independent primary care physicians, is the
future of health care in this country," said Lloyd Van Winkle, MD,
president of UPSA. "We are pleased to have the opportunity to work with
BCBSTX in a value-based care model and have the specialized services of TMA
PracticeEdge in support of our value-based care initiatives," added Dr. Van
Winkle, who also serves on the board of the American Academy of Family
"At BCBSTX, we are extremely pleased to work
with UPSA in a value-care based model," said Bert Marshall, president of
BCBSTX. "We are committed to supporting independent physicians in
providing high-quality care to patients and look forward to sharing savings
with physicians working to manage population health, improve quality, and lower
health care costs."
UPSA has 48 physicians from 32 different independent
primary care practices working together to manage the care for more than 5,400
patients. "UPSA is always very interested in adding new physicians
committed to delivering high-quality patient care and from independent
practices in value-based models," said Dr. Van Winkle.
About UPSA ACO, LLC
UPSA is a
physician-led accountable care organization comprising primary care physicians
in San Antonio and surrounding areas including New Braunfels and Castroville.
Physicians interested in participation should contact Kim Harmon at (866)
About TMA PracticeEdge, LLC
helps physicians lead health care innovation in today's evolving marketplace.
The company, launched by the Texas Medical Association and Blue Cross Blue
Shield of Texas, offers participating physicians several services, including:
services: TMA PracticeEdge offers the technology platforms, care coordination
teams, physician-led network development and management, and contracting
expertise necessary to participate in accountable care activities, and to meet
market demands to document quality, cost-effective health care.
services: Physicians can optimize their practices operationally and financially by
using TMA PracticeEdge services, including education and consulting from
certified professional coders, medical auditors, and compliance officers.
About Blue Cross and Blue Shield of Texas
Blue Cross and Blue
Shield of Texas (BCBSTX) — the only statewide, customer-owned health insurer in
Texas — is the largest provider of health benefits in the state, working with
nearly 80,000 physicians and health practitioners and 500 hospitals to serve
more than 5 million members in all 254 counties. BCBSTX is a Division of Health
Care Service Corporation (which operates Blue Cross and Blue Shield plans in
Texas, Illinois, Montana, Oklahoma, and New Mexico), the country's largest
customer-owned health insurer and fourth largest health insurer overall. Health
Care Service Corporation is a Mutual Legal Reserve Company and an Independent
Licensee of the Blue Cross and Blue Shield Association.
Contact (and on behalf of UPSA)
K. Harmon, Office (512) 370-1650, Cell (512) 378-0051
Annear, Office (512) 370-1381, Cell (512) 656-7320, brent.annear[at]texmed[dot]org
Cooper, Office (512) 370-1382, marcus.cooper[at]texmed[dot]org
Levine, Office (512) 370-1380, steve.levine[at]texmed[dot]org
Pérez-Vega, Office: 210-558-5162, Cell (210) 326-2801