Important Program Update:

The Accountable Care Coalition of Direct Contracting, LLC and Accountable Care Coalition of Southeast Texas, Inc. — will no longer participate in the ACO REACH Model after December 31, 2025.
Beneficiary Medicare rights and Medicare benefits remain unchanged. Beneficiaries may continue to receive care from any healthcare provider, practice, or hospital that accepts Medicare — including all of current providers. .

Questions? Contact 1-800-MEDICARE.

Public Disclosure

ACO Name and Location

Accountable Care Coalition of Southeast Texas, Inc.
1668 S Garfield Avenue, 2nd Floor
Alhambra, CA 91801

ACO Primary Contact

Organizational Information

ACO Participants

ACO Preferred Providers

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

Accountable Care Coalition of Southeast Texas, Inc. Governing Body

  • Raul Rivera, M.D., Chair, Voting Member, ACO Participant, Raul Rivera & Associates, PA
  • Laurel Tucker, M.D., Voting Member, ACO Participant, Town & Country Family Physicians, PLLP
  • Robert DeWitt, M.D., Voting Member, ACO Participant, The DeWitt Clinic, P.A.
  • Zeba Barlas, M.D., Voting Member, ACO Participant, BARLAS ENTERPRISES INC
  • Mitzi Jiminez, Medicare Beneficiary Representative, Mitzi T Jimenez, MD, PA
  • Alyssa Ewing, Consumer Advocate, HMG Healthcare

Accountable Care Coalition of Southeast Texas, Inc. Key ACO Clinical and Administrative Leadership

  • ACO Executive: Karen Holt, Collaborative Health Systems
  • Medical Director: Raul Rivera, M.D., Raul Rivera & Associates, PA
  • Compliance Official: Michelle Amador, Astrana Health, Inc.
  • Quality Assurance/Improvement Officer: Raul Rivera, M.D., Raul Rivera & Associates, PA
  • Vice President, South Region: Karen Holt, Collaborative Health Systems

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Performance Year 2023: $5,039,731
  • Performance Year 2022: $4,910,737

Shared Savings Distribution

Performance Year 2023

  • Proportion invested in infrastructure: 25.81%
  • Proportion invested in redesigned care processes/resources: 39.12%
  • Proportion of distribution to ACO participants: 35.07%

Performance Year 2022

  • Proportion invested in infrastructure: 29.65%
  • Proportion invested in redesigned care processes/resources: 37.58%
  • Proportion of distribution to ACO participants: 32.77%

Quality Performance Results

Performance Year 2023

  • Overall Quality Score: 69.88%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 16.16
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.71
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 70.69

Performance Year 2022

  • Overall Quality Score: 100%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 15.78
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 33.74
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 64.10

D0112_PubDiscv1_0525_IA Approved     05/22/2025