Rgv Aco Health Providers, Llc

What Rgv Aco Health Providers, Llc does

RGV ACO Health Providers, LLC is a physician-owned Accountable Care Organization founded in 2012 and headquartered in Donna, Texas. The organization operates within Medicare's Shared Savings Program under the higher-risk Track 2 payment model and participates as a REACH ACO, serving approximately 8,500 Medicare beneficiaries across five counties in Central and South Texas (Bexar, Cameron, Comal, Hidalgo, and Starr). Its member network spans more than 20 participant primary care practices and a wider preferred provider ecosystem covering urgent care, specialty, post-acute, and home health services.

The core offering is a value-based care coordination platform supported by proprietary IT infrastructure that aggregates data from seven disparate electronic health record systems into a cloud-based repository, enabling real-time quality and performance analytics across the network. No off-the-shelf platform met the organization's integration and reporting requirements, leading to in-house development of multi-EHR data integration and a quality and performance analytics dashboard that supports proactive clinical interventions and care transitions. Additional service modules include a Diabetes Education Center, multi-disciplinary clinical care management, advanced payment mechanisms for participant practices, and an After-Hours Care Network.

Revenue mechanics derive primarily from performance-based shared savings incentives earned through the Medicare Shared Savings Program and REACH ACO arrangements. Providers receive value-based compensation aligned to quality and cost outcomes, with the organization positioned as a contracting and care coordination entity rather than a fee-for-service provider. The organization has been nationally recognized for its quality performance, including the 2016 Darwin Health National ACO of the Year award and inclusion in Becker's Hospital Review "100 ACOs to Know."

Name

Rgv Aco Health Providers, Llc

Legal name

RGV ACO Health Providers, LLC

Website

https://rgvaco.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

51–100 employees

Short description

RGV ACO Health Providers is a physician-owned Accountable Care Organization founded in 2012, serving approximately 8,500 Medicare beneficiaries across Central and South Texas through value-based care coordination, proprietary multi-EHR analytics, and a network of 20+ participant primary care practices and preferred providers.

Ownership category

akta.pro rank

Product category

Value-Based Healthcare Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Hospital & Medical Service Plans (6324), Services-Health Services (8000)

akta.pro primary industry

Value-Based Contracting Analytics (ACO/MSSP/MA, shared savings/risk) (HLACAHAA)

Keywords

• Value-based care
• Accountable care organization
• Care coordination
• Population health management
• Shared savings program

Headquarters

HQ city

Weslaco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Medicare Shared Savings Program: RGV ACO participates in Medicare's Shared Savings Program where the organization shares in savings achieved for the Medicare program when it succeeds in delivering high-quality care and spending healthcare dollars more wisely. The ACO opted for the higher-risk Track 2 payment model, exposing it to financial penalties if spending exceeded targets but offering greater rewards for success.
2. REACH ACO Partnerships: Currently participating as a Realizing Equity, Access, and Community Health (REACH) ACO, with expanded ACO partnerships including commercially insured patient populations. Patients receive coordinated care benefits within these partnerships.
3. Performance-Based Shared Savings Incentives: Providers have access to competitive value-based compensation including performance-based shared-savings incentives aligned to quality patient care. Additional advanced payment mechanisms support population health management and care delivery improvements.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

RGV ACO Health Providers, LLC is a physician-owned Accountable Care Organization founded in 2012 that recruits independent primary care practices in Central and South Texas to participate in its ACO network. It provides value-based care coordination, quality and utilization analytics, multi-disciplinary clinical care management, and shared-savings incentives under Medicare's Shared Savings Program (Track 2) and REACH ACO arrangements. The organization supports a network of approximately 8,500 Medicare beneficiaries across five Texas counties, using a proprietary multi-EHR data integration platform to drive population health management.

Product overview

RGV ACO Health Providers, LLC operates as a physician-owned Accountable Care Organization (ACO) founded in 2012, providing a unified value-based care coordination platform. The core offering consists of the RGV ACO Value-Based Care Coordination Platform supplemented by proprietary quality analytics software, multi-disciplinary clinical care management, and advanced payment mechanisms. Additional specialized services include a Diabetes Education Center, REACH ACO partnership services, and an After-Hours Care Network. The organization serves Medicare and commercially insured beneficiaries across Central and South Texas through a network of participant and preferred providers.

Differentiator

Problem solved

Functional benefit

Products and services

• RGV ACO Value-Based Care Coordination Platform A physician-owned accountable care organization platform providing coordinated healthcare delivery, quality analytics, and population health management services to improve patient outcomes while reducing healthcare costs for participating primary care practices and Medicare beneficiaries.
• REACH ACO Partnership Services Realizing Equity, Access, and Community Health (REACH) ACO services expanding coordinated care to commercially insured patient populations through partnerships with non-Medicare payers.
• After-Hours Care Network Partnership network connecting patients with urgent care centers for evening and weekend care for minor illnesses, injuries, and non-life-threatening symptoms, designed to reduce unnecessary ER visits and provide coordinated after-hours access.
• Diabetes Education Center American Diabetes Association-accredited education center providing diabetes management support, lifestyle counseling, and nutrition services for patients with poorly controlled diabetes.

Quantifiable outcome

• Reduced per capita Medicare costs by 14% (from $14,100 to $12,000 per year) primarily through decreasing hospital admissions, readmissions, and home health care use
• +5 more outcomes

Named customers8 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

13 partnerships are on record, tiered core and minor.

• Urgent Care 4U - McAllencoreStrategic or Co-development PartnerAfter-hours urgent care partner providing evening and weekend care (Monday-Friday 10am-7pm, Saturday-Sunday 10am-2pm) for minor illnesses, injuries, and non-life-threatening symptoms. Located at 6316 N 10th St Las Arboledas, McAllen TX 78504. Part of RGV ACO's patient care after-hours program to reduce unnecessary ER visits.
• Advanced Urgent Care - WeslacocoreStrategic or Co-development PartnerAfter-hours urgent care partner open Monday-Friday 12pm-10pm and Saturday-Sunday 8am-2pm. Located at 1002 E Expressway 83, Weslaco TX 78596. Provides same-day and weekend care options for RGV ACO patients.
• South Texas Urgent Care Center - HarlingencoreStrategic or Co-development PartnerExtended hours urgent care partner open Monday-Friday 8am-10pm and Saturday-Sunday 5pm-10pm. Located at 1801 N Ed Carey Dr Suite A, Harlingen TX 78550. Supports after-hours care coordination for RGV ACO beneficiaries.
• Advanced Urgent Care - BrownsvillecoreStrategic or Co-development PartnerUrgent care partner in Brownsville providing after-hours and weekend care options. Located at 1460 N Expressway 77/83, #A, Brownsville TX 78521. Expands RGV ACO's after-hours care network in Cameron County.
• Weslaco Regional Rehabilitation HospitalcoreStrategic or Co-development PartnerInpatient facility partner for Direct Admit Program. Located at 906 James St, Weslaco TX 78596. Enables direct admission coordination for RGV ACO patients requiring rehabilitation services.
• Ebony Lake Nursing & Rehabilitation CentercoreStrategic or Co-development PartnerSkilled nursing facility partner for SNF 3-Day Waiver program. Located at 1001 Central Blvd, Brownsville TX 78520. Provides post-acute care coordination for RGV ACO beneficiaries.
• Golden Palms Retirement Center & HealthcarecoreStrategic or Co-development PartnerSkilled nursing facility partner for SNF 3-Day Waiver. Located at 2101 Treasure Hills Blvd, Harlingen TX 78550. Supports skilled nursing care coordination.
• P.A.C.E. Health Care InccoreStrategic or Co-development PartnerHome health agency partner. Located at 1001 Rone Dr, Weslaco TX 78596. Provides home health services as part of RGV ACO's care coordination program.
• A Healing Touch Home HealthcoreStrategic or Co-development PartnerHome health agency partner. Located at 2900 Texas Blvd N, Weslaco TX 78599. Supports home-based care delivery for RGV ACO patients.
• South Heart ClinicminorStrategic or Co-development PartnerCardiology specialty partner with locations in Harlingen (2310 N Ed Carey Dr Ste 1A) and Weslaco (902 Airpot Dr #5). Provides cardiovascular care referrals for RGV ACO patients.
• Gastroenterology Consultants of South Texas, PLLCminorStrategic or Co-development PartnerGastroenterology specialty partner (also known as Texas Digestive Specialists) with locations in Harlingen, Brownsville, and McAllen. Provides GI specialty care coordination.
• XCell OrthopedicsminorStrategic or Co-development PartnerPhysical therapy partner with locations in McAllen, Mission, Pharr, and Weslaco. Provides outpatient orthopedic rehabilitation services.
• Darwin HealthcoreStrategic or Co-development PartnerHealthcare research and consulting firm that awarded RGV ACO the National ACO of the Year 2016 and Regional South winner. Darwin's proprietary model ranks ACOs on quality and financial performance using CMS data.

Scale indicators7 records

Recent moves8 records

Expansion highlights5 records

Direct peers

• Aledade: Aledade is the largest independent ACO network in the U.S., partnering with primary care physicians for MSSP and other value-based contracts. It competes for the same independent PCP recruiting funnel that RGV ACO targets.
• Agilon Health: Agilon Health partners with independent primary care physicians to enter value-based care arrangements, including Medicare ACO models. It is the most directly comparable peer to RGV ACO's model of aggregating independent PCPs under a shared risk/value-based contract.
• Astrana Health (formerly Apollo Medical Holdings): Astrana Health operates physician-led ACOs and value-based care arrangements with independent providers, particularly in California. It shares RGV ACO's MSSP/shared-savings economic model and physician-enablement approach.
• Privia Health: Privia Health enables independent primary care and specialty practices to participate in value-based care arrangements, including MSSP ACOs. Its physician-enablement model across multiple states mirrors RGV ACO's approach, though at significantly larger scale.
• Caravan Health (part of Signify Health): Caravan Health helps independent primary care practices form ACOs and succeed in MSSP, with strong Track 1/Track 2 expertise. Its core service offering aligns with what RGV ACO provides to its participant providers.

Broad incumbents

• Oak Street Health (CVS Health): Oak Street Health operates value-based primary care clinics serving Medicare beneficiaries, acquired by CVS Health. While not an ACO enabler, it competes for the same dual-eligible/Medicare population with a capitated rather than shared-savings model.
• Cano Health: Cano Health operates value-based primary care centers focused on Medicare Advantage and dual-eligible populations. Targets a similar senior, predominantly Hispanic demographic in certain markets, comparable to RGV ACO's Rio Grande Valley patient base.
• VillageMD (Walgreens Boots Alliance): VillageMD provides value-based primary care with a focus on seniors and chronic-care populations, partly through co-located clinics with Walgreens. It shares the value-based care thesis with RGV ACO but operates at substantially greater scale and capital intensity.
• ChenMed: ChenMed operates senior-focused primary care clinics under full-risk value-based contracts with Medicare Advantage plans. Comparable target population (low-income seniors with chronic disease) and outcomes focus, though delivered through owned clinics rather than an independent-provider ACO model.

Regional players

• Palm Beach Accountable Care Organization: PBACO is a regional, physician-led MSSP ACO similar in scale and structure to RGV ACO. Comparability is high on the ACO operating model, though it serves South Florida rather than South Texas.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds

Investors

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M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Rgv Aco Health Providers, Llc