Greetings from TMA PracticeEdge and welcome to The Pulse, our new quarterly newsletter created for physicians participating in the TMA family of physician-led ACOs.  TMA PracticeEdge currently represents thirteen ACOs comprising more than 550 independent physicians like yourself —91% of whom are in solo or small practice. Combined, our ACOs have 200,000+ patients in value-based care contracts across 45 Texas counties.

Your colleagues include:

Alliance ACO, Rural Central Texas
Hill Country ACO, Rural Central Texas
UPSA ACO, San Antonio
Southwest Providers ACO, Austin
Seven Flags ACO, Laredo
Del Norte ACO, El Paso
Osler Medical Group, McAllen/Harlingen/Brownsville
Genesis Physicians Group, Dallas
Houston Regional ACO, Houston
Houston Independent Physicians ACO, Houston
East Houston Physician ACO, Houston
Northeast Health Providers ACO, Kingwood
Rising Star ACO, Conroe/Huntsville

While group size, contracting opportunities, and organizational structures vary by market, you all have this in common: your organizations are physician owned, physician managed, and physician led. At TMA PracticeEdge we firmly believe that together we have an opportunity to be a driving force in the Texas value-based care market place. We are honored to be your partner.


The Texas Medical Association and TMA PracticEdge are proud to be among the founding members of a new coalition, the Partnership to Empower Physician-Led Care (PEPC).  PEPC is a membership organization representing independent physician practices pursuing value-based care and organizations that support them.  Other PEPC founders include: the American Academy of Family Physicians, California Medical Association, Florida Medical Association, Medical Group Management Association (MGMA), and Aledade.

PEPC’s activities will be focused namely on education and advocacy.

Education: PEPC will develop materials to educate policymakers and other stakeholders about the role of independent practice in supporting the transition to value-based care.  It will include: meetings, webinars, social media, and opinion editorials - all timed to align with relevant announcements/developments from the Administration and the Hill.  The goal is to keep the unique role and specific needs of independent practice at the forefront as decisions are made.  Click here to check out these fast facts about independent physicians.

Advocacy: PEPC seeks to advance policies that are beneficial to independent practices and, conversely, shine a light on policies that disadvantage its members. At the outset, PEPC will work to ensure that Congress and the Administration prioritize physician-led advanced alternative payment models; establish policies that promote payment parity and prohibit anti-competitive behavior; and create opportunities for independent practices to participate in Medicare Advantage by lowering barriers to entry by physician-led groups.

We’ll keep you apprised of our progress in future issues of The Pulse.


As you know, the Texas Medical Association created TMA PracticeEdge to bring together like-minded physicians who want to remain in independent practice while taking advantage of value-based care opportunities.

TMA PracticeEdge, the Innovista management team, and your ACO leaders pledge to support you with data, information, and tools to help you achieve the goals of improving quality, lowering health care costs, and earning rewards for the excellent care you provide. You, however, are on the front lines….and this is not easy work. Let us know how we can help.

Each newsletter will include a link for you to provide candid feedback. Be sure to include comments, compliments, criticisms, opportunities, or anything else that is on your mind. Outside of the newsletters contact us at

Together, we continue to effectively drive each other to improve performance.  Thank you for all you do in taking a stand for value-based care, independent practices and making your voices heard!

Dave Spalding, COO                                     
TMA PracticeEdge