ACO NAME & LOCATION

    ACO Health Partners, LLC
    9822 Tapestry Park Circle #208
    Jacksonville, Florida 32246

ACO PRIMARY CONTACT

​     Marsha Boggess, ACO Administrator and CEO
     904-303-3544
      mboggess@curamgt.com

ORGANIZATIONAL INFORMATION

ACO PARTICIPANTS:

ACO Participants	ACO Participant in Joint Venture
ALL AROUND CARE LLC	N
AMOS R MENENDEZ MD PA	N
ARTHUR NAHAS	N
ASSOCIATES IN INTERNAL MEDICINE PA	N
DAVID GABROS	N
ENRIQUE VAZQUEZ	N
GRACE PRIMARY CARE PLLC	N
HEALING TOUCH C&C INC	N
HEALTHY LIVING PRIMARY CARE	N
HEART HYPERTENSION CHOLESTEROL & DIABETES CARE LLC	N
JOSE DELOS SANTOS	N
ISLAND MEDICAL ASSOCIATES PA	N
JAMES F CONNOR PA	N
MIGUEL J TEPEDINO MD PA	N
NEXUSDOCS INC	N
NIEVES MEDICAL CENTER LLC	N
NIKHIL PARIKH	N
NORTH CLARK MEDICAL GROUP LLC	N
OASIS FAMILY PRACTICE	N
OMAR BENITEZ MD PA	N
PELICAN FAMILY MEDICINE, P.A.	N
PHYSICIANS GROUP SERVICES, PA	N
PHYSICIANS PRIMARY CARE PLLC	N
RAFAT CHOUDHRY	N
ROBERT BEITMAN	N
SHORE ATLANTIC GERIATRICS LLC	N
SMITHVILLE MEDICAL ASSOCIATES LLC	N
SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC	N
SUKETU NANAVATI MD PA	N
SUBASH GOPAL MEHTA, MD, PA	N
UNIQUE MEDICAL CENTER OF MIAMI LLC	N
VANITHA YADALLA	N
VIVIANA PEREZ MD PA	N
WEDAD MICHAEL	N
WELLNESS THERAPY & MEDICAL CARE CENTER INC	N

ACO GOVERNING BODY:

Member Last Name	Member First Name	Member Title/ Position	Member's Voting Power (%)	Membership Type	ACO Participant Legal Business Name/DBA
Boggess	Marsha	Member/CEO	12.5%	Other
Bradberry	Nicole	Member	12.5%	Other
Dr. Armitage	Sam	Member/ Medical Director	8.33%	ACO Participant Representative	Pelican Family Medicine, P.A.
Connor	Maria	Member	8.33%	ACO Participant Representative	James F Connor PA
Dr. Tepedino	Miguel	Member	8.33%	ACO Participant Representative	Miguel J Tepedino MD PA
Gandhi	Suhas	Member	8.33%	ACO Participant Representative	North Clark Medical Group LLC
Roberts	Bridget	Member	8.33%	ACO Participant Representative	Physician Group Services, PA
Dr. Papastamelos	Athanasios	Member	8.33%	ACO Participant Representative	Island Medical Associates PA
Dr. Edwards	Michael	Member	8.33%	ACO Participant representative	Physicians Group Services, PA
Dr. Miller	Walter	Member	8.33%	ACO Participant Representative	Southern Ocean Primary Care Associates LLC
Harris	Ruth	Member	8.33%	ACO Participant Representative	Nikhil Parikh
Salib	Onsy	Member	0%	Medicare Beneficiary Representative

KEY ACO CLINICAL & ADIMINSTRATIVE LEADERSHIP:

     ACO Executive: Marsha Boggess
     Medical Director: Dr. Sam Armitage
     Compliance Officer: Joanne Ryan
     ​Quality Assurance/Improvement Officer: Marsha Boggess

ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP:

     Committee Name                                                                  Committee Leader Name and Position     
     Care Coordination and Quality Assurance             Ruth Harris, Chairperson
     ​Compliance                                                                               Joanne Ryan, Chairperson

TYPES OF ACO PARTICIPANTS, OR COMBINATIONS OF PARTICIPANTS, THAT FORMED THE ACO:

     ​Network of Individual Practices of ACO professionals

SHARED SAVINGS AND LOSSES

AMOUNT OF SHARED SAVINGS / LOSSES:

• Second Agreement Period
  • Performance Year 2020 $2,419,312
  • Performance Year 2019 $767,744
  • Performance Year 2018 $1,920,318
  • Performance Year 2017 $2,356,843
  • Performance Year 2016 $0
• First Agreement Period
  • Performance Year 2015, $3,103,401
  • Performance Year 2014 $2,715,442
  • Performance Year 2013 $0

Note:  Our ACO participated in multiple performance years during calendar year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

SHARED SAVINGS DISTRIBUTION:

1. Second Agreement Period
   a. Performance Year 2020
        i. Proportion invested in infrastructure: 10%
        ii. Proportion invested in redesigned care processes/resources: 40%
        iii. Proportion of distribution to ACO participants: 50%
   b. Performance Year 2019
        i. Proportion invested in infrastructure: 30%
        ii. Proportion invested in redesigned care processes/resources:30%
        iii. Proportion of distribution to ACO participants: 40%
   c. Performance Year 2018
        i. Proportion invested in infrastructure: 10%
        ii. Proportion invested in redesigned care processes/resources: 10%
        iii. Proportion of distribution to ACO participants: 80%
   d. Performance Year 2017
        i. Proportion invested in infrastructure: 0%
        ii. Proportion invested in redesigned care processes/resources: 50% 
        iii. Proportion of distribution to ACO participants: 50% 
   e. Performance Year 2016 
        i. Proportion invested in infrastructure: N/A 
        ii. Proportion invested in redesigned care processes/resources: N/A 
        iii. Proportion of distribution to ACO participants: N/A
   
2.  First Agreement Period
   a. Performance Year 2015
        i. Proportion invested in infrastructure: 15% 
        ii. Proportion invested in redesigned care processes/resources: 70%
        iii. Proportion of distribution to ACO participants: 15%
   b. Performance Year 2014 
        i. Proportion invested in infrastructure: 15% 
        ii. Proportion invested in redesigned care processes/resources: 70%
        iii. Proportion of distribution to ACO participants: 15% 
   c. Performance Year 2013 
        i. Proportion invested in infrastructure: N/A 
        ii. Proportion invested in redesigned care processes/resources: N/A 
        ​iii. Proportion of distribution to ACO participants: N/A

​Note:  Our ACO participated in multiple performance years during calendar year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

QUALITY PERFOMANCE RESULTS

​2020 QUALITY PERFORMANCE RESULTS:

ACO Quality Measure Number	Measure Name	Rate	ACO Mean
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)	1.13	0.95
ACO-13	Falls: Screening for Future Fall Risk	79.93	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	38.08	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	75.00	81.67
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	53.11	71.46
ACO-19	Colorectal Cancer Screening	52.38	72.59
ACO-20	Breast Cancer Screening	62.25	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	84.86	83.37
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	24.21	14.7
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	78.79	72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
 
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov. 

PAYMENT RULE WAIVERS

1. Waiver for Payment for Telehealth Services:
     a. ​  Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

EMAIL
info@curamgt.com​

PHONE
​866-442-2990

ADDRESS
9822 Tapestry Park Circle #208
Jacksonville, Florida 32246