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  • ABOUT US
    • Leadership
    • Public Reporting
    • Contact Us
  • Our Doctors
  • Patients
  • Our Services
  • News, Events & Training
    • News & Announcements
    • Members Only
ACO Health Partners | A HealthLynked Organization
  • ABOUT US
    • Leadership
    • Public Reporting
    • Contact Us
  • Our Doctors
  • Patients
  • Our Services
  • News, Events & Training
    • News & Announcements
    • Members Only

ACO NAME & LOCATION

    ACO Health Partners, LLC
    2326 South Congress Avenue, Suite 2F
    Palm Springs, Florida 33406

ACO PRIMARY CONTACT

​ Contact Name:    Gianna Trombino
 Phone Number:   561-762-1086
 Email Address     gtrombino@pbaco.org

ORGANIZATIONAL INFORMATION

ACO PARTICIPANTS:
ACO PARTICIPANTS
ACO Participant in Joint Venture
ALL AROUND CARE LLC N
AMOS R MENENDEZ MDPA N
ARACELI YAPOR MD PA N
CESAR FIGUEROA MDPA N
DAVID GABROS N
FAMILY WELLNESS CENTER GCS INC N
GARCIA SAEZ MEDICAL GROUP CORP N
GRACE PRIMARY CARE PLLC N
HEALING TOUCH C&C INC N
HEALTHY LIVING PRIMARY CARE N
JAMES F CONNOR PA N
JOSE DELOS SANTOS N
KENDALL SOUTH MEDICAL CENTER INC N
NEXUSDOCS INC N
NORTH CLARK MEDICAL GROUP LLC N
OASIS FAMILY PRACTICE N
OMAR BENITEZ MD PA N
PHYSICIANS GROUP SERVICES, PA N
ROBERT G BEITMAN, MD PA N
SHORE ATLANTIC GERIATRICS LLC N
SMITHVILLE MEDICAL ASSOCIATES LLC N
SOUTHERN OCEAN PRIMARY CARE ASSOCIATES LLC N
SUKETU NANAVATI MD PA N
UNIQUE MEDICAL CENTER OF MIAMI LLC N
WEDAD MICHAEL N
WELLNESS THERAPY & MEDICAL CARE CENTER INC N
ACO GOVERNING BODY:
FIRST NAME LAST NAME TITLE / POSITION VOTING POWER MEMBERSHIP TYPE LEGAL BUSINESS NAME / DBA
Marsha Bogges Member/CEO 8.34% Other  
Nicole Bradberry Member/CEO 8.33% Other  
George O'Leary Member 8.33% Other  
Sam Armitage Member/Medical Dir 10.72% ACO Participant Representative Pelican Family Medicine, P.A.
Maria Connor Member 10.72% ACO Participant Representative James F Connor PA
Suhas Gandhi Member 10.71% ACO Participant Representative North Clark Medical Group LLC
Bridget Roberts Member 10.71% ACO Participant Representative Physicians Group Services, PA
Athanasios Papastamelos Member 10.71% ACO Participant Representative Nikhil Parikh
Michael Edwards Member 10.71% ACO Participant Representative Physicians Group Services, PA
Walter Miller Member 10.72% ACO Participant Representative Southern Ocean Primary Care Associates, LLC
Onsy Salib Member 0.00% Medicare Beneficiary Representative  

​​KEY ACO CLINICAL & ADMINISTRATIVE LEADERSHIP:
     ACO Executive: Mr. David Klebonis
     Medical Director: Dr. Rohit Dandiya
     Compliance Officer: Mr. Adam Zhamukhanov
     ​Quality Assurance/Improvement Officer: Mrs. Amanda Larschan

​ASSOCIATED COMMITTEES & COMMITTEE LEADERSHIP:
     Committee Name                                                                  Committee Leader Name and Position     
     Care Coordination and Quality Assurance            Joanne Ryan, 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:
  • Third Agreement Period
    • Performance Year 2022 $2,883,146.00
    • Performance Year 2021 $0.00
    • Performance Year 2020 $ 2,419,312.00
    • Performance Year 2019 $767,744.00
  • Second Agreement Period
    • 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. Third Agreement Period
a. Performance Year 2022
     i. Proportion invested in infrastructure: 10%
     ii. Proportion invested in redesigned care processes/resources: 40%
     iii. Proportion of distribution to ACO participants: 50%
a. Performance Year 2021
     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
b. 
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%
c. 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%
  1. Second Agreement Period
    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

​2022 QUALITY PERFORMANCE RESULTS:
Quality performance results are based on CMS Web Interface.
ACO Quality Measure Measure Name Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 20.16 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 73.28 76.97
Measure #: 236 Controlling High Blood Pressure 84.58 76.16
Measure #: 318 Falls: Screening for Future Fall Risk 74.66 87.83
Measure #: 110 Preventative Care and Screening: Influenza Immunization 60.84 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.62 79.27
Measure #: 113 Colorectal Cancer Screening 60.08 75.32
Measure #: 112 Breast Cancer Screening 76.16 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.13 86.37
Measure #: 370 Depression Remission at Twelve Months 13.33 16.03
CAHPS-1 Getting Timely Care, Appointments, and Information 81.42 83.96
CAHPS-2 How Well Providers Communicate 92.49 93.47
CAHPS-3 Patient’s Rating of Provider 91.61 92.06
CAHPS-4 Access to Specialists 76.46 77.00
CAHPS-5 Health Promotion and Education 61.72 62.68
CAHPS-6 Shared Decision Making 65.34 60.97
CAHPS-7 Health Status and Functional Status 70.77 73.06
CAHPS-8 Care Coordination 85.20 85.46
CAHPS-9 Courteous and Helpful Office Staff 89.66 91.97
CAHPS-11 Stewardship of Patient Resources 20.21 25.62
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1637 0.1510
Measure #: 484 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 32.39 30.97
 
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.

2. ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO participation Waiver, including any material amendment or modification to a disclosed arrangement.
 
Parties to the Arrangement:  ACO Health Partners, LLC and Quest Diagnostics Incorporated
Date of Arrangement:  06/01/2021
Items, services, Goods, or facility Provided:  Clinical Laboratory Testing Services, Support and collaboration for enhancing the ACO’s Infrastructure, network development, and clinical quality in the design and implementation of clinical support programs for CKD, Diabetes, and Colorectal Cancer Screening.
Date and Nature of any amendments to the arrangement: Not Applicable

EMAIL
info@curamgt.com​
PHONE
​866-442-2990
ADDRESS
9822 Tapestry Park Circle #208
Jacksonville, Florida 32246