ACO Name and Location

Physicians ACO, LLC
Previous Names: N/A
10238 SW 86th Circle, Suite 200
Ocala, FL 344
81

ACO Primary Contact

Primary Contact Name

Louis Morgenier III

Primary Contact Phone Number

(352) 873-1010

Primary Contact Email Address

LMorgenier@healthcaredevelopment.com

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Alliance Medical Associates Inc.

N

Jayaprakash Shetty, M.D., PA

N

Destiny Medical Associates, Inc.

N

Absolute Health Internal Medicine And Pediatrics

N

Siva M.D. P.A.

N

West Marion Family Practice PA

N

Ocala Florida Physician Group

N

Medical Associates LLC

N

Keertini Kumar, M.D., P.A.

N

Christopher Grainger

N

Juan C Yordan MD PA

N

Lazo Medical Center, Inc.

N

Family Practice Associates PA

N

Sanjay A. PateL, M.D., P.A.

N

MD. Nasirul Huq, M.D., P.A.

N

Pulse Medical Doctors LLC

N

Marion Internal Medicine Associates

N

 

ACO governing body:

Member

Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Murthy

Srinivasa

Chairman

1

ACO Participant

Medical Associates, LLC

Lazo

Edward

Voting Member

1

ACO Participant

Lazo Medical Center, Inc.

Kumar

Keertini

Voting Member

1

ACO Participant

Keertini Kumar M.D., P.A.

Huq

Nasirul

Voting Member

1

ACO Participant

MD Nasirul Huq, M.D., P.A.

Shetty

Jayaprakash

Voting Member

1

ACO Participant

Jayaprakash Shetty, M.D., PA

Elyaman

Yousef

Voting Member

1

ACO Participant

Absolute Health Internal Medicine & Pediatrics, P.A.

Oibo

Joseph

Voting Member

1

ACO Participant

Destiny Medical Associates, Inc.

Khan

Anwar

Voting Member

1

ACO Participant

Alliance Medical Associates, Inc.

Te

Jessie

Voting Member

1

ACO Participant

Alliance Medical Associates, Inc.

Kang

Myzong

Voting Member

1

ACO Participant

Alliance Medical Associates, Inc.

Lara

Carlos

Voting Member

1

ACO Participant

West Marion Family Practice PA

Budryk

John

Voting Member

1

Medicare Beneficiary

N/A

 

Key ACO clinical and administrative leadership:

Louis Morgenier

ACO Executive

Srinivasa Murthy

Medical Director

Ed Lazo

Compliance Officer

Ginny Williams

Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

 

Committee Name

Committee Leader Name and Position

Executive Committee

Jayaprakash N. Shetty, MD, Chair, ACO Participant

Finance Committee

Myeong Kang, MD, Chair, ACO Participant

Health Policy and Quality Improvement Committee

Nasirul Huq, MD, Chair, ACO Participant

Health Analytics Committee

Yousef Elyaman, MD, Chair, ACO Participant

Patient Engagement and Education Committee

Anwar Khan, MD, Chair, ACO Participant

Provider Education Committee

Jesse Te, MD, Chair, ACO Participant

Compliance and Peer Quality Review Committee

Ed Lazo, MD, Chair ACO Participant

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2020, $6,553,826
    • Performance Year 2019, $2,445,444
    • Performance Year 2018, $4,245,094
  • First Agreement Period
    • Performance Year 2017, $6,455,592
    • Performance Year 2016, $2,371,876
    • Performance Year 2015, $2,907,291

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2019
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2018
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2016
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2015
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80% 

Quality Performance Results

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

0.86

0.95

ACO-13

Falls: Screening for Future Fall Risk

92.32

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

89.64

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

94.74

81.67

ACO-18

Preventive Care and Screening: Screening for Depression and Follow-up Plan

77.20

71.46

ACO-19

Colorectal Cancer Screening

82.00

72.59

ACO-20

Breast Cancer Screening

83.91

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.73

83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

7.74

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

78.91

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.