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Shared Savings Program Public Reporting Template

ACO Name and Location

Physicians ACO, LLC

10238 SW 86th Circle, Suite 200

Ocala, FL 34481

ACO Primary Contact

Louis C. Morgenier, III

  (352) 873-1010

  LMorgenier@HealthcareDevelopment.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Absolute Health Internal Medicine And Pediatrics N
Advance Primary Care Llc N
Alliance Medical Associates Inc. N
Destiny Medical Associates, Inc. N
Family Practice Associates Pa N
Florian Gegaj MD LLC (Cleveland Health Center) N
Juan C Yordan Md Pa N
Keertini Kumar, M.D., P.A. N
Lazo Medical Center, Inc. N
Marion Internal Medicine Associates N
Md. Nasirul Huq, M.D., P.A. N
Medical Associates Llc N
Ocala Florida Physician Group N
Pulse Medical Doctors Llc N
Sanjay A. Patel, M.D., P.A. N
Siva M.D. P.A. N
West Marion Family Practice Pa N

 

 

 

 

ACO Governing Body:

 

Member
First
Name		 Member
Last
Name		 Member
Title/
Position		 Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Srinivasa Murthy Chairman 9.1% ACO Participant Medical Associates LLC
Edward Lazo Voting Member 9.1% ACO Participant Lazo Medical Center, Inc.
Keertini Kumar Voting Member 9.1% ACO Participant Keertini Kumar, M.D., P.A.
Nasirul Huq Voting Member 9.1% ACO Participant Md. Nasirul Huq, M.D., P.A.
Yousef Elyaman Voting Member 9.1% ACO Participant Absolute Health Internal Medicine And Pediatrics
Joseph Oibo Voting Member 9.1% ACO Participant Destiny Medical Associates, Inc.
Anwar Khan Voting Member 9.1% ACO Participant Alliance Medical Associates Inc.
Jessie Te Voting Member 9.1% ACO Participant Alliance Medical Associates Inc.
Myeong Kang Voting Member 9.1% ACO Participant Alliance Medical Associates Inc.
Carlos Lara Voting Member 9.1% ACO Participant West Marion Family Practice Pa
Anne Dolan Voting Member 9.1% Medicare Beneficiary N/A

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Louis C. Morgenier, III

Medical Director: Srinivasa Murthy, MD

Compliance Officer: Edward Lazo, MD

Quality Assurance/Improvement Officer: Mary “Ginny” Williams, RN

 

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Executive Committee Srinivasa Murthy, MD, Chair, ACO Participant
Finance Committee Myeong Kang, MD, Chair, ACO Participant
Quality Improvement Committee Nasirul Huq, MD, Chair, ACO Participant
Health Analytics Committee Yousef Elyaman, MD, Chair, ACO Participant
Patient Engagement & 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:

  • Third Agreement Period
    • Performance Year 2023, $9,609,226
    • Performance Year 2022, $9,896,455
  • Second Agreement Period
    • Performance Year 2021, $6,306,128
    • 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:

  • Third Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • 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

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface

Measure # Measure Name Collection Type Reported Performance Rate ACO Mean
Quality ID#: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 3.76 9.84
Quality ID#: 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.13 80.97
Quality ID#: 236 Controlling High Blood Pressure CMS Web Interface 90.80 77.80
Quality ID#: 318 Falls: Screening for Future Fall Risk CMS Web Interface 98.86 89.42
Quality ID#: 110 Preventive Care and Screening: Influenza Immunization CMS Web Interface 90.16 70.76
Quality ID#: 226 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 95.00 79.29
Quality ID#: 113 Colorectal Cancer Screening CMS Web Interface 90.37 77.14
Quality ID#: 112 Breast Cancer Screening CMS Web Interface 91.75 80.36
Quality ID#: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 92.30 87.05
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups CMS Web Interface 0.1671 0.1553
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface --- 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.73 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.30 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 91.59 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.94 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 66.11 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.94 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 77.02 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.46 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.70 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 26.15 26.69

 

 

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

 

Fraud and Abuse Waivers

NONE