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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 Participant ACO Participant in Joint Venture
Absolute Health Internal Medicine And Pediatrics-
ADVANCE PRIMARY CARE LLC-
Alliance Medical Associates Inc.-
Destiny Medical Associates, Inc.-
Family Practice Associates PA-
FLORIAN GEGAJ MD LLC / DBA Cleveland Health Center-
Juan C Yordan MD PA-
Keertini Kumar, M.D., P.A.-
Lazo Medical Center, Inc.-
MD. Nasirul Huq, M.D., P.A.-
Medical Associates LLC-
Ocala Florida Physician Group-
PULSE MEDICAL DOCTORS LLC-
Sanjay A. Patel, M.D., P.A.-
Siva M.D. P.A.-
West Marion Family Practice PA-

 

 

ACO Governing Body

First Name Last Name Title / Position Voting Power Membership Type ACO Participant Legal Name
AnneDolanVoting Member7.14%Medicare Beneficiary RepresentativeN/A
AnwarKhanVoting Member7.14%ACO Participant RepresentativeAlliance Medical Associates Inc.
CarlosLaraVoting Member7.14%ACO Participant RepresentativeWest Marion Family Practice PA
ChristopherGraingerVoting Member7.14%ACO Participant RepresentativeChristopher Grainger
EdwardLazoVoting Member7.14%ACO Participant RepresentativeLazo Medical Center, Inc.
JayaprakashShettyVoting Member7.14%ACO Participant RepresentativeJayaprakash Shetty, M.D., P.A.
JessieTeVoting Member7.14%ACO Participant RepresentativeAlliance Medical Associates Inc.
JosephOiboVoting Member7.14%ACO Participant RepresentativeDestiny Medical Associates, Inc.
KeertiniKumarVoting Member7.14%ACO Participant RepresentativeKeertini Kumar, M.D., P.A.
MyeongKangVoting Member7.14%ACO Participant RepresentativeAlliance Medical Associates Inc.
NasirulHuqVoting Member7.14%ACO Participant RepresentativeMD. Nasirul Huq, M.D., P.A.
RatnasabapathySivasekaranVoting Member7.14%ACO Participant RepresentativeSiva M.D. P.A.
SrinivasaMurthyChairman7.18%ACO Participant RepresentativeMedical Associates LLC
YousefElyamanVoting Member7.14%ACO Participant RepresentativeAbsolute Health Internal Medicine And Pediatrics

 

Key ACO Clinical and Administrative Leadership

ACO Executive: Louis Morgenier

Medical Director: Srinivas Murthy

Compliance Officer: Edward Lazo

Quality Assurance/Improvement Officer: Derek Pauley

 

Associated Committees and Leadership

Committee NameCommittee Leader
Compliance and Peer Quality Review CommitteeEd Lazo, MD – Chair
Finance CommitteeMyeong Kang, MD – Chair
Health Analytics CommitteeYousef Elyaman, MD – Chair
Patient Engagement & Education CommitteeAnwar Khan, MD – Chair
Provider Education CommitteeJesse Te, MD – Chair
Quality Improvement CommitteeNasirul Huq, MD – Chair

 

Types of ACO 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 2024, $7,828,234
    • 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 2024
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources 10%
      • Proportion of distribution to ACO participants: 80%
    • 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 (2024)

Quality performance results are based on the CMS Web Interface collection type.

Measure # Measure Name Collection Type Performance Rate
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface81.41
112Breast Cancer ScreeningCMS Web Interface89.81
113Colorectal Cancer ScreeningCMS Web Interface84.94
134Depression Screening and Follow-up PlanCMS Web Interface95.45
226Tobacco Use: Screening and Cessation InterventionCMS Web Interface88.46
236Controlling High Blood PressureCMS Web Interface88.45
318Falls: Screening for Future Fall RiskCMS Web Interface98.6
370Depression Remission at Twelve MonthsCMS Web Interface26.19
438Statin Therapy for Cardiovascular DiseaseCMS Web Interface86.81
479Hospital-Wide 30-Day Readmission Rate (HWR)Administrative Claims0.131
001Diabetes: HbA1c Poor ControlCMS Web Interface3.83
CAHPS-1Timely Care, Appointments, and InformationCAHPS for MIPS84.81
CAHPS-2Provider CommunicationCAHPS for MIPS93.61
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS90.7
CAHPS-4Access to SpecialistsCAHPS for MIPS75.98
CAHPS-5Health Promotion and EducationCAHPS for MIPS72.66
CAHPS-6Shared Decision MakingCAHPS for MIPS61.81
CAHPS-7Health Status and Functional StatusCAHPS for MIPS78.16
CAHPS-8Care CoordinationCAHPS for MIPS85.2
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS91.49
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS27.47

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

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    tty users call: (1-877-486-2048)
  • 10238 SW 86th Circle, Suite 200
    Ocala, FL 34481
  • phone: (352) 873-1010

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Our Ocala doctors accept Medicare. Physicians network serves patients in Leesburg, Silver Springs, Belleview, Summerfield, The Villages, Wildwood, Inverness, Dunnellon, Morriston, Williston, Citra, South Gainesville, Fort McCoy and surrounding areas in Marion County, Florida.