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ACO Name and Location

Physicians ACO, LLC
Previous Names: N/A
10238 SW 86th Circle, Suite 200
Ocala, FL 34481

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
Advance Primary Care LLC 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
Dolan Anne 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 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

  • 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%

2021 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface.

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 7.17 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 91.17 74.38
236 Controlling High Blood Pressure 83.61 74.87
318 Falls: Screening for Future Fall Risk 97.39 87.03
110 Preventative Care and Screening: Influenza Immunization 90.98 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.31 80.97
113 Colorectal Cancer Screening 81.18 73.63
112 Breast Cancer Screening 88.37 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.54 84.24
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1746 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 25.41 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 83.88 84.67
CAHPS-2 How Well Providers Communicate 90.95 93.56
CAHPS-3 Patient’s Rating of Provider 89.76 92.19
CAHPS-4 Access to Specialists 79.03 78.8
CAHPS-5 Health Promotion and Education 61.18 61.61
CAHPS-6 Shared Decision Making 60.54 60.89
CAHPS-7 Health Status and Functional Status 73.97 71.78
CAHPS-8 Care Coordination 84.52 85.66
CAHPS-9 Courteous and Helpful Office Staff 90.81 91.88
CAHPS-11 Stewardship of Patient Resources 20.34 24.71

Please note, the Quality ID #370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.  For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.