FL MSSP Enhanced
Andrew Chang
ACO Primary Contact
202-803-7979
Location
Location

Aledade Florida Central ACO, LLC
4550 Montgomery Ave, Ste 950N
Bethesda, MD 20814
 

ACO Participants ACO Participant in Joint Venture
Aledade Care Solutions of Florida LLC N
Cappleman Edwards and Castello MD PA N
CENTRAL FLORIDA MEDICAL CARE,PA N
COMPLETE CARE LLC N
DONALD M. COLLINS, M.D., P.A. N
DUNLAWTON FAMILY MEDICINE PLC N
FABIO ECHAVARRIA, MD, PA N
MEDICAL ASSOCIATES OF BREVARD LLC N
NIBHA MEDIRATTA MD PL N
North Point Physicians LLC N
Paul D Sovran MD PA N
PHYSICIANS MEDICAL GROUP, LLC N
Rivers Family Medicine PA N
Sharon Nickell-Olm M D Family Medical Center, LLC N
SOUTH LAKE MEDICAL CENTER INC N
SOUTH LAKE PRIMARY CARE P A N
Suntree Medical Associates, P.A. N

Member First Name Member Last Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type

ACO Participant Legal Business Name

GERRY BESSETTE Board Member 5.263 ACO Participant Representative

Medical Associates of Brevard LLC

JOHN CAPPLEMAN Board Member/ACO Medical Director 5.263 ACO Participant Representative

Cappleman Edwards and Castello MD PA

ANDREW CHANG Board Member/Chair 5.263 Other Aledade
DONALD COLLINS Board Member 5.263 ACO Participant Representative

Donald M. Collins, M.D., P.A.

FABIO ECHAVARRIA Board Member 5.263 ACO Participant Representative

Fabio Echavarria, MD, PA

AASHIV HARI Board Member 5.263 ACO Participant Representative

Physicians Medical Group, LLC

FRANK JENKINS Board Member/Medicare Beneficiary Representative 5.263 Medicare Beneficiary Representative

N/A

MARK KENDRICK Board Member 5.263 ACO Participant Representative

Dunlawton Family Medicine PLC

DAVID LICHTINGER Board Member 5.263 ACO Participant Representative

Central Florida Medical Care, PA

JORDAN LOFTIS Board Member 5.263 ACO Participant Representative

Complete Care LLC

MARLO LUCIANI Board Member 5.263 ACO Participant Representative

North Point Physicians LLC

NIBHA MEDIRATTA Board Member 5.263 ACO Participant Representative

Nibha Mediratta MD PL

SHAZIA NASIR Board Member 5.263 ACO Participant Representative

South Lake Medical Center Inc

CHRISTOPHER NUNES Board Member 5.263 ACO Participant Representative

Medical Associates of Brevard LLC

SHARON OLM NICKELL Board Member 5.263 ACO Participant Representative

Sharon Nickell-Olm M D Family Medical Center, LLC

STEVEN RIVERS Board Member 5.263 ACO Participant Representative

Rivers Family Medicine PA

CARL SALADINO Board Member 5.263 ACO Participant Representative

Suntree Medical Associates, P.A.

PAUL SOVRAN Board Member/Compliance Committee Lead 5.263 ACO Participant Representative

Paul D Sovran MD PA

RAMON SUEIRO Board Member 5.263 ACO Participant Representative

South Lake Primary Care P A

 


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

  • Executive Director: Andrew Chang
  • Medical Director: John Cappleman
  • Compliance Officer: Amy Youtz
  • Quality Assurance/Improvement Officer: Emily Maxson

Committee Name

Committee Leader Name and Position

Compliance Committee

Dr. Paul Sovran / Compliance Committee Leader

Beneficiary Engagement Committee

Dr. Paul Sovran / Committee Member

Performance Improvement Committee

Dr. Paul Sovran / Committee Member

  • Networks of individual practices of ACO professionals

Second Agreement Period

  • Performance Year 2022, $6,760,451.22
  • Performance Year 2021, $1,446,546
  • Performance Year 2020, $2,730,568
  • Performance Year 2019: $2,018,260

First Agreement Period

  • Performance Year 2019, $2,018,260
  • Performance Year 2018, $1,620,489
  • Performance Year 2017, $3,741,517
  • Performance Year 2016, $2,263,161


Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Second Agreement Period

  • Performance Year 2022
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 100%

First Agreement Period

  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2018
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2017
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2016
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 100%

 

10% - Reinvest in infrastructure

30% - Invested in redesigned care processes/resources

60% - Distribution to ACO Participants

 

2022 Quality Performance Results
Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 5.36 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 86.96 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 87.58 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 92.24 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 80.14 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 87.5 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 81.68 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 89.31 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 91.21 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 19.51 16.03
Quality ID# 321 CAHPS for MIPS [3] CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1472 0.151
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 26.86 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS 88.88 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS 93.76 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS 92.85 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS 77.36 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS 66.44 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS 65.72 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS 75.95 73.06
CAHPS-8 Care Coordination CAHPS for MIPS 85.65 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS 93.16 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS 22.69 25.62

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

 

Fraud and Abuse Waivers

ACO Pre-Participation Waiver::  N/A

 

ACO Participation Waiver: N/A