ACO Name and Location
First Coast Health Alliance, LLC
400 Health Park Boulevard
St. Augustine, FL 32086
ACO Primary Contact
Trey Blanchard
904-819-4629
Trey.Blanchard@flaglerhospital.org
Organizational Information
ACO Participants:
|
ACO Participants
|
ACO Participant in Joint Venture
|
|
ADVANCED PAIN AND SPINE INSTITUTE OF FLORIDA LLC
|
Y
|
|
ALL ABOUT FEET & LEGS PA
|
Y
|
|
Amir A. Malik, M.D., P.A.
|
Y
|
|
Anastasia Medical Group LLC
|
Y
|
|
Ancient City Pediatrics, LLC
|
Y
|
|
Ashfaq Kudia, M.D., P.A.
|
Y
|
|
Barros Family Health Care, P.A.
|
Y
|
|
BRUCE H PALEY PA
|
Y
|
|
CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL
|
Y
|
|
Family Medical Care of St. Augustine, P.A.
|
Y
|
|
Family Practice,Dr.Assefa Llc
|
Y
|
|
First City Hospitalists Group, PLLC
|
Y
|
|
FIRST COAST HEART & VASCULAR CENTER, PA
|
Y
|
|
Flagler Health Services, Inc.
|
Y
|
|
Flagler Hospital, Inc.
|
Y
|
|
FLAGLER PROFESSIONAL HEALTH CARE SERVICES INC
|
Y
|
|
HEART CENTER OF SAINT AUGUSTINE PA
|
Y
|
|
INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.
|
Y
|
|
INTERNAL MEDICINE ASSOCIATES OF ST JOHNS COUNTY PA
|
Y
|
|
Jack M. Matheny II MD
|
Y
|
|
JOHN S KOPPMAN, MD PL
|
Y
|
|
Manoj Prakash, MD., P.A.
|
Y
|
|
Mason H. Long, M.D., P.A.
|
Y
|
|
MICHAEL HSU M.D. LLC
|
Y
|
|
Michael Tessler
|
Y
|
|
Neurology Care, Inc.
|
Y
|
|
North Florida Specialists In Lung Diseases & Internal Medicine, P.A.
|
Y
|
|
ORTHONORTHRUP, P.A.
|
Y
|
|
Pain Management Specialists of North Florida, P.A.
|
Y
|
|
Pantaleon Pathology Associates Pa
|
Y
|
|
PAUL D JAYACHANDRA M D P A
|
Y
|
|
PRIMECARE PL
|
Y
|
|
Pulmonary Associates Of St
|
Y
|
|
Qixia Huang, M.D., P.A.
|
Y
|
|
Radhika Prakash
|
Y
|
|
Scott D. McDowall, PLLC
|
Y
|
|
ST AUGUSTINE NEUROLOGY PA
|
Y
|
|
St. Augustine Cardiology Associates, P.A.
|
Y
|
|
St. Augustine Foot & Ankle Inc.
|
Y
|
|
St. Johns Radiology Associates, P.A.
|
Y
|
|
SYED W. ALI, M.D., P.A.
|
Y
|
|
T S HOSSAIN MD PA
|
Y
|
|
US BARIATRIC ST AUGUSTINE LLC
|
Y
|
|
William J Oktavec Pa
|
Y
|
ACO Governing Body:
|
Member
Last
Name
|
Member
First
Name
|
Member
Title/Position
|
Member's Voting Power (Expressed as a percentage or number)
|
Membership Type
|
ACO Participant Legal Business Name and D/B/A, if applicable
|
|
George
|
Ferris
|
President
|
1 vote
|
ACO Participant Representative
|
St. Augustine Cardiology Associates, P.A.
|
|
Machado
|
Miguel
|
ACO Executive
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
|
Barrett
|
Jason
|
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
|
Cleaver
|
Chuck
|
Treasurer Hospital
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
|
DeVooght
|
Carlton
|
Vice President
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
|
Johnson
|
Vincent
|
|
1 vote
|
ACO Participant Representative
|
Flagler Hospital, Inc.
|
|
Aponte-Lopez
|
Rafael
|
|
1 vote
|
ACO Participant Representative
|
St. Johns Radiology Associates, P.A.
|
|
Kudia
|
Ashfaq
|
|
1 vote
|
ACO Participant Representative
|
Ashfaq Kudia, M.D., P.A.
|
|
Mas
|
Miguel
|
|
1 vote
|
ACO Participant Representative
|
Ancient City Pediatrics, LLC
|
|
Neerukonda
|
Suhas
|
Senior Medical Director
|
1 vote
|
ACO Participant Representative
|
Anastasia Medical Group, LLC
|
|
Muehrcke
|
Derek
|
|
1 vote
|
Other
|
Cardiothoracic & Vascular Surgical Associates PA
|
|
Pubbi
|
Dinesh
|
|
1 vote
|
ACO Representative
|
First Coast Heart and Vascular PA
|
|
Hutson
|
John
|
|
1 vote
|
Medicare Beneficiary Representative
|
NA
|
Key ACO Clinical and Administrative Leadership:
ACO Executive: Miguel Machado, MD
Medical Director: Suhas Neerukonda, MD
Compliance Officer: Jill Berry
Quality Assurance/Improvement Officer: Todd Batenhorst, MD
Associated Committees and Committee Leadership:
|
Committee Name
|
Committee Leader Name and Position
|
|
Executive Committee
|
Dr. Ferris George, Chair
|
|
|
Quality Improvement and Quality Assurance Committee
|
Dr. Miguel A. Mas Jr., Chair
|
|
|
Compliance and Governance Committee
|
Dr. Ferris George, Chair
|
|
|
Audit, Finance, & Network Contracts Committee
|
Chuck Cleaver, Chair
|
|
|
Medical Informatics and Technology Committee
|
Dr. Suhas Neerukonda, Chair
|
|
|
Marketing and Education Committee
|
Jason Barrett, Chair
|
|
|
|
|
|
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
-
Second Agreement Period
- Performance Year 2020, $2,133,190.78
- Performance Year 2019, $0
- Performance Year 2018, $0
- Performance Year 2017, $0
-
First Agreement Period
- Performance Year 2016, $0
- Performance Year 2015, $0
- Performance Year 2014, $0
Shared Savings Distribution:
-
Second Agreement Period
-
Performance Year 2020
- Proportion invested in infrastructure: 19%
- Proportion invested in redesigned care processes/resources: 19%
- Proportion of distribution to ACO participants: 61%
-
Performance Year 2019
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2018
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2017
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
First Agreement Period
-
Performance Year 2016
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2015
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
-
Performance Year 2014
- Proportion invested in infrastructure: NA
- Proportion invested in redesigned care processes/resources: NA
- Proportion of distribution to ACO participants: NA
Quality Performance Results
2020 Quality Performance Results:
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.goPlease 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
.