ACO Name and Location:

First Coast Health Alliance, LLC
400 Health Park Blvd.
St. Augustine, FL 32086

ACO Primary Contact:

John Franks, Executive Director
John.Franks@FlaglerHospital.org
904.819.4065

Organizational Information:

ACO Participants:

ALL ABOUT FEET & LEGS PA

Amir A. Malik, M.D., P.A.

Anastasia Medical Group LLC

Ancient City Pediatrics, LLC

Ashfaq Kudia, M.D., P.A.

Associates in Internal Medicine, P.A.

Barros Family Health Care, P.A.

Barry F. Dobies, M.D., P.A.

BRUCE H PALEY PA

CARDIOVASCULAR CONSULTANTS OF ST AUGUSTINE PL

COASTAL AESTHETIC CENTER PA

Coastal Anesthesiology Consultants Llc

David L Greenwald Pa

Douglas K. Dew, M.D., P.A.

DUDLEY A BARINGER MD PA

Family Medical Care of St. Augustine, P.A.

Family Practice,Dr.Assefa Llc

First City Hospitalists Group, PLLC

FIRST COAST HEART & VASCULAR CENTER, PA

Flagler Family Medicine, P.A.

Flagler Health Services, Inc.

Flagler Hospital, Inc.

FLORIDA SPORTS MEDICINE INSTITUTE, INC.

HAQ MEDICAL CENTER INC

HEART CENTER OF SAINT AUGUSTINE PA

HELDER DE PAIVA MD LLC

INFECTIOUS DISEASES ASSOCIATES OF NORTH FLORIDA, P.A.

J Greg Dent M D & Associates P L

Jack M. Matheny II MD

JOHN S KOPPMAN, MD PL

Manoj Prakash, MD., P.A.

Mason H. Long, M.D., P.A.

Medical Professionals Of North Florida

MICHAEL HSU M.D. LLC

Michael Tessler

Neurology Care, Inc.

Neurosurgical Associates of St. Augustine, LLC

North Florida Specialists In Lung Diseases Internal Medicine

Pain Management Specialists of North Florida, P.A.

Pantaleon Pathology Associates Pa

PATRICK J HARRIS DO PA

Paul D. Jayachandra, M.D., P.A.

PRIMECARE PL

Pulmonary Associates Of St

Qixia Huang, M.D., P.A.

Radhika Prakash

Scott D. McDowall, PLLC

SHERRI LEE MAETOZO MD PA

ST AUGUSTINE NEUROLOGY PA

St Johns Cadiovascular Pa

St. Augustine Cardiology Associates, P.A.

St. Augustine Foot & Ankle Inc.

St. Johns Radiology Associates, P.A.

T S HOSSAIN MD PA

US BARIATRIC ST AUGUSTINE LLC

Vassallo Eye Institute

William J Oktavec Pa

Note: All ACO Participants are included in a Partnership or joint venture arrangement between Flagler Hospital and ACO Professionals

ACO Governing Body:

Dr. Todd Batenhorst, Voting Member and President, Flagler Family Medicine, P.A.
Dr. Miguel A. Machado, Voting Member, Flagler Hospital, Inc.
Jason Barrett, Voting Member and Vice President, Flagler Hospital, Inc.
Dr. Ferris E. George, Voting Member and Secretary, St. Augustine Cardiology Associates, P.A.
Roger Carter, Voting Member and Treasurer, Flagler Hospital, Inc.
Joseph Gordy, Voting Member, Flagler Hospital, Inc.
Dr. Michael Sanders, Voting Member, Flagler Hospital, Inc.
Joseph Wilson, Voting Member, Medicare Beneficiary Representative
Dr. Rafael Aponte-Lopez, Voting Member, St. Johns Radiology Associates, P.A.
Dr. Ashfaq L. Kudia, Voting Member, Ashfaq Kudia, M.D., P.A.
Dr. Miguel A. Mas, Voting Member, Ancient City Pediatrics, LLC
Dr. Suhas Neerukonda, Voting Member, Senior Medical Director, Anastasia Medical Group, LLC
Dr. Dr. Derek Muehrcke, Voting Member, Other Entity - Cardiothoracic & Vascular Surgical Associates PA

Key ACO Clinical and Administrative Leadership:

President: Dr. Todd Batenhorst
ACO Executive: Dr. Miguel A. Machado
Senior Medical Director, Dr. Suhas Neerukonda
Director of Quality Assurance and Quality Improvement: Dr. Frederick C. Dolgin
Compliance Officer: Dr. Michael DiBella
Vice President: Jason Barrett
Treasurer: Roger Carter
Secretary: Dr. Ferris E. George

Associated Committees and Committee Leadership:

Executive Committee, Dr. Todd Batenhorst, Chair
Quality Improvement and Quality Assurance Committee: Dr. Miguel A. Mas Jr., Chair
Compliance and Governance Committee: Dr. Todd Batenhorst, Chair
Audit, Finance, & Network Contracts Committee: Roger Carter, Chair
Medical Informatics and Technology Committee: Dr. Suhas Neerukonda, Chair
Marketing and Education Committee: Jason Barrett, Chair

Executive Committee

Chair Dr. Todd Batenhorst, Chair
Jason Barrett, Vice President
Roger Carter, Treasurer
Dr. Ferris E. George, Secretary
Senior Medical Director, Dr. Suhas Neerukonda (no vote)
Executive Director, John Franks (no vote)

Audit, Finance, & Network Contracts Committee

Chair Roger Carter, Treasurer
Aponte-Lopez, Rafael, MD
Farhat, Jawad S., MD
George, Ferris E., MD
Grimes, James M., MD
Long, Mason H., MD
Whitlock, Warren O., MD
Muehrcke, Derek D., MD
Pantaleon, Yanet, MD
Malik, Amir, MD

Compliance and Governance Committee

Chair: Batenhorst, Todd, MD President
Miguel Machado, MD, CMO
Michael DiBella, MD, Compliance Officer
Baker, III, Howard A., MD
Turnage, William S., MD
DeLamerens, Goar, MD
Perumal, Amudha M., MD
Searle, Thomas A., MD
Soroka, Stuart A., MD

Medical Informatics and Technology Committee

Chair: Neerukonda, Suhas, MD
Dew Douglas K., MD, MBA
Michael Sanders, MD
Bill Rieger, Flagler Hospital CIO
Kidwai, Arif S., MD

Marketing and Education Committee

Chair: Jason Barrett
Kudia, Ashfaq L., MD
Pineau, Benoit C., MD
Dobies, Barry F., MD
Justice, Keith M., MD
Kidwai, Arif S., MD

Quality Improvement and Quality Assurance Committee

Chair: Mas, Jr, Miguel A., MD
Michael DiBella, MD
Dolgin, Frederick C., MD
Koppman, John S., MD
Builteman, James L., MD
Rill, Matthew C., MD
Epstein, Howard B., MD
Manikal, Vivek M., MD
Prioleau, John, MD
De Paiva, Helder, MD
Kiekover, Brian D., MD
Jago, Kelly K., MD
Caracciolo, Vincent J., MD
Marema, Robert T., MD
Raymaker, Brian, MD

Types of ACO Participants, or combinations of participants, that formed the ACO:

  1. ACO professionals in a group practice arrangement
  2. Networks of individual practices of ACO professionals
  3. Partnerships or joint venture arrangements between hospitals and ACO professionals
  4. Hospital employing ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses

Agreement period beginning 2014, Performance Year 2014: $0
Agreement period beginning 2014, Performance Year 2015: $0

Shared Savings Distribution

Agreement period beginning 2014, Performance Year 1
Portion invested in infrastructure: 20%
Portion of distribution to ACO participants

Distribution to all CIN Participants: 8%
Distribution to Primary Care Professionals: 36%
Distribution to Specialists: 32%
Distribution to Other Providers: 4%
Portion invested in redesigned care processes/resources 0%

Agreement period beginning 2014, Performance Year 2015
Portion invested in infrastructure: 20%
Portion of distribution to ACO participants

Distribution to all CIN Participants: 8%
Distribution to Primary Care Professionals: 36%
Distribution to Specialists: 32%
Distribution to Other Providers: 4%
Portion invested in redesigned care processes/resources 0%

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.

Quality Performance Results

See 2015 Quality Performance Results Table here.

See 2012-2014 Quality Performance Results Table here.

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First Coast Health Alliance
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