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
.

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