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ACO Name and Location

Orlando Health Collaborative Care
1414 Kuhl Ave. MP2
Orlando, Florida 32806

ACO Primary Contact
Primary Contact Name Robyn Bartek
Primary Contact Phone Number (321) 843-8366
Primary Contact Email Address [email protected]

Organizational Information

ACO Participants:
ACO Participants ACO Participant in Joint Venture
Orlando Health, Inc. N
Orlando Physicians Network, Inc N
South Lake Hospital, Inc. N
Florida Heart & Vascular Multi Specialty Group, PA N
OHI West Medical Group, LLC N
OHI West, Inc. N
ACO Governing Body:

Member First Name

Member Last Name

Member Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Brandon

Burket

Executive Director

12.5%

ACO Participant Representative

Orlando Health

Jamal

Hakim

MD/ Executive,
Orlando Health

12.5%

ACO Participant Representative

Orlando Health

Benjamin

Kaplan

MD

12.5%

ACO Participant Representative

Orlando Physicians Network

Martin

Soto

MD

12.5%

ACO Participant Representative

Orlando Physicians Network

Anjali

Vyas

MD/ President Physician Associates, LLC

12.5%

ACO Participant Representative

Orlando Health

Joseph

Williams

Senior Vice
President,
Strategic
Planning

12.5%

ACO Participant Representative

Orlando Health

Cary

D'Ortona

Senior Vice
President,
Orlando Health/
President
Orlando Health
Medical Group

12.5%

ACO Participant Representative

Orlando Health

Andrea

Eliscu

 

12.5%

Medicare Beneficiary Representative

N/A
Key ACO Clinical and Administrative Leadership:
Name Position
Brandon Burket ACO Executive
Martin Soto Medical Director
David Huddleson Compliance Officer
Benjamin Kaplan Quality Assurance/Improvement Officer
Associated Committees and Committee Leadership:
Committee Name Committee Leader Name and Position

Quality Improvement and Care Coordination

Benjamin Kaplan, MD, Chair

Finance and Operations

Martin Soto, MD, Chair

Compliance

David Huddleson, 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

Shared Savings and Losses

Amount of Shared Savings/Losses

Fourth Agreement Period

  • Performance Year 2025, NA
  • Performance Year 2024, NA

Third Agreement Period

  • Performance Year 2023, $ - 894,285
  • Performance Year 2022, $0
  • Performance Year 2021, $0
  • Performance Year 2020, $0
  • Performance Year 2019, $1,689,620

Second Agreement Period

  • Performance Year 2019, $1,689,620
  • Performance Year 2018, $3,099,021
  • Performance Year 2017, $0
  • Performance Year 2016, $0

First Agreement Period

  • Performance Year 2015, $2,696,226
  • Performance Year 2014, $2,421,969
  • Performance Year 2013, $1,469,180

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.

Shared Savings Distribution:

Fourth Agreement Period

  • Performance Year 2025
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2024
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Third Agreement Period

  • Performance Year 2023
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Second Agreement Period

  • Performance Year 2022
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2021
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2020
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2019
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%

First Agreement Period

  • Performance Year 2018
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2017
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2016
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2015
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2014
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2013
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 40%
    • Proportion of distribution to ACO participants: 40%

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.

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #  Measure Name
 Collection Type
 Rate
 ACO Mean
110  Preventative Care and Screening: Influenza Immunization  CMS Web Interface 66.90 70.76
112
Breast Cancer Screening 
 CMS Web Interface 81.88 80.36
113
Colorectal Cancer Screening
 CMS Web Interface 80.03 80.97
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface  62.62 80.97
226  Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 72.00 79.29
236 Controlling High Blood Pressure  CMS Web Interface 66.07 77.80
318 Falls: Screening for Future Fall Risk CMS Web Interface 92.50 89.42
370 Depression Remission at Twelve Months CMS Web Interface 4.00 16.58
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 88.55 87.05
479  Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.17 0.16
 001   Diabetes: Hemoglobin A1c (HbA1c) Poor Control  CMS Web Interface 10.27 9.84
 CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS 82.57 83.68
 CAHPS-2 How Well Providers Communicate CAHPS 94.20 93.69
  CAHPS-3 Patient’s Rating of Provider CAHPS 92.34 92.14
  CAHPS-4 Access to Specialists    CAHPS 78.03 75.97
  CAHPS-5 Health Promotion and Education 
CAHPS 60.65 63.93
 CAHPS-6 Shared Decision Making
 CAHPS 59.30 61.60
  CAHPS-7  Health Status and Functional Status
 CAHPS 73.86 74.12
  CAHPS-8  Care Coordination
 CAHPS 84.81 85.77
  CAHPS-9 Courteous and Helpful Office Staff 
CAHPS 92.85

92.31
  CAHPS-11 Stewardship of Patient Resources
 CAHPS 26.14 26.69

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.