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ACO Information - Orlando Health Collaborative Care - Accountable Care Organization

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 (Enter Y or N)
West Orange Physicians Group, LLC N
Orlando Health, Inc. N
Orlando Physicians Network, Inc N
Orlando Health Physician Group, Inc. N
South Lake Hospital, Inc. N
Physician Associates, LLC N
St. Cloud Physician Management, LLC N
Florida Heart & Vascular Multi Specialty Group, PA N
OHI West Medical Group, LLC N
ACO governing body:

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Burket

Brandon

Executive Director

1

ACO Participant Representative

Orlando Health

Spong

Bernadette

Chief Financial Officer, Orlando Health

1

ACO Participant Representative

Orlando Health

Walker

Erik

MD

1

ACO Participant Representative

Physician Associates, LLC

Kaplan

Benjamin

MD

1

ACO Participant Representative

Orlando Physicians Network

Jackson

Amy

MD

1

ACO Participant Representative

West Orange Physician Group

Soto

Martin

MD

1

ACO Participant Representative

Physician Associates, LLC

Desai

Sunil

MD

1

ACO Participant Representative

Orlando Health Physician Group, Inc. 

Ralls

George

MD

1

ACO Participant Representative

Orlando Health

MacDiarmid

Malcolm

 

1

Medicare Beneficiary Representative

 
Key ACO clinical and administrative leadership:
Name Position
Brandon Burket ACO Executive
Martin Soto Medical Director
Dave 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

Erik Walker, 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

Second Agreement Period

  • Performance Year 2020, $0
  • Performance Year 2019, $ 1,689,62

Note: Our ACO participated in multiple performance years during Calendar Year 2019. 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.

First Agreement Period

  • Performance Year 2018, $3,099,021
  • Performance Year 2017, $0
  • Performance Year 2016, $0
  • Performance Year 2015, $2,696,226
  • Performance Year 2014, $2,421,969
  • Performance Year 2013, $1,469,180

Shared Savings Distribution:

Second Agreement Period

  • 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%

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

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%

 

Quality Performance Results


2020 Quality Performance Results:

ACO #

Measure Name

Rate

ACO Mean

ACO-13

Falls: Screening for Future Fall Risk

93.68

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

85.03

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

46.67

81.67

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

63.11

71.46

ACO-19

Colorectal Cancer Screening

78.11

72.59

ACO-20

Breast Cancer Screening

80.76

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.65

83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

8.25

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

67.92

72.87

 

Please 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.

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

Payment Rule Waivers

  • Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.