ACO Name and Location                                

Health Choice Care, LLC

9064 NW 13 Terrace, Miami FL, 33172

 

ACO Primary Contact

  Margarita Ollet

  (305) 471-8770

  MOllet@hcnetwork.org

 

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Citrus Health Network, Inc

Y

Community Health Center of Pinellas Inc

Y

Community Health Centers, Inc

Y

Community Health of South Florida, Inc

Y

Family Care Health Centers

Y

Family Health Centers of Southwest Florida, Inc.

Y

Florida Community Health Centers, Inc.

Y

Miami Beach Community Health Center, Inc.

Y

Premier Community Health Care Group, Inc.

Y

Tampa Family Health Centers Inc

Y

The Providence Community Health Centers, Inc

Y

Treasure Coast Community Health Inc

Y

Tri County Community Health Council, Inc.

Y

West Hawaii Community Health Center, Inc.

Y

 

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

Merrill

Thomas

Chair, Board Manager

1

ACO Participant

The Providence Community Health Centers, Inc

Elodie

Dorso

Board Manager

1

ACO Participant

Community Health Centers of Pinellas, Inc.

Blake

Hall

Board Manager

1

ACO Participant

Community Health Centers of South Florida

Sherry

Hoback

Board Manager

1

ACO Participant

Tampa Family Health Centers, Inc.

Dennis

Kruse

Board Manager

1

ACO Participant

Family Care Health Centers, Inc.

Wilhelmina

Lewis

Board Manager

1

ACO Participant

Florida Community Health Centers, Inc.

Margarita

Ollet

Board Manager

1

Other

Health Choice Care, LLC

Mark

Rabinowitz

Board Manager

1

ACO Participant

Miami Beach Community Health Centers, Inc.

Rodney

White

Board Manager

1

Medicare Beneficiary

 

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Margarita Ollet

Medical Director: Jonathan Gates, MD

Compliance Officer: Meredith Marsh

Quality Assurance/Improvement Officer: Meredith Marsh

 

Associated Committees and Committee Leadership:

 

Committee Name

Committee Leader Name and Position

Finance Committee

Rick Friedfeld, Chair

Quality Improvement Committee

Dr. Jonathan Gates, Chair

 

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

§  Federally Qualified Health Center

Shared Savings and Losses

Amount of Shared Savings/Losses:

§  Third Agreement Period

o    Performance Year 2021, $5,788,643

o    Performance Year 2020, $5,342,509

§  Second Agreement Period

o    Performance Year 2019, $2,471,641

o    Performance Year 2018, $2,812,858

o    Performance Year 2017, $2,701,210

 

§  First Agreement Period

o    Performance Year 2016, $1,478,099

o    Performance Year 2015, $0

o    Performance Year 2014, $2,558,190

Shared Savings Distribution:

§  Third Agreement Period

o    Performance Year 2021

-         Proportion invested in infrastructure: 16%

-         Proportion invested in redesigned care processes/resources: 9%

-         Proportion of distribution to ACO participants: 75%

o    Performance Year 2020

-         Proportion invested in infrastructure: 16%

-         Proportion invested in redesigned care processes/resources: 20%

-         Proportion of distribution to ACO participants: 64%

 

§  Second Agreement Period

o    Performance Year 2019

-         Proportion invested in infrastructure: 51%

-         Proportion invested in redesigned care processes/resources: 27%

-         Proportion of distribution to ACO participants: 22%

o    Performance Year 2018

-         Proportion invested in infrastructure: 55%

-         Proportion invested in redesigned care processes/resources: 22%

-         Proportion of distribution to ACO participants: 23%

o    Performance Year 2017

-         Proportion invested in infrastructure: 41%

-         Proportion invested in redesigned care processes/resources: 18%

-         Proportion of distribution to ACO participants: 41%

§  First Agreement Period

o    Performance Year 2016

-         Proportion invested in infrastructure: 29%

-         Proportion invested in redesigned care processes/resources: 42%

-         Proportion of distribution to ACO participants: 29%

o    Performance Year 2015

-         Proportion invested in infrastructure: N/A%

-         Proportion invested in redesigned care processes/resources: N/A%

-         Proportion of distribution to ACO participants: N/A%

o    Performance Year 2014

-         Proportion invested in infrastructure: 20%

-         Proportion invested in redesigned care processes/resources: 30%

-         Proportion of distribution to ACO participants: 50%

 

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

 

Measure #

Measure Name

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

27.07

12.46

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

92.04

74.38

236

Controlling High Blood Pressure

66.23

74.87

318

Falls: Screening for Future Fall Risk

93.94

87.03

110

Preventative Care and Screening: Influenza Immunization

63.73

80.52

226

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

88.14

80.97

113

Colorectal Cancer Screening

59.89

73.63

112

Breast Cancer Screening

64.16

75.11

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.85

84.24

370

Depression Remission at Twelve Months

N/A

N/A

321

CAHPS for MIPS

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

---

0.1540

MCC1

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)

38.69

33.99

CAHPS-1

Getting Timely Care, Appointments, and Information

78.98

84.67

CAHPS-2

How Well Providers Communicate

92.63

93.56

CAHPS-3

Patient’s Rating of Provider

92.11

92.19

CAHPS-4

Access to Specialists

77.66

78.80

CAHPS-5

Health Promotion and Education

65.18

61.61

CAHPS-6

Shared Decision Making

57.01

60.89

CAHPS-7

Health Status and Functional Status

70.79

71.78

CAHPS-8

Care Coordination

82.55

85.66

CAHPS-9

Courteous and Helpful Office Staff

89.81

91.88

CAHPS-11

Stewardship of Patient Resources

22.12

24.71

Please note, the Quality ID #:370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

 

 

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