ACO Name and Location

Health Choice Care, LLC
9064 NW 13 Terrace
Miami, FL 33172

ACO Primary Contact

Primary Contact Name	Margarita Ollet, Chief Executive Officer
Primary Contact Phone Number	(305) 471-8770
Primary Contact Email Address	mollet@hcnetwork.org

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Citrus Health Network, Inc.	Y
Community Health Centers, Inc.	Y
Community Health Center of Pinellas 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
The Providence Community Health Centers, Inc.	Y
Tampa Family Health Centers IncOf Pinellas Inc	Y
Treasure Coast Community Health Inc	Y
Tri County Community Health Council, Inc.	Y

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	Member's Voting Power	Membership Type
Mazzeo	Frank	Chair, Board Manager	1	ACO Participant	Family Health Centers of Southwest Florida, Inc.
Hoback	Sherry	Board Manager	1	ACO Participant	Tampa Family Health Centers, Inc.
Lewis	Wilhelmina	Board Manager	1	ACO Participant	Florida Community Health Centers, Inc.
Hartley	Col. Brodes	Board Manager	1	ACO Participant	Community Health of South Florida, Inc.
Kruse	Dennis	Board Manager	1	ACO Participant	Family Care Health Centers, Inc.
Dorso	Elodie	Board Manager	1	ACO Participant	Community Health Centers of Pinellas, Inc.
Thomas	Merrill	Board Manager	1	ACO Participant	Providence Community Health Center
White	Rodney	Board Manager	1	Medicare Beneficiary
Ollet	Margarita	Board Manager	1	Other	Health Choice Care, LLC

Key ACO clinical and administrative leadership

Margarita Ollet	ACO Executive
Jonathan Gates, MD	Medical Director
Meredith Marsh	Compliance Officer
Meredith Marsh	Quality Assurance/Improvement Officer

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 (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

Performance Year 2018, $2,812,858
Performance Year 2017, $2,701,210

First Agreement Period

Performance Year 2016, $1,478,099
Performance Year 2015, $0
Performance Year 2014, $2,558,190

Shared Savings Distribution

Second Agreement Period

Performance Year 2018

Proportion invested in infrastructure: 55%
Proportion invested in redesigned care processes/resources: 22%
Proportion of distribution to ACO participants: 23%

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

Performance Year 2016

Proportion invested in infrastructure: 29%
Proportion invested in redesigned care processes/resources: 42%
Proportion of distribution to ACO participants: 29%

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

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

2018 Quality Performance Results:

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	80.86	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	91.70	93.93
ACO-3	CAHPS: Patients’ Rating of Provider	89.07	92.45
ACO-4	CAHPS: Access to Specialists	85.28	81.50
ACO-5	CAHPS: Health Promotion and Education	63.37	59.26
ACO-6	CAHPS: Shared Decision Making	60.32	61.94
ACO-7	CAHPS: Health Status/Functional Status	73.11	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	32.81	26.26
ACO-8	Risk Standardized, All Condition Readmission	15.25	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	19.33	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	45.66	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	89.31	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	66.77	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	2.10	1.98
ACO-11	Use of Certified EHR Technology	100.00	98.20
ACO-12	Medication Reconciliation Post-Discharge	N/A	85.91
ACO-13	Falls: Screening for Future Fall Risk	91.76	79.73
ACO-44	Use of Imaging Studies for Low Back Pain	55.95	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	58.47	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	63.91	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	96.99	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	81.16	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	89.41	66.74
ACO-19	Colorectal Cancer Screening	58.25	68.27
ACO-20	Breast Cancer Screening	64.00	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	87.75	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	19.67	15.51
ACO-41	Diabetes: Eye Exam	46.67	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	71.08	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	92.00	88.92

For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data

Note: In the Quality Performance Results file(s) above, search for “Health Choice Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2147 in the public use files on data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

Waiver for Payment for Telehealth Services:

No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.