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 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

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

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

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.

Rabinowitz

Mark

Board Manager

1

ACO Participant

Miami Beach Community Health Centers, 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 Centers, Inc.

White

Rodney

Board Manager

1

Medicare Beneficiary

 

Ollet

Margarita

Board Manager

1

Other

Health Choice Care, LLC

 

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 (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses:

·        Third Agreement Period

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 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 2105

§  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

2020 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

0.93

0.95

ACO-13

Falls: Screening for Future Fall Risk

93.95

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

54.55

76.03

ACO-17

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

97.62

81.67

ACO-18

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

92.83

71.46

ACO-19

Colorectal Cancer Screening

54.49

72.59

ACO-20

Breast Cancer Screening

64.09

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87.04

83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

22.26

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

62.69

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