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Public Reporting

 

ACO Name and Location

GulfCoast Accountable Care Network, LLC
Previous Legal Business Entity Name: Millennium ACO, LLC
6321 Daniels Parkway, Suite 201
Fort Myers, FL 33912

Primary Contact

Taylor Hall, VP, Value-Based Performance 

E-mail: taylor.hall@mpgus.com
Phone:855-674-7700 x110121

ACO Participants

  • Daniel Bendetowicz Md Pa
  • SHAHLA MEDICAL ASSOCIATES PA
  • PHYSICIANS’ PRIMARY CARE OF SOUTHWEST FLORIDA, PL
  • GESIOTTO,HENRICKS,KORDONOWY,AND SIMMONS,MDS,PA
  • UNIVERSITY FAMILY HEALTHCARE PA
  • PRIMARY CARE PHYSICIANS OF GAINESVILLE, P.A.
  • MILLENNIUM HOME CARE LLC
  • FRED ROSS
  • NORTH FLORIDA INTERNAL MEDICINE PA
  • Florida Gulf Internal Medicine Pa
  • INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES OF TALLAHASSEE INC
  • NEIL SHECHTMAN MD PA
  • ROBERT G. ASHLEY, M.D., P.A.
  • SARADA PENUKONDA, MD

Joint Ventures:

  • No participants are involved in a joint venture between ACO professionals and hospitals.

GulfCoast Accountable Care Network Governing Body:

ACO ID:  A2765          
ACO Legal Entity Name: GulfCoast Accountable Care Network, LLC      
           
Member Last Name Member First Name Member Title/Position Member’s Voting Power
Enter number (#), or percentage (%) or “0” for non voting.
Membership Type
Enter ACO Participant Representative, Medicare Beneficiary Representative, Community Stakeholder Representative, or Other (If Other, enter description).
ACO Participant TIN Legal Business Name
Enter the legal business name with whom the ACO Participant Representative is associated.  Enter “N/A” for Medicare Beneficiary and Community Stakeholder Representative or Other memberships.
Shechtman Neil Voting Member 1 ACO Participant Representative NEIL SHECHTMAN MD PA
Bendetowicz Daniel Voting Member 1 ACO Participant Representative Daniel Bendetowicz Md Pa
Shala Amer Voting Member 1 ACO Participant Representative SHAHLA MEDICAL ASSOCIATES PA
Yankaskas Mary Voting Member 1 ACO Participant Representative PHYSICIANS’ PRIMARY CARE OF SOUTHWEST FLORIDA, PL
Simmons Rob Voting Member 1 ACO Participant Representative GESIOTTO,HENRICKS,KORDONOWY,AND SIMMONS,MDS,PA
Ashley Robert Voting Member 1 ACO Participant Representative ROBERT G. ASHLEY, M.D., P.A.
Penukonda Sarada Voting Member 1 ACO Participant Representative SARADA PENUKONDA, MD
Carson Brian Voting Member 1 ACO Participant Representative UNIVERSITY FAMILY HEALTHCARE PA
Ross Fred Voting Member 1 ACO Participant Representative FRED ROSS
Akey Angeli Voting Member 1 ACO Participant Representative NORTH FLORIDA INTERNAL MEDICINE PA
Chinnappan Britto Voting Member 1 ACO Participant Representative Florida Gulf Internal Medicine Pa
Peacock Regina Voting Member 1 ACO Participant Representative INTERNAL MEDICINE AND PEDIATRICS ASSOCIATESOF TALLAHASSEE INC
Fox Brian Voting Member/Chair 1 ACO Participant Representative MILLENNIUM HOME CARE LLC
Peet Guert Voting Member/President 1 ACO Participant Representative MILLENNIUM HOME CARE LLC
Kearns Kevin Voting Member/Secretary/Treasurer 1 ACO Participant Representative MILLENNIUM HOME CARE LLC
Sanders Elizabeth Voting Member 1 ACO Participant Representative PRIMARY CARE PHYSICIANS OF GAINESVILLE, P.A.
Stephen Zellner Beneficiary 1 Medicare Beneficiary Representative  

 

Gulfcoast Accountable Care Network Committees and Key Leadership Personnel

Key Leadership
  • Taylor Hall, ACO Executive
  • Rick Waks, M.D., Chief Medical Officer
  • Todd Gannon, Chief Value Based Officer
  • Jeffrey Nelson, Chief Information Officer
  • Tina Tolliver, Chief Compliance Officer
  • Andrea Anderson, Quality Assurance/Improvement Officer

Clinical Integration

Kevin Kearns

Todd Gannon

Rick Waks, D.O.

Andrea Anderson

James Wilson, M.D.

Angeli Akey, M.D.

Jerry Thomas, M.D.

Scott Smith M.D.

Operational Committee & Finance

Taylor Hall

Todd Gannon

Annette Pounders

Cindy Kinney

Tina Cohen

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

  • Networks of individual practices of ACO professionals

Shared Savings & Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2021, $0
    • Performance Year 2020, $3,447,459.35
    • Performance Year 2019A, $0
  • First Agreement Period
    • Performance Year 2019, $1,146,907.25
    • Performance Year 2018, $4,411,927
    • Performance Year 2017, $4,025,743
    • Performance Year 2016, $0

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2021
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 40%
  • Second Agreement Period
    • Performance Year 2020
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 40%
  • Second Agreement Period
    • Performance Year 2019A
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 40%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 40%
    • Performance Year 2018
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 40%
    • Performance Year 2017
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 40%
    • 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

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 Control2 8.92 8.92
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 56.99 56.99
236 Controlling High Blood Pressure 80.92 80.92
318 Falls: Screening for Future Fall Risk  87.41 87.41
110 Preventative Care and Screening: Influenza Immunization 77.95 77.95
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.00 80.00
113 Colorectal Cancer Screening 76.30 76.30
112 Breast Cancer Screening 81.31 81.31
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.01 84.01
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1462 0.1462
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 32.11 32.11

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

Quality performance results are based on eCQM/MIPS CQM Measure Set

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan
236 Controlling High Blood Pressure
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2

 

2020 Quality Performance Results:

Measure Number Measure Name Your ACO Performance Rate* Current Year Mean Performance Rate (SSP ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information    
ACO-2 CAHPS: How Well Your Providers Communicate    
ACO-3 CAHPS: Patients’ Rating of Provider    
ACO-4 CAHPS: Access to Specialists    
ACO-5 CAHPS: Health Promotion and Education    
ACO-6 CAHPS: Shared Decision Making    
ACO-7 CAHPS: Health Status/Functional Status    
ACO-34 CAHPS: Stewardship of Patient Resources    
ACO-45 CAHPS: Courteous and Helpful Office Staff    
ACO-46 CAHPS: Care Coordination    
ACO-8      
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions    
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))    
ACO-13 Falls: Screening for Future Fall Risk
84.97
ACO-14 Preventive Care and Screening: Influenza Immunization
 
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention    
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan    
ACO-19 Colorectal Cancer Screening    
ACO-20 Breast Cancer Screening    
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease    
ACO-40 Depression Remission at Twelve Months    
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%)
14.70
ACO-28 Controlling High Blood Pressure
72.87
ACO-43  Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.78 0.95

“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.”

Note: In the Quality Performance Results file(s) above, search for “GulfCoast Accountable Care Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2765 in the public use files on 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

Medicare Shared Savings Program Fraud and Abuse Waivers:

Parties seeking to use the ACO Pre-Participation Waiver or the ACO Participation Waiver are required to disclose a description of the arrangements for which waiver protection is sought in accordance with the waiver requirements set forth at 76 Fed Reg. 67,992, 68,000-68,001, 68,004 (Nov. 2, 2011) and in related guidance available at https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/Downloads/Additional-MSSP-Waiver-Guidance.pdf.