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 2019
-
- Performance Year 2018
-
-
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 40%
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-
- Performance Year 2017
-
-
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 30%
- Proportion of distribution to ACO participants: 40%
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-
- 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.”
- For 2021 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2021
- For 2020 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2020
- For 2019A Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/july-2019
- For 2019 Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data/january-2019
- 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
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.