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.”

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.