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Shared Savings Program Public Reporting

 

ACO NAME BEST CARE COLLABORATIVE, LLC
ACO LOCATION  6630 Orion Drive, Suite 205 Fort Myers, FL 33912-4440
ACO PRIMARY CONTACT NAME  Jessica Schofield ACO PRIMARY CONTACT PHONE  239-343-1916
ACO PRIMARY CONTACT E-MAIL  jessica.h.schofield@leehealth.org

 

Organizational Information

ACO Participants
ACO PARTICIPANT NAME ACO PARTICIPANT IN JOINT VENTURE
 Lee Memorial Health System N
 Shell Point N
 Cypress Living N

 

ACO Governing Body
MEMBER FIRST NAME MEMBER LAST NAME MEMBER TITLE/ POSITION MEMBER VOTING POWER (Expressed as a percentage) MEMBERSHIP TYPE ACO PARTICIPANT LEGAL BUSINESS NAME (If applicable)
Jeannie Arana, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Joy Balon Compliance 0% ACO Participant Representative Lee Memorial Health System
Terry Bennett Voting Member 5.263% Medicare Beneficiary Rep. N/A
Lindsay Berbiglia, DO Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Karen Calkins, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
William Carracino, MD Ex-Officio/Physician 0% ACO Participant Representative Lee Memorial Health System
Jennifer Carrion, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Maja Delibasic, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Kris Fay 0% ACO Participant Representative Lee Memorial Health System
Alfred Gitu, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Iahn Gonsenhauser, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Damian Hanekom, MD Officer/ Chairman 5.263% ACO Participant Representative Lee Memorial Health System
Nariman Heshmati, MD Ex-Officio/Physician 0% ACO Participant Representative Lee Memorial Health System
 Marilyn Kole, MD Voting Member/ Medical Director 5.263% ACO Participant Representative Lee Memorial Health System
Joseph Lewis, DO Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Leah Lynch, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Richard Macchiaroli, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Jason Mather Member/ Legal Counsel 0% ACO Participant Representative Lee Memorial Health System
Monica Necula, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Rob Ortiz Officer/ Treasurer 0% ACO Participant Representative Lee Memorial Health System
Michelle Rivers, MD Voting Member/ Physician 5.263% ACO Participant Representative Lee Memorial Health System
Jessica Schofield Officer/ Secretary 0% ACO Participant Representative Lee Memorial Health System
Ben Spence Voting Member 5.266% ACO Participant Representative Lee Memorial Health System
Kent Starkweather, MD Officer/ Chairman 5.263% ACO Participant Representative Lee Memorial Health System
Jordan Taillon, MD Voting Member/Physician 5.263% ACO Participant Representative Lee Memorial Health System
Marcelo Zottolo Ex-Officio/ACE 0% ACO Participant Representative Lee Memorial Health System

 

Key ACO Clinical and Administrative Leadership
POSITION TITLE NAME
ACO Executive Ben Spence
President/Medical Director Marilyn Kole, MD
Compliance Officer Joy Balon
Quality Assurance/Improvement Officer Candida Scott

 

  Associated Committees and Committee Leadership
COMMITTEE NAME COMMITTEE LEADER NAME AND POSITION
Executive Committee Ben Spence, Committee Chair
Compliance Committee Joy Balon, Committee Chair
Quality Data Committee Jeremy Dzen, MD, Committee Co-Chair
Tracy Vo, DO, Committee Co-Chair
Credentialing & Standards Ragai Meena, MD, Committee Co-Chair
Dolan Abu Aouf, PA, Committee Co-Chair
Jorge Quinonez, MD, Committee Co-Chair
TYPES OF PARTICIPANTS THAT FORM THE ACO
  • ACO professionals in a group practice arrangement
  • Hospitals employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses
AMOUNT OF SHARED SAVINGS & LOSSES
  • First Agreement Period
    Performance Year 2023, [$2,434,748.63]
  • First Agreement Period
    Performance Year 2022, [$0.00]

Shared Savings Distribution
PROPORTION OF DISTRIBUTION TO ACO PARTICIPANTS

Performance Year 2023

  • Proportion Invested in Infrastructure: 25%
  • Proportion Invested in Redesign Care Processes/ Resources: 75%
  • Proportion of Distribution to ACO Participants: 0%


Performance Year 2022

  • Proportion Invested in Infrastructure: N/A
  • Proportion Invested in Redesign Care Processes/ Resources: N/A
  • Proportion of Distribution to ACO Participants: N/A

 

2023 Quality Performance Results are based on the CMS Web Interface collection type
 

Quality Performance Results – (PY2023)
MEASURE # MEASURE NAME COLLECTION TYPE REPORTED PERFORMANCE RATE Current Year Mean Performance Rate (SSP ACO’s)
318 CARE-2 Fall Screening for Future Fall Risk CMS WEB INTERFACE 93.23 89.42
001 DM-2 A1c Poor Control eCQM/ MIPS CQM 10.89 9.84
236 HTN-2 Controlling High Blood Pressure eCQM/ MIPS CQM 70.08 77.8
112 PREV-5 Breast Cancer Screening CMS WEB INTERFACE 82.49 80.36
113 PREV-6 Colorectal Cancer Screening CMS WEB INTERFACE 73.47 77.14
110 PREV-7 Preventive Care and Screening: Influenza Immunization CMS WEB INTERFACE 66.38 70.76
226 PREV-10 Preventive Care/ Screening/ Cessation Intervention: for Tobacco Use CMS WEB INTERFACE 87.50 79.29
134 PREV-12 Preventive Care/Screening for Depression/Follow Up Plan eCQM/ MIPS CQM 88.31 80.97
438 PREV-13 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS WEB INTERFACE 84.68 87.05
479 Hospital Wide, 30-Day, All Cause Unplanned Readmission (HWR) Rate 0.1456 for MIPS Groups-2 Administrative Claims 0.1488 0.1553
484 All-Cause, Unplanned Admission for Pt with Multiple Chronic Conditions for ACOs (MCC1) Administrative Claims — 35.39
370 Depression Remission at Twelve Months CMS WEB INTERFACE 50.00 16.58
321 CAHPS for MIPS (2) CAHPS for MIPS Survey 4.75 6.25

 

CAHPS – 1 Getting Timely Care Certified Survey Vendor 76.05 83.68
CAHPS – 2 How Well Providers Communicate Certified Survey Vendor 90.68 93.69
CAHPS – 3 Patients Rating of Provider Certified Survey Vendor 89.53 92.14
CAHPS – 4 Access to Specialists Certified Survey Vendor 66.47 75.97
CAHPS – 5 Health Promotion and Education Certified Survey Vendor 66.76 63.93
CAHPS – 6 Shared Decision Making Certified Survey Vendor 63.91 61.60
CAHPS – 7 Health Status and Functional Status Certified Survey Vendor 76.86 74.12
CAHPS – 8 Care Coordination Certified Survey Vendor 84.69 85.77
CAHPS – 9 Courteous and Helpful Office Staff Certified Survey Vendor 91.21 92.31
CAHPS – 11 Stewardship of Patient Resources Certified Survey Vendor 25.27 26.69

 

PLEASE NOTE: The Quality ID #370 – Depression Remission at 12 Months, is not included in Public Reporting due to low sample size.
 

Payment Rule Waivers
  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    o Our ACO uses the SNF 3-Day Rule Waiver, Pursuant to CFR § 425.612
  • Telehealth Services Payment Waiver:
    o Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR § 425.613.
  • Beneficiary Incentive Program (BIP):
    o Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c)

Fraud and Abuse Waivers
 BCC Public Disclosures PDF

2024 Participation Waiver


Location: 6630 Orion Drive, Suite 205, Fort Myers, FL 33912-4440

P: 239-343-1300    E: questions@bestcarecollaborative.org