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Shared Savings Program Public Reporting 2023

 
ACO NAME BEST CARE COLLABORATIVE, LLC
ACO LOCATION  6630 Orion Drive, Suite 205 Fort Myers, FL 33912-4440
ACO PRIMARY CONTACT NAME  Jennifer Avin ACO PRIMARY CONTACT PHONE  239-343-1922
ACO PRIMARY CONTACT E-MAIL  jennifer.avin@leehealth.org ACO WEBSITE www.bestcarecollaborative.org
 

Organizational Information

ACO Participants

ACO PARTICIPANT NAME ACO PARTICIPANT IN JOINT VENTURE
 Lee Memorial Health System N
 Listening Doctor, PLLC N
 Shell Point N
 Cypress Living N
   

Key ACO Clinical and Administrative Leadership

POSITION TITLE NAME
Medical Director Marilyn Kole, MD
Compliance Officer Jeff Pigott
Quality Assurance/Improvement Officer Candida Scott
ACO Executive Kris Fay
 

ACO Governing Body

MEMBER FIRST NAME MEMBER LAST NAME MEMBER TITLE/ POSITION MEMBER VOTE (%) MEMBERSHIP TYPE ACO LEGAL BUSINESS NAME
Jeannie Arana, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Terry Bennett Voting Member 3.8% Medicare Beneficiary Rep. Lee Memorial Health System
Lindsay Berbiglia, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Ryan Brown, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Karen Calkins, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Jennifer Carrion, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Maja Delibasic, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Kris Fay Voting Member 3.8% Other Lee Memorial Health System
Iahn Gonsenhauser, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Alfred Gitu, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Damian Hanekom, MD Officer/ Chairman 3.8% ACO Participant Representative Lee Memorial Health System
Brian Horner, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
 Marilyn Kole, MD Voting/ Medical Director 3.8% Medicare Beneficiary Rep Lee Memorial Health System
Joseph Lewis, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Leah Lynch, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Richard Macchiaroli, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Jason Mather Member/ Legal Counsel 0% Other Lee Memorial Health System
Monica Necula, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Scott Nygaard, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Rob Ortiz Officer/ Treasurer 3.8% Other Lee Memorial Health System
Jeff Pigott Voting Member 3.8% Other Lee Memorial Health System
Jordan Reid, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Michelle Rivers, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Pam Scardina Voting Member/ Physician 3.8% Other Lee Memorial Health System
Jessica Schofield Officer/ Secretary 0% Other Lee Memorial Health System
Ben Spence Voting Member 3.8% Other Lee Memorial Health System
Kent Starkweather, MD Officer/ Chairman 3.8% ACO Participant Representative Lee Memorial Health System
Jordan Tailon, MD Voting Member 3.8% ACO Participant Representative Lee Memorial Health System
   
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

  Associated Committees and Committee Leadership

COMMITTEE NAME TITLE
 Executive Committee Scott Nygaard, M.D. Committee Chair
Compliance Committee Jeff Pigott Committee Chair
Quality Data Committee Alfred Gitu, MD Committee Chair
Credentialing & Standards Ragai Meena, MD Dolan Abu Aouf, PA Committee Co-Chairs
 

Shared Savings and Losses

AMOUNT OF SHARED SAVINGS & LOSSES ·         First Agreement Period Performance Year 2022 , [$0.00]

Shared Savings Distribution

PROPORTION OF DISTRIBUTION TO ACO PARTICIPANTS Performance Year 2022 o    Proportion Invested in Infrastructure: N/A o    Proportion Invested in Redesign Care Processes/ Resources: N/A o    Proportion of Distribution to ACO Participants: N/A
 
  

 For Previous Year’s Financial and Quality Performance Results, please visit data.cms.gov

 

Quality Performance Results – (2022)

ACO QUALITY MEASURE ID # ACO – QUALITY MEASURE NAME COLLECTION TYPE RATE MEAN
1 318 CARE-2 Fall Screening for Future Fall Risk CMS WEB INTERFACE 88.67 87.83
2 001 DM-2 A1c Poor Control CMS WEB INTERFACE 9.77 10.71
3 236 HTN-2 Controlling High Blood Pressure CMS WEB INTERFACE 69.84 76.16
5 112 PREV-5 Breast Cancer Screening CMS WEB INTERFACE 80.94 78.07
6 113 PREV-6 Colorectal Cancer Screening CMS WEB INTERFACE 68.95 75.32
7 110 PREV-7 Preventive Care and Screening: Influenza Immunization CMS WEB INTERFACE 85.29 77.34
8 226 PREV-10 Preventive Care/ Screening/ Cessation Intervention: for Tobacco Use CMS WEB INTERFACE 76.92 79.27
9 134 PREV-12 Preventive Care/Screening for Depression/Follow Up Plan CMS WEB INTERFACE 84.38 76.97
10 438 PREV-13 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS WEB INTERFACE 88.70 86.37
11 479 Hospital Wide, 30-Day, All Cause Unplanned Readmission (HWR) Rate 0.1456 for MIPS Groups-2 Certified Survey Vendor 0.148 0.151
12 484 All-Cause, Unplanned Admission for Pt with Multiple Chronic Conditions for ACOs (MCC1) Certified Survey Vendor 31.21 30.97
 
13 CAHPS – 1 Getting Timely Care Certified Survey Vendor 75.86 83.96
14 CAHPS – 2 How Well Providers Communicate Certified Survey Vendor 91.60 93.47
15 CAHPS – 3 Patients Rating of Provider Certified Survey Vendor 87.86 92.06
16 CAHPS – 4 Access to Specialists Certified Survey Vendor 68.55 77.00
17 CAHPS – 5 Health Promotion and Education Certified Survey Vendor 71.30 62.68
18 CAHPS – 6 Shared Decision Making Certified Survey Vendor 59.64 60.97
19 CAHPS – 7 Health Status and Functional Status Certified Survey Vendor 75.98 73.06
20 CAHPS – 8 Care Coordination Certified Survey Vendor 83.92 85.46
21 CAHPS – 9 Courteous and Helpful Office Staff Certified Survey Vendor 91.31 91.97
22 CAHPS – 11 Stewardship of Patient Resources Certified Survey Vendor 23.37 25.62
23 CAHPS – 321 CAHPS for MIPS3 Clinician/ Group Survey Certified Survey Vendor 21.09 N/A
     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 do not 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

 

2023 Participation Waiver