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Shared Savings Program Public Reporting 2024

 

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    

 

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

 

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% ACO Participant Representative Lee Memorial Health System
Joy Balon, MD Compliance 0% ACO Participant Representative Lee Memorial Health System
Terry Bennett Voting Member 5% Medicare Beneficiary Rep. N/A
Lindsay Berbiglia, DO Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Ryan Brown, MD Ex-Officio/Physician 0% ACO Participant Representative Lee Memorial Health System
Karen Calkins, MD Voting Member/ Physician 5% 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% ACO Participant Representative Lee Memorial Health System
Maja Delibasic, MD Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Kris Fay Voting Member 5% ACO Participant Representative Lee Memorial Health System
Iahn Gonsenhauser, MD Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Alfred Gitu, MD Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Damian Hanekom, MD Officer/ Chairman 5% 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% ACO Participant Representative Lee Memorial Health System
Joseph Lewis, DO Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Leah Lynch, MD Voting Member/ Physician 5% ACO Participant Representative Lee Memorial Health System
Richard Macchiaroli, MD Voting Member/ Physician 5% 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% ACO Participant Representative Lee Memorial Health System
Scott Nygaard, MD Voting Member/ Physician 5% 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% ACO Participant Representative Lee Memorial Health System
Jessica Schofield Officer/ Secretary 0% ACO Participant Representative Lee Memorial Health System
Ben Spence Voting Member/CFO 5% ACO Participant Representative Lee Memorial Health System
Kent Starkweather, MD Officer/ Chairman 5% ACO Participant Representative Lee Memorial Health System
Jordan Taillon, MD Voting Member/Physician 5% 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 Kris Fay
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 Scott Nygaard, M.D., Committee Chair
Compliance Committee Joy Balon, Committee Chair
Quality Data Committee Jeremy Dzen, MD, Committee Chair
Credentialing & Standards Ragai Meena, MD, Committee Co-Chair
Dolan Abu Aouf, PA, 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 2022, [$0.00]

Shared Savings Distribution
PROPORTION OF DISTRIBUTION TO ACO PARTICIPANTS 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 – (2022)
  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 88.67 87.83
  001 DM-2 A1c Poor Control CMS WEB INTERFACE 9.77 10.71
  236 HTN-2 Controlling High Blood Pressure CMS WEB INTERFACE 69.84 76.16
  112 PREV-5 Breast Cancer Screening CMS WEB INTERFACE 80.94 78.07
  113 PREV-6 Colorectal Cancer Screening CMS WEB INTERFACE 68.95 75.32
  110 PREV-7 Preventive Care and Screening: Influenza Immunization CMS WEB INTERFACE 85.29 77.34
  226 PREV-10 Preventive Care/ Screening/ Cessation Intervention: for Tobacco Use CMS WEB INTERFACE 76.92 79.27
  134 PREV-12 Preventive Care/Screening for Depression/Follow Up Plan CMS WEB INTERFACE 84.38 76.97
  438 PREV-13 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS WEB INTERFACE 88.70 86.37
  479 Hospital Wide, 30-Day, All Cause Unplanned Readmission (HWR) Rate 0.1456 for MIPS Groups-2 Administrative Claims 0.148 0.151
  484 All-Cause, Unplanned Admission for Pt with Multiple Chronic Conditions for ACOs (MCC1) Administrative Claims 31.21 30.97

 

  CAHPS – 1 Getting Timely Care CAHPS for MIPS Survey 75.86 83.96
  CAHPS – 2 How Well Providers Communicate CAHPS for MIPS Survey 91.60 93.47
  CAHPS – 3 Patients Rating of Provider CAHPS for MIPS Survey 87.86 92.06
  CAHPS – 4 Access to Specialists CAHPS for MIPS Survey 68.55 77.00
  CAHPS – 5 Health Promotion and Education CAHPS for MIPS Survey 71.30 62.68
  CAHPS – 6 Shared Decision Making CAHPS for MIPS Survey 59.64 60.97
  CAHPS – 7 Health Status and Functional Status CAHPS for MIPS Survey 75.98 73.06
  CAHPS – 8 Care Coordination CAHPS for MIPS Survey 83.92 85.46
  CAHPS – 9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.31 91.97
  CAHPS – 11 Stewardship of Patient Resources CAHPS for MIPS Survey 23.37 25.62
  CAHPS – 321 CAHPS for MIPS3 Clinician/ Group Survey CAHPS for MIPS Survey 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.
For Previous Year’s Financial and Quality Performance Results, please visit Data.cms.gov

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 unde42 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

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

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