Bestcare Collaborative – An Accountable Care Organization (ACO)

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%	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 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 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

BCC Public Disclosures PDF

Shared Savings Program Public Reporting

Organizational Information

ACO Participants

ACO Governing Body

Key ACO Clinical and Administrative Leadership

Associated Committees and Committee Leadership

Shared Savings and Losses

Shared Savings Distribution

Quality Performance Results – (PY2023)

Payment Rule Waivers

Fraud and Abuse Waivers