Home-2024-08-27 – Bestcare Collaborative

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 VOTE (%)	MEMBERSHIP TYPE	ACO LEGAL BUSINESS NAME
Jeannie	Arana, MD	Voting Member/ Physician	5%	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	Voting Member/ Physician	0%	ACO Participant Representative	Lee Memorial Health System
Karen	Calkins, MD	Voting Member/ Physician	5%	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%	Other	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
Marilyn	Kole, MD	Voting/ 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%	Other	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%	Other	Lee Memorial Health System
Michelle	Rivers, MD	Voting Member/ Physician	5%	ACO Participant Representative	Lee Memorial Health System
Jessica	Schofield	Officer/ Secretary	0%	Other	Lee Memorial Health System
Kent	Starkweather, MD	Officer/ Chairman	5%	ACO Participant Representative	Lee Memorial Health System
Jordan	Tailon, MD	Voting Member	5%	ACO Participant Representative	Lee Memorial Health System
Nariman	Heshmati, MD	Ex-Officio/Physician	0%	ACO Participant Representative	Lee Memorial Health System
Marcelo	Zottolo, MD	Ex-Officio/ACE	5%	ACO Participant Representative	Lee Memorial Health System
Joy	Balon, MD	Compliance	0%	ACO Participant Representative	Lee Memorial Health System
William	Carracino, MD	Ex-Officio/Physician	0%	ACO Participant Representative	Lee Memorial Health System

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

Associated Committees and Committee Leadership
COMMITTEE NAME		NAME	TITLE
Executive Committee		Scott Nygaard, M.D., Committee Chair	Committee Chair
Compliance Committee		Joy Balon, Committee Chair	Committee Chair
Quality Data Committee		Jeremy Dzen, MD, Committee Chair	Committee Chair
Credentialing & Standards		Ragai Meena, MD, Committee Chair Dolan Abu Aouf, PA, Committee Chair	Committee Co-Chair 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 ID #	MEASURE NAME	COLLECTION TYPE	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

Shared Savings Program Public Reporting 2024

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 – (2022)

Payment Rule Waivers

Fraud and Abuse Waivers