Shared Savings Program Public Reporting Template
ACO Name and Location
Physicians ACO, LLC
10238 SW 86th Circle, Suite 200
Ocala, FL 34481
ACO Primary Contact
Louis C. Morgenier, III
(352) 873-1010
LMorgenier@HealthcareDevelopment.com
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| Absolute Health Internal Medicine And Pediatrics | N |
| Advance Primary Care Llc | N |
| Alliance Medical Associates Inc. | N |
| Destiny Medical Associates, Inc. | N |
| Family Practice Associates Pa | N |
| Florian Gegaj MD LLC (Cleveland Health Center) | N |
| Juan C Yordan Md Pa | N |
| Keertini Kumar, M.D., P.A. | N |
| Lazo Medical Center, Inc. | N |
| Marion Internal Medicine Associates | N |
| Md. Nasirul Huq, M.D., P.A. | N |
| Medical Associates Llc | N |
| Ocala Florida Physician Group | N |
| Pulse Medical Doctors Llc | N |
| Sanjay A. Patel, M.D., P.A. | N |
| Siva M.D. P.A. | N |
| West Marion Family Practice Pa | N |
ACO Governing Body:
| Member First Name |
Member Last Name |
Member Title/ Position |
Member’s Voting Power (Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name, if applicable |
| Srinivasa | Murthy | Chairman | 9.1% | ACO Participant | Medical Associates LLC |
| Edward | Lazo | Voting Member | 9.1% | ACO Participant | Lazo Medical Center, Inc. |
| Keertini | Kumar | Voting Member | 9.1% | ACO Participant | Keertini Kumar, M.D., P.A. |
| Nasirul | Huq | Voting Member | 9.1% | ACO Participant | Md. Nasirul Huq, M.D., P.A. |
| Yousef | Elyaman | Voting Member | 9.1% | ACO Participant | Absolute Health Internal Medicine And Pediatrics |
| Joseph | Oibo | Voting Member | 9.1% | ACO Participant | Destiny Medical Associates, Inc. |
| Anwar | Khan | Voting Member | 9.1% | ACO Participant | Alliance Medical Associates Inc. |
| Jessie | Te | Voting Member | 9.1% | ACO Participant | Alliance Medical Associates Inc. |
| Myeong | Kang | Voting Member | 9.1% | ACO Participant | Alliance Medical Associates Inc. |
| Carlos | Lara | Voting Member | 9.1% | ACO Participant | West Marion Family Practice Pa |
| Anne | Dolan | Voting Member | 9.1% | Medicare Beneficiary |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Louis C. Morgenier, III
Medical Director: Srinivasa Murthy, MD
Compliance Officer: Edward Lazo, MD
Quality Assurance/Improvement Officer: Mary “Ginny” Williams, RN
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Executive Committee | Srinivasa Murthy, MD, Chair, ACO Participant |
| Finance Committee | Myeong Kang, MD, Chair, ACO Participant |
| Quality Improvement Committee | Nasirul Huq, MD, Chair, ACO Participant |
| Health Analytics Committee | Yousef Elyaman, MD, Chair, ACO Participant |
| Patient Engagement & Education Committee | Anwar Khan, MD, Chair, ACO Participant |
| Provider Education Committee | Jesse Te, MD, Chair, ACO Participant |
| Compliance and Peer Quality Review Committee | Ed Lazo, MD, Chair ACO Participant |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- ACO Professionals in a group practice arrangement
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Third Agreement Period
- Performance Year 2022, $9,896,455
- Second Agreement Period
- Performance Year 2021, $6,306,128
- Performance Year 2020, $6,553,826
- Performance Year 2019, $2,445,444
- Performance Year 2018, $4,245,094
- First Agreement Period
- Performance Year 2017, $6,455,592
- Performance Year 2016, $2,371,876
- Performance Year 2015, $2,907,291
Shared Savings Distribution:
- Third Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2022
- Second Agreement Period
- Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2020
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2019
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2018
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2021
- First Agreement Period
-
- Performance Year 2017
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2016
- Performance Year 2017
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
- Performance Year 2015
-
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources 10%
- Proportion of distribution to ACO participants: 80%
-
Quality Performance Results
20223 Quality Performance Results:
Quality performance results are based on CMS Web Interface
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 6.40 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 90.91 | 76.97 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 88.54 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 98.15 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 90.80 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 95.00 | 79.27 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 87.98 | 75.32 |
| 112 | Breast Cancer Screening | CMS Web Interface | 90.81 | 78.07 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 22.00 | 16.03 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 90.16 | 86.37 |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.17 | 0.15 |
| 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Administrative Claims | 19.65 | 30.97 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 81.02 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 92.84 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 90.13 | 92.06 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 71.52 | 77.00 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 60.61 | 62.68 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 63.32 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 75.03 | 73.06 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 82.61 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 89.81 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 22.50 | 25.62 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
Fraud and Abuse Waivers
NONE
