239-343-1300  |  6630 Orion Drive, Suite 205, Fort Myers, FL 33912-4440  | 
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Shared Savings Program Public Reporting

 

ACO NAMEBEST CARE COLLABORATIVE, LLC
Trade Name/DBA:BEST CARE COLLABORATIVE, LLC
ACO LOCATION 6630 Orion Drive, Suite 205 Fort Myers, FL 33912
ACO PRIMARY CONTACT NAME Marilyn KoleACO PRIMARY CONTACT PHONE 239-343-1300
ACO PRIMARY CONTACT E-MAIL marilyn.kole@leehealth.org  

 

Organizational Information

 

ACO Participants

ACO PARTICIPANT NAMEACO PARTICIPANT IN JOINT VENTURE
 Lee Health System, Inc.No
Lee Senior Services LLC/DBA: Home Health by Cypress at HomeNo
The Christian & Missionary Alliance Foundation, Inc/DBA Shell Point Home HealthNo

 

ACO Governing Body

Member First NameMember Last NameMember Title/PositionMember’s Voting Power (expressed as a percentage)Membership TypeACO Participant Legal Business Name, if applicable
AlfredGituPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
AntoinetteWengelSecretary0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
BenjaminSpenceChief Operations and Financial Officer5.885%ACO Participant Representative LEE HEALTH SYSTEM INC
DamianHanekomChairman5.883%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
IahnGonsenhauserPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JasonMatherLegal Counsel0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JeannieAranaPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JenniferCarrionPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JordanTallionPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JosephLewisPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
JoyBalonCompliance Officer0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
KarenCalkinsPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
KentStarkweatherChairman5.883%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
KristineFayEx Officio0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
LeahLynchPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
MajaDelibasicPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
MarceloZottoloAce team Ex Officio0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
MarilynKoleMedical Director5.883%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
MonicaNeculaPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
NarimanHeshmatiPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
RichardMacchiaroliPhysician5.882%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
RobOrtizTreasurer0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC
TerryBennettMedicare Beneficiary Representative5.882%Medicare Beneficiary RepresentativeLEE HEALTH SYSTEM INC
WilliamCarracinoPhysician Ex Officio0%ACO Participant RepresentativeLEE HEALTH SYSTEM INC

Member’s voting power may have been rounded to reflect a total voting power of 100 percent. 

Key ACO Clinical and Administrative Leadership

POSITION TITLENAME
ACO ExecutiveBenjamin Spence
Medical DirectorMarilyn Kole
Compliance OfficerJoy Balon
Quality Assurance/Improvement OfficerCandida Scott

 

  Associated Committees and Committee Leadership:

COMMITTEE NAME COMMITTEE LEADER NAME AND POSITION
Compliance CommitteeJoy Balon, Committee Chair
Credentialing & Standards CommitteeRagai Meena, MD, Committee Co-Chair
Dolan Abu Aouf, PA, Committee Co-Chair
Jorge Quinonez, MD, Committee Co-Chair
Executive CommitteeBenjamin Spence, Committee Chair
Quality Data CommitteeJeremy Dzen, MD, Committee Co-Chair
Tracy Vo, DO, Committee Co-Chair
 
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
  • Hospital employing ACO professionals

Shared Savings and Losses

AMOUNT OF SHARED SAVINGS/LOSSES
  • Performance Year 2026, N/A
  • Performance Year 2025, N/A
  • Performance Year 2024, $3,012,903.85
  • Performance Year 2023, $2,434,748.63
  • Performance Year 2022, $0.00

Shared Savings Distribution

PROPORTION OF DISTRIBUTION TO ACO PARTICIPANTS

First Agreement Period

Performance Year 2026

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A


Performance Year 2025

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A


Performance Year 2024

  • Proportion invested in infrastructure:
  • Proportion invested in redesigned care processes/resources:
  • Proportion of distribution to ACO participants:


Performance Year 2023

  • Proportion invested in infrastructure:
  • Proportion invested in redesigned care processes/resources:
  • Proportion of distribution to ACO participants:


Performance Year 2022

  • Proportion invested in infrastructure: N/A
  • Proportion invested in redesigned care processes/resources: N/A
  • Proportion of distribution to ACO participants: N/A
2024 Quality Performance Results are based on the CMS Web Interface collection type.

Quality Performance Results – (PY2024)

 MEASURE #MEASURE TITLECOLLECTION TYPEPERFORMANCE RATECurrent Year Mean Performance Rate (Shared Savings Program ACOs)
 321CAHPS for MIPSCAHPS for MIPS Survey5.846.67
 479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission, (HWR) Rate for MIPS GroupsAdministrative Claims0.15070.1517
 484*Clinician and Clinician Group Risk- standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims             –37
 318Falls: Screening for Future Fall RisksCMS Web Interface87.6688.99
 110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface55.9668.6
 226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface92.8679.98
 113Colorectal Cancer ScreeningCMS Web Interface81.4877.81
 112Breast Cancer ScreeningCMS Web Interface85.580.93
 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface84.5686.5
 370Depression Remission at Twelve MonthsCMS Web Interface6017.35
 001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface8.459.44
 134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface82.2381.46
 236Controlling High Blood PressureCMS Web Interface66.5379.49

 

 CAHPS – 1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey80.3883.7
 CAHPS – 2How Well Providers CommunicateCAHPS for MIPS Survey95.1493.96
 CAHPS – 3Patient’s Rating of ProviderCAHPS for MIPS Survey91.0592.43
 CAHPS – 4Access to SpecialistsCAHPS for MIPS Survey66.1675.76
 CAHPS – 5Health Promotion and EducationCAHPS for MIPS Survey73.6865.48
 CAHPS – 6Shared Decision MakingCAHPS for MIPS Survey66.0762.31
 CAHPS – 7Health Status and Functional StatusCAHPS for MIPS Survey76.4974.14
 CAHPS – 8Care CoordinationCAHPS for MIPS Survey84.1585.89
 CAHPS – 9Courteous and Helpful Office StaffCAHPS for MIPS Survey91.4892.89
 CAHPS – 11Stewardship of Patient ResourcesCAHPS for MIPS Survey26.4226.98
      

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

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
  • Payment For Telehealth Services:
    o Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.


Parties to the arrangement: Best Care Collaborative & Lee Health’s Care Management Team

  • Date of arrangement: 01/13/2022
  • Items, services, goods, or facility provided: Care Management Services

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