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Shared Savings Program Public Reporting 2023

 
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 ACO WEBSITE www.bestcarecollaborative.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
   

Key ACO Clinical and Administrative Leadership

POSITION TITLE NAME
Medical Director Marilyn Kole, MD
Compliance Officers Tracy Pyles / Blake Schofield
Quality Assurance/Improvement Officer Candida Scott
ACO Executive Kris Fay
 

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 3.8% ACO Participant Representative Lee Memorial Health System
Terry Bennett Voting Member 3.8% Medicare Beneficiary Rep. Lee Memorial Health System
Lindsay Berbiglia, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Ryan Brown, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Karen Calkins, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Jennifer Carrion, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Maja Delibasic, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Kris Fay Voting Member 3.8% Other Lee Memorial Health System
Iahn Gonsenhauser, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Alfred Gitu, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Damian Hanekom, MD Officer/ Chairman 3.8% ACO Participant Representative Lee Memorial Health System
Brian Horner, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
 Marilyn Kole, MD Voting/ Medical Director 3.8% ACO Participant Representative Lee Memorial Health System
Joseph Lewis, DO Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Leah Lynch, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Richard Macchiaroli, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Jason Mather Member/ Legal Counsel 0% Other Lee Memorial Health System
Monica Necula, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Scott Nygaard, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Rob Ortiz Officer/ Treasurer 3.8% Other Lee Memorial Health System
Tracey Pyles Voting Member/ Co-Compliance Officer 3.8% Other Lee Memorial Health System
Jordan Reid, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Michelle Rivers, MD Voting Member/ Physician 3.8% ACO Participant Representative Lee Memorial Health System
Pam Scardina Voting Member/ Physician 3.8% Other Lee Memorial Health System
Jessica Schofield Officer/ Secretary 0% Other Lee Memorial Health System
Blake Schofield Voting Member/ Co-Compliance Officer 3.8% Other Lee Memorial Health System
Kent Starkweather, MD Officer/ Chairman 3.8% ACO Participant Representative Lee Memorial Health System
Jordan Tailon, MD Voting Member 3.8% ACO Participant Representative Lee Memorial Health System
 
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

  Associated Committees and Committee Leadership

COMMITTEE NAME TITLE
 Executive Committee Scott Nygaard, M.D. Committee Chair
Compliance Committee Tracy Pyles & Blake Schofield Committee Co-Chairs
Quality Data Committee Alfred Gitu, MD Committee Chair
Credentialing & Standards Ragai Meena, MD Dolan Abu Aouf, PA Committee Co-Chairs

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
   For Previous Year’s Financial and Quality Performance Results, please visit data.cms.gov  

Quality Performance Results – (2022)

ACO QUALITY MEASURE ID # ACO – QUALITY MEASURE NAME COLLECTION TYPE RATE MEAN
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 Certified Survey Vendor 0.148 0.151
484 All-Cause, Unplanned Admission for Pt with Multiple Chronic Conditions for ACOs (MCC1) Certified Survey Vendor 31.21 30.97
 
CAHPS – 1 Getting Timely Care Certified Survey Vendor 75.86 83.96
CAHPS – 2 How Well Providers Communicate Certified Survey Vendor 91.60 93.47
CAHPS – 3 Patients Rating of Provider Certified Survey Vendor 87.86 92.06
CAHPS – 4 Access to Specialists Certified Survey Vendor 68.55 77.00
CAHPS – 5 Health Promotion and Education Certified Survey Vendor 71.30 62.68
CAHPS – 6 Shared Decision Making Certified Survey Vendor 59.64 60.97
CAHPS – 7 Health Status and Functional Status Certified Survey Vendor 75.98 73.06
CAHPS – 8 Care Coordination Certified Survey Vendor 83.92 85.46
CAHPS – 9 Courteous and Helpful Office Staff Certified Survey Vendor 91.31 91.97
CAHPS – 11 Stewardship of Patient Resources Certified Survey Vendor 23.37 25.62
CAHPS – 321 CAHPS for MIPS3 Clinician/ Group Survey Certified Survey Vendor 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.

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

 BBC Public Disclosures PDF