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ACO Name and Location

Georgia Physicians for Accountable Care, LLC
PO Box 4126
Macon, Georgia 31208

 

ACO Primary Contact

 

Primary Contact Name

Stephen Barry

Primary Contact Phone Number

(478) 254-9364

Primary Contact Email Address

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Organizational Information

ACO participants:   

ACO Participants ACO Participant in Joint Venture
Ajay Kumar Md Llc N
All Care Medical Associates, LLC N
Arimah Medical Inc. N
Beverly B. Sanders, M.D., L.L.C. N
Cairo Medical Care, LLC N
Cobbwest Internal Medicine Associates N
Collier B Gladin, Jr. MD , LLC N
Cornerstone Medical Assoc., LLC N
Cynthia Chambless M.D. Llc N
D. Conrad Harper MD LLC N
Dawsonville Family Medicine N
Donald A Selph Jr MD, PC N
Dr. Bolanle Sogade M.D. Llc N
DR. JASON R LANEY, PC N
Eagles Landing Family Practice, Inc. N
Eye Center of Central Georgia, PC N
Family Healthcare Connections, PC N
GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA LLC N
Ggd, Inc. N
Gray Family Health, LLC N
HEART OF GEORGIA PRIMARY CARE, LLC N
IM Peds Primary Care LLC N
INTEGRITY HEALTH AND WELLNESS, LLC N
Internal Medicine Assoc of Waycross N
Internal Medicine Associates of Middle Georgia, PC N
Internal Medicine Associates, PC N
Jeffrey Rymuza, MD, PC N
Kala K. Cunard, M.D., LLC N
Lawrence Kirk Md Llc N
Lesley Jill Cown, M.D. LLC N
Lillette A. Intaphan MD, LLC N
M Todd Peacock, M.D. P.C. N
MAGNA CARE MEDICAL SPECIALISTS LLC Y
Margaret M. Nichols MD LLC N
Maria Cavaliere Llc N
MCC Internal Medicine, LLC N
Medical Center, LLP N
MIDDLE GEORGIA CHEST AND MEDICAL CENTER, LLC N
New Horizon Primary Care, Llc N
Nicholas A. Pietrzak MD, LLC N
Ocmulgee Physicians LLC N
Patrice Boddie N
Perry Family Practice, LLC N
Rakesh Kumar, MD PC N
Ram K. Puri, M.D., P.C. N
Rana Munna N
Rana Munna N
Robert Jones N
Robert Jones N
Rossana Y. Carter, MD, LLC N
Rural Health Services, Inc. N
Russell G. O''Neal, M.D. LLC N
Rutland Family Healthcare LLC N
Sandra H. Gibbs. MD N
SINCLAIR FAMILY HEALTH, LLC N
Smith-Lambert Clinic, P.C. N
Southeast Georgia Pediatrics N
Sylvanus Fiakpornoo N
The Corporation of Mercer University N
Thompson Clinic Llc N
W. Jason Woods, Md LLC N
We Care Medical Practice M.D., P.C. N

 

 

  

ACO governing body:

 

Member

Member's Voting Power

Membership Type

ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

     

Sedghi

Shahriar

Chairman/Chief Medical Officer/Voting Member

1

ACO Participant Representative

Gastroenterology Associates of Central Georgia, LLC

Kallay

Wynn

Vice Chair/Organization Development Committee Chair/Voting Member

1

ACO Participant Representative

Southeast Georgia Pediatrics

Justice

Alan

Secretary/Finance Committee Chair/Voting Member

1

ACO Participant Representative

Ocmulgee Physicians LLC

McClure

Jeremiah

Spotlight Committee Chair/Voting Member

1

ACO Participant Representative

MCC Internal Medicine, LLC

Arnold

Linda

Voting Member

1

ACO Participant Representative

Gray Family Health, LLC

Ammons

Fred

Patient Engagement Committee Chair/Voting Member

1

Community Stakeholder

N/A

Brantley

Gerald

Voting Member

1

ACO Participant Representative

Cornerstone Medical Assoc., LLC

Buntin

Frazer

Voting Member

1

Other/ Equity Member

N/A

Gladin

Collier

Voting Member

1

ACO Participant Representative

Collier B Gladin, Jr. MD LLC

Lane

Carl

Voting Member

1

Medicare Beneficiary Representative

N/A

Moore, Jr.

Malcolm S.

Compliance Officer/Voting Member

1

ACO Participant Representative

Eye Center of Central Georgia, PC

Barry

Stephen

GPAC CEO/Voting Member

1

Other

N/A

Othman

Mufid

Voting Member

1

ACO Participant Representative

Kidney Center of Central Georgia, LLC

Puri

Anil

Voting Member

1

ACO Participant Representative

Ram K. Puri, MD, PC

Steele

Collyn

Voting Member

1

ACO Participant Representative

Eagles Landing Family Practice, Inc.

Williamson

Andy

Voting Member

1

ACO Participant Representative

Medical Center, LLP

O'Neal

Russell

Voting Member

1

ACO Participant Representative

Russell G. O'Neal, LLC

 

Key ACO clinical and administrative leadership:

 

Stephen Barry

ACO Executive

Shahriar Sedghi, M.D.

Medical Director

Malcolm S. Moore Jr., M.D.

Compliance Officer

Shahriar Sedghi, M.D.

Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Organization Development

Wynn Kallay, M.D./ Chairman

Patient Engagement

Fred Ammons/Chairman

Finance

Alan Justice, M.D./Chairman

Spotlight

Jeremiah McClure, M.D./Chairman

Quality

Shahriar Sedghi, M.D. /Chairman

 

Types of ACO participants, or combinations of participants, that formed the ACO:

  • Networks of individual practices of ACO professionals

 

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period

    • Performance Year 2019, $0

    • Performance Year 2018, $0

    • Performance Year 2017, $0

  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

 

 

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2019
      • 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 2018
    • 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 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

First Agreement Period

  • Performance Year 2016
      • 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 2015
      • 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 2014

 

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


  • Quality Performance Results

2019 Quality Performance Results: 

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 92.29 85.86
ACO-2 CAHPS: How Well Your Providers Communicate  95.33 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 94.05 92.69
ACO-4 CAHPS: Access to Specialists  86.06 81.54
ACO-5 CAHPS: Health Promotion and Education  61.62 60.44
ACO-6 CAHPS: Shared Decision Making  63.86 62.78
ACO-7 CAHPS: Health Status/Functional Status  71.51 73.79
ACO-34 CAHPS: Stewardship of Patient Resources  26.79 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 94.64 92.84
ACO-46 CAHPS: Care Coordination 89.70 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.39 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 55.50 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.95 1.87
ACO-13 Falls: Screening for Future Fall Risk  84.66 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization  74.26 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100.00 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 75.20 70.40
ACO-19 Colorectal Cancer Screening 78.29 70.76
ACO-20 Breast Cancer Screening 74.82 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 88.14 82.17
ACO-40 Depression Remission at Twelve Months 16.28 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%)  11.33 13.88
ACO-28 Controlling High Blood Pressure  74.31 75.04

   

 Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Georgia Physicians for Accountable Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2148 in the public use files on data.cms.gov.

 

 

 

  

Payment Rule Waivers