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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

This email address is being protected from spambots. You need JavaScript enabled to view it.

 

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 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 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

2018 Quality Performance Results: 

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

88.90

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

94.94

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

93.06

92.45

ACO-4

CAHPS: Access to Specialists

89.03

81.50

ACO-5

CAHPS: Health Promotion and Education

60.73

59.26

ACO-6

CAHPS: Shared Decision Making

61.71

61.94

ACO-7

CAHPS: Health Status/Functional Status

72.35

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

27.50

26.26

ACO-8

Risk Standardized, All Condition Readmission

15.23

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

19.65

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

35.85

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

70.50

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

56.47

59.00

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

2.18

1.98

ACO-11

Use of Certified EHR Technology

99.07

98.20

ACO-12

Medication Reconciliation Post-Discharge

92.21

85.91

ACO-13

Falls: Screening for Future Fall Risk

83.67

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

59.09

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

71.94

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

70.77

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

90.49

76.83

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

97.30

72.81

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

70.31

66.74

ACO-19

Colorectal Cancer Screening

75.34

68.27

ACO-20

Breast Cancer Screening

74.44

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86.67

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

12.83

15.51

ACO-41

Diabetes: Eye Exam

54.01

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

71.71

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

94.64

88.92

   

 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

·         Skilled Nursing Facility (SNF) 3-day Rule Waiver:

o    No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

 

·         Waiver for Payment for Telehealth Services: 

o    No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.