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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 (Enter Y or N)
A. Keith Martin, MD, PC N
Ajay Kumar Md Llc N
All Care Medical Associates, LLC N
Allergy & Asthma Center of Middle Georgia, Inc N
Allergy & Asthma Clinic of Macon N
American Professional Associates Llc N
AOA PHO, LLC N
Arimah Medical Inc. N
Atlanta Ent Sinus & Allergy Associates N
AVILYS, LLC N
Beverly B. Sanders, M.D., L.L.C. N
Cairo Medical Care, LLC N
Cardiopulmonary Associates, PC N
Central Georgia Gastroenterology, LLC N
Central Georgia Heart Center, Pc N
Charter Inpatient Services 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
Cynthia Giles N
Cynthia L Giles Do Llc N
D. Conrad Harper MD LLC N
Dawsonville Family Medicine N
Dermatologic Surgery Specialists, PC N
Digestive Disease Consultants, P.C. N
Donald A Selph Jr MD, PC N
Donald Robinson N
Dr. Bartlett & Dr. Esnard, PC N
Dr. Bolanle Sogade M.D. Llc N
Dr. Brown N Ekeledo, LLC N
Dr. Jason R Laney, PC DBA Laney Internal Medicine Group N
Eagles Landing Family Practice, Inc. N
Ellis W. Evans, Sr. M.D., FACS PC N
Eye Center of Central Georgia, PC N
Family Healthcare Connections, PC N
Family Practice & Surgery N
Focused Care Of Georgia Llc Y
Gastroenterology Associates Of N
George Martinez Office of Internal Medicine, LLC N
Georgia Cardiology Associates, PC N
Georgia Dermatology & Skin Cancer Center, Llc N
Georgia Eyecare Center N
Georgia Heart Physicians LLC N
GEORGIA MEDICAL GROUP, LLC Y
Georgia Spine & Orthopedics, LLC N
Ggd, Inc. N
Gray Family Health, LLC N
Heart of Georgia Rheumatology, LLC N
Horatio V. Cabasares, MD, PC N
IM Peds Primary Care LLC N
In Stitches PC N
Infectious Disease Clinic, 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
Kathy C. Lynn, MD, LLC N
Kidney Center of Central Georgia, LLC N
LaGrange Internal Medicine, PC N
Langford Allergy LLC N
Lawrence Kirk Md Llc N
Lesley Jill Cown, M.D. LLC N
Lillette A. Intaphan MD, LLC N
Linda Ash N
M Todd Peacock, M.D. P.C. N
Macon Electrophysiology Asso, P.C. N
Macon Gynecologic Oncology LLC N
Macon Lung Center, PC N
Macon Medical Group, PC N
Macon Surgical Associates N
Magna Care Hospital Specialists LLC N
Manmohan Gupta, M.D., P.C. N
Margaret M. Nichols MD LLC N
Maria Cavaliere Llc N
MCC Internal Medicine, LLC N
Medical Center, LLP N
Meyer Cardiology, PC N
MIDDLE GEORGIA COLORECTAL, LLC N
Middle Georgia Heart and Vascular Center, LLC N
MIDDLE GEORGIA VASCULAR SURGERY CENTER LLC N
Neurology Associates Llp N
New Horizon Primary Care, Llc N
Nicholas A. Pietrzak MD, LLC N
North Atlanta Primary Care, PC N
Ob/Gyn Specialists, Llp N
Ocmulgee Physicians LLC N
Patrice Boddie N
Patrice Boddie, MD N
Perry Family Practice, LLC N
Physician Consultants Of Georgia N
PHYSICIAN CONSULTANTS OF GEORGIA INTERVENTIONAL LLC N
Physicians MRI Inc. N
PIEDMONT SPORTS MEDICINE & ORTHOPAEDIC CLINIC, PC N
Rakesh Kumar, MD PC N
Ram K. Puri, M.D., P.C. N
Rana Munna 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
SAVANNAH OBGYN PC N
SINCLAIR FAMILY HEALTH, LLC N
Sleep Practitioners, Llc N
Smith-Lambert Clinic, P.C. N
Southeast Georgia Pediatrics N
Southeastern Center For Infectious Diseases Pa N
Southwest Medical Clinic, Inc. N
SWALLOWING SPECIALISTS OF CENTRAL GEORGIA LLC N
Sylvanus Fiakpornoo N
The Corporation of Mercer University N
The Hemlock Pain Center, LLC N
Thomas C Jones, M.D., P.C. N
Thompson Clinic Llc N
Urology Specialists of Georgia N
VEIN INNOVATIONS N
Vein Specialists Of The South N
Venture Medical Associates Llc N
W. Jason Woods, Md LLC N
We Care Medical Practice M.D., P.C. N
William Hardy N
Your Doctor's After Hours, LLC Y

 

 

 

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

Deputy 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

Perkel

Joshua

Voting Member

1

ACO Participant Representative

Urology Specialists of Georgia

Ammons

Fred

Patient Engagement Committee Chair/Voting Member

1

Community Stakeholder

N/A

Bat

Thomas

Voting Member

1

ACO Participant Representative

North Atlanta Primary Care, PC

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

Vacant (Specialist)

 

Voting Member

1

ACO Participant Representative

Macon Electrophysiology Asso, P.C.

Tritt

Ramie

Voting Member

1

ACO Participant Representative

Atlanta ENT, Sinus and Allergy Associates

Barry

Stephen

GPAC CEO/Non-voting Member

0

Other/ Company CEO

N/A

Othman

Mufid

Voting Member

1

ACO Participant Representative

Kidney Center of Central Georgia, LLC

Pritchard

Scott

Voting Member

1

Other/ Equity Member

N/A

Vacant (PCP) 

 

Voting Member

1

ACO Participant Representative

Medical Group of Central Georgia, LLC

Vacant (PCP) 

 

Voting Member

1

ACO Participant Representative

Middle GA Primary Care, P.C.

 

Key ACO clinical and administrative leadership:

 

Stephen Barry

ACO Executive

Shahriar Sedghi

Medical Director

Malcom S. Moore

Compliance Officer

Shahriar Sedghi

Quality Assurance/Improvement Officer

 

 

Associated committees and committee leadership:

Committee Name

Committee Leader Name and Position

Organization Development

Wynn Kallay, MD/ Chairman

Patient Engagement

Fred Ammons/Chairman

Finance

Alan Justice/Chairman

Spotlight

Jeremiah McClure/Chairman

Quality

Shahriar Sedghi /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 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 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

2017 Quality Performance Results: 

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.20

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

92.98

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

92.33

92.31

ACO-4

CAHPS: Access to Specialists

83.79

83.32

ACO-5

CAHPS: Health Promotion and Education

64.70

62.30

ACO-6

CAHPS: Shared Decision Making

75.75

75.85

ACO-7

CAHPS: Health Status/Functional Status

70.48

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

30.58

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.58

15.01

ACO-35

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

19.24

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

53.40

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

78.62

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

59.81

61.74

ACO-43

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

2.14

1.93

ACO-11

Use of Certified EHR Technology

99.85

98.48

ACO-12

Medication Reconciliation

92.37

75.32

ACO-13

Falls: Screening for Future Fall Risk

81.85

74.38

ACO-44

Imaging Studies for Low Back Pain

62.45

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

75.16

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

69.72

72.92

ACO-16

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

90.23

70.69

ACO-17

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

96.92

90.48

ACO-18

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

61.31

61.98

ACO-19

Colorectal Cancer Screening

69.62

64.58

ACO-20

Breast Cancer Screening

72.55

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.64

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

14.49

16.74

ACO-41

Diabetes: Eye Exam

51.45

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

72.55

71.47

ACO-30

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

95.24

86.86

  

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



 


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 A89091 in the public use files on data.cms.gov.


 

  

Payment Rule Waivers

 

·         No, our ACO does not use the SNF 3-Day Rule Waiver.