Organizational Information
Organizational Information
ACO Participants | ACO Participant in Joint Venture |
|---|---|
ARUN KUMAR MD PA | N |
SCARBOROUGH FAMILY MEDICINE, PLLC | N |
KATY FAMILY PHYSICIANS PA | N |
HECTOR A ROBLES, MD, LLC | N |
TERESA J TIBBETTS M D LLC | N |
SOUTHWEST CENTER ON AGING | N |
ALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC | N |
PITTSBURG INTERNAL MEDICINE PA | N |
NATIVE AMERICAN COMMUNITY CLINIC | N |
SOUTHSIDE COMMUNITY HEALTH SERVICES INC | N |
MICHIGAN PRIMARY CARE PLLC | N |
FROSTWOOD FAMILY MEDICINE PLLC | N |
INTERNAL MEDICINE ASSOCIATES, P.C. | N |
DR MUBARAK KHAWAJA PA | N |
T GOPAL & ASSOCIATES MD PA | N |
THANH K. HOANG, M.D., P.A, | N |
TOWN AND COUNTRY INTERNAL MEDICINE, P.A. | N |
ARMOUR FAMILY MEDICINE, PLLC | N |
MEDICAL CENTER OF SANTEE LLC | N |
RITCHKEN AND FIRST MEDICAL GROUP | N |
GULF COAST PRIMARY CARE PLLC | N |
BRIAN C CASTILLO, MD PA | N |
AMIR SALIM MD PA | N |
ANDRE' C. SCHOEFFLER, M.D., P.C. | N |
ALBERT F.JOHARY MD, PC | N |
KERR AREA RURAL MEDICAL ALLIANCE PLLC | N |
PREMIER FAMILY CLINIC | N |
GONZALES MEDICAL CLINIC PC | N |
KEITH LAMY MD, PA | N |
LEAVENWORTH FAMILY HEALTH CENTER | N |
MINDEN FAMILY MEDICINE LLC | N |
MOUNTAIN LAUREL INTERNAL MEDICINE PA | N |
NEW HAVEN MEDICAL SERVICES PA | N |
PARADIGM MEDICAL SERVICES PC | N |
SINCLAIR FAMILY HEALTH, LLC | N |
LORI GAUTREAUX BERGERON LLC | N |
SYED TARIQ MUMTAZ M D P A | N |
CORNERSTONE FAMILY HEALTHCARE | N |
FAMILY MEDICINE PHYSICIANS LLC | N |
FORK UNION MEDICAL ASSOCIATES INC | N |
JOHN R DEFOREST DO SC | N |
KRISTY WHELAN DO PC | N |
SEGO MEDICAL ASSOCIATES LLC | N |
SHIRLEY NORONHA MD LLC | N |
RANDALL CAVINESS | N |
JULIE ARCHER | N |
ACO Governing Body:
ACO Governing Body:
Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name |
|---|---|---|---|---|---|
Elizabeth | Smith-Tryon | Board Member | 25.00% | ACO Participant | Sego Medical Associates LLC |
Zbigniew | Purzycki | Board Member | 25.00% | ACO Participant | Michigan Primary Care PLLC |
Patrick | Hayes | Board Member | 25.00% | ACO Participant | Frostwood Family Medicine PLLC |
Mark | Montoney, MD | Board Chair | 10% | Voting Member | Wellvana |
Stephanie | Bartels | Secretary | 10% | Voting Member | Wellvana |
Robert | Ritter | Board Member | 5% | Medicare Beneficiary | N/A |
Key ACO Clinical and Administrative Leadership:
Key ACO Clinical and Administrative Leadership:
Key ACO Clinical and Administrative Leadership:
Key ACO Clinical and Administrative Leadership:
Associated Committees and Committee Leadership:
Associated Committees and Committee Leadership:
Committee Name | Committee Leader Name and Position |
|---|---|
Health Equity Committee | Dr. Mark Montoney, Chair |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Shared Savings and Losses:
Shared Savings and Losses:
Shared Savings and Losses:
Shared Savings and Losses:
Quality Performance Results
Quality Performance Results
Quality Performance Results
Quality Performance Results
Payment Rule Waivers
Payment Rule Waivers
Payment Rule Waivers
Payment Rule Waivers
Advance Investment Payments (AIP)
Advance Investment Payments (AIP)
Spend Plan:
Payment Use | General Spend Category | General Spend Subcategory | Projected Spending 2025 | Actual Spending 2025 | Projected Spending 2026 | Actual Spending 2026 | Projected Spending 2027 | Actual Spending 2027 | Projected Spending 2028 | Actual Spending 2028 | Projected Spending 2029 | Actual Spending 2028 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
Quality Auditor | Increased Staffing | Other staff (explain in "Payment Use") | $32,886.00 | $0.00 | $32,886.00 | $0.00 | $32,886.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Patient Scheduling Specialist | Increased Staffing | Case Manager | $130,845.00 | $0.00 | $130,845.00 | $0.00 | $130,845.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Population Health System | Health Care Infrastructure | Case/practice management systems | $118,908.00 | $0.00 | $118,908.00 | $0.00 | $118,908.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
IT Security & Support | Health Care Infrastructure | Other staff (explain in "Payment Use") | $96,956.00 | $0.00 | $96,956.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Data Analysts | Increased Staffing | Other staff (explain in "Payment Use") | $121,326.00 | $0.00 | $121,326.00 | $0.00 | $121,326.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Quality Educator | Increased Staffing | Other staff (explain in "Payment Use") | $80,755.00 | $0.00 | $80,755.00 | $0.00 | $80,755.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Provider Management | Increased Staffing | Other staff (explain in "Payment Use") | $389,798.00 | $0.00 | $389,798.00 | $0.00 | $389,798.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
IT Security & Support | Increased Staffing | Other staff (explain in "Payment Use") | $22,862.00 | $0.00 | $22,862.00 | $0.00 | $22,862.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Provider Experience & Communications | Increased Staffing | Other staff (explain in "Payment Use") | $69,557.00 | $0.00 | $69,557.00 | $0.00 | $69,557.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Quality Vendor | Health Care Infrastructure | Electronic Quality Reporting | $125,189.00 | $0.00 | $125,189.00 | $0.00 | $125,189.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Subtotals | $1,189,082.00 | $0.00 | $1,189,082.00 | N/A | $787,010.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Spend Plan Summary:
Projected Total Advance Investment Payments | $3,165,168.00 | ||||||
|---|---|---|---|---|---|---|---|
Actual Spending | $0.00 | ||||||
Future Projected Spending | $3,165,168.00 | ||||||
Remaining Funding to Allocate | $0.00 | ||||||
Total Advance Investment Payments Received | $0.00 | ||||||
The ACO has established a separate designated account for the deposit and expenditure of all advance investment payments in accordance with 42 CFR 425.630(e)(4). |
Fraud and Abuse Waivers
Fraud and Abuse Waivers
Fraud and Abuse Waivers
Fraud and Abuse Waivers
