ACO Name and Location

Advanced Doctors ACO, LLC

2112 South Congress Avenue, Suite 202
Palm Springs, FL 33406

ACO Primary Contact

Contact Name:
Tyler Messersmith
Primary Contact Phone Number:
(304) 647-0563
Primary Contact Email Address: tmessersmith@advancedaco.com

Public Reporting PDF
ACO Participants ACO Participant in Joint
Venture
AUDWIN B NELSON MD P A N
Bassetti & Associates M.D., P.A. N
Patel Pulmonary PA N
Karen N Phillipps MD PA N
Heartland Medical Inc N
First Choice Primary Care N
Sun ‘N Lake Medical Group ,PA N
Cheri McCue MD PA N
Dr. Rogers Medical Group PA N
Highlands Health and Wellness Center LLC N
Pinellas Internal Medicine Specialists, PA N
Mina B Bhatt MD PA N
Central Florida Medical & Diagnositic Clinic, PA N
Family Medical Group PA N
Central Florida Internal, Occupational & Environmental Medicine, P.A. N
Khurana Radiology MD PA N
Jorge Zeledon N
Jorge I Zeledon MD PA N
Saint-Fleur Internal Medicine & Associates N
Eric S Palosky, DO PA N

ACO Governing Body

ACO ID: A4794
ACO Legal Business Name: Advanced Doctors ACO, LLC

Member Last Name
Member First Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
Nelson
Audwin
Chairman*
1
ACO Participant Representative
Audwin B Nelson MD PA
2
Bassetti
Dennis
Physician*
1
ACO Participant Representative
Bassetti & Associates M.D., P.A.
3
Rogers
Tamyra
Physician*
1
ACO Participant Representative
Dr. Rogers Medical Group PA
4
Smith
Wade
Advanced Practitioner*
1
ACO Participant Representative
First Choice Primary Care
5
Tangunan
Ray
Advanced Practitioner*
1
ACO Participant Representative
Heartland Medical Inc
6
Saint-Fleur
Paul
Physician*
1
ACO Participant Representative
Saint-Fleur Internal Medicine & Associates
7
Toussaint
Marie
Physician*
1
ACO Participant Representative
Highlands Health and Wellness Center LLC
8
Bhatt
Mina
Physician*
1
ACO Participant Representative
Mina B Bhatt MD PA
9
Montero
Daniel
Physician*
1
ACO Participant Representative
Family Medical Group PA
10
Corredera
Wilfredo
Physician*
1
ACO Participant Representative
Family Medical Group PA
11
Khurana
Anuraag
Physician*
1
ACO Participant Representatative
Khurana Radiology MD PA
12
McCue
Cheri
Physician*
1
ACO Participant Representative
Cheri McCue MD PA
13
Padilla
Clare
Medicare Beneficiary*
1
Medicare Beneficiary Representative
N/A
14
Bailey
Jessica
Director*
1
Other
N/A
15
Campbell
Colin
CFO*
1
Other
N/A

Key ACO clinical and administrative leadership

Position
Name
ACO Executive
David Klebonis
Medical Director
Audwin Nelson
Compliance Officer
David Klebonis
Quality Assurance/Improvement Officer
David Klebonis

Associated committees and committee leadership

Committee Name
Committee Leader Name and Position
Executive Committee
David Klebonis, Chairman
Finance Committee
Dr. Marie Toussaint, Chairman
Quality, Utilization, Clinical Protocols & Patient Safty Committee
Dr. Ray Tangunan, Chairman
Membership, Physician Engagement & Continuing Education Committee
Dr. Deepak Patel, Chairman
Patient Engagement, Continuing Education & Information Technology Committee
Dr. Marie Toussaint, Chairman
Compliance, Managed Care & Law
David Klebonis, Chairman

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

  • ACO professionals in a group practice arrangement
  • A network of individual practices of ACO professionals.
  • Federally Qualified Health Center (FQHC)

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

— Performance Year 2020 $1,171,682.73

— Performance Year 2021 $0

How Shared Savings Are Distributed

  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 46%
      • Proportion invested in redesigned care processes/resources: 19%
      • Proportion of distribution to ACO participants: 35%
    • Performance Year 2021
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

ACO Quality Measure Measure Name Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 12.60 12.46
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 44.84 74.38
Measure #: 236 Controlling High Blood Pressure 72.55 74.87
Measure #: 318 Falls: Screening for Future Fall Risk 63.84 87.03
Measure #: 110 Preventative Care and Screening: Influenza Immunization 71.09 80.52
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 76.27 80.97
Measure #: 113 Colorectal Cancer Screening 62.27 73.63
Measure #: 112 Breast Cancer Screening 66.17 75.11
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.40 84.24
Measure #: 321 CAHPS for MIPS N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1611 01.540
Measure #: MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 33.52 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 86.91 84.67
CAHPS-2 How Well Providers Communicate 93.63 93.56
CAHPS-3 Patient’s Rating of Provider 93.09 92.19
CAHPS-4 Access to Specialists 82.08 78.80
CAHPS-5 Health Promotion and Education 65.50 61.61
CAHPS-6 Shared Decision Making 64.32 60.89
CAHPS-7 Health Status and Functional Status 70.73 71.78
CAHPS-8 Care Coordination 87.19 85.66
CAHPS-9 Courteous and Helpful Office Staff 92.99 91.88
CAHPS-11 Stewardship of Patient Resources 30.29 24.71

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
      CFR 425.612(f) and 42 CFR 425.613.