ACO Name and Location

Advanced Doctors ACO, LLC

1155 S. Congress Avenue, Suite B
West Palm Beach, FL 33406

ACO Primary Contact

Contact Name:
Thomas J. Leach
Primary Contact Phone Number:
(850) 602-0470
Primary Contact Email Address: [email protected]

Public Reporting PDF
ACO Participants ACO Participant in Joint
Venture
HEARTLAND MEDICAL INC N
CENTRAL FLORIDA INTERNAL, OCCUPATIONAL & ENVIRONMENTAL MEDICINE, P.A. N
BETSY E. WOOD DO PA N
DAVID GOMERINGER N
KEITH KAPPELER N
HIGHLANDS HEALTH AND WELLNESS CENTER LLC N
BASSETTI & ASSOCIATES M.D., P.A. N
OKEECHOBEE FAMILY PRACTICE P A N
GOVINDAN P NAIR MD PA N
PALM HARBOR INTERNAL MEDICINE AND PEDIATRICS PA N
PATEL PULMONARY PA N
CENTRAL FLORIDA MEDICAL & DIAGNOSTIC CLINIC, PA N
LOBATO FAMILY PRACTICE N
PAVAN K ANAND MD PA N
JOEL ROSE N
ERIC S PALOSKY, DO PA N
SUN ‘N LAKE MEDICAL GROUP,PA N
KHURANA RADIOLOGY MD PA N
MARK DROFFNER N
SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C N
BURNT STORE FAMILY MEDICINE PL. N
PINELLAS INTERNAL MEDICINE SPECIALISTS, PA N
DR. ROGERS MEDICAL GROUP PA N
SUNERGY PHYSICIANS LLC N
DAVID W LYTER, MD MPH, PA N
ANCURAM LLC N
KAREN N PHILLIPPS MD PA N
FAMILY MEDICAL GROUP PA N
FLORIDA EAST COAST MEDICAL GROUP INC N
GULF COAST INTERNIST, LLC. N
GARY WRIGHT MD PA N
CHERI MCCUE MD PA N
JORGE ZELEDON N
DAVID S BALLESTAS MD PA N
FAMILY CARE PHYSICIAN GROUP N
MCGREGOR MEDICAL AND WELLNESS, LLC N
AUDWIN B NELSON MD P A N
MINA B BHATT MD PA N
JORGE I ZELEDON MD PA N
IVAN CVIK, MD, P.A. N
SUMESH CHANDRA MD PA N
Calvino Family Medicine, PLLC N

ACO Governing Body

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

Member First Name
Member Last Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
Audwin
Nelson
Chairman
7.69%
ACO Participant Representative
Audwin B Nelson MD P A
2
Dennis
Bassetti
Physician
7.69%
ACO Participant Representative
Bassetti & Associates M.D., P.A.
3
Tamyra
Rogers
Physician
7.69%
ACO Participant Representative
Dr. Rogers Medical Group PA
4
Ray
Tangunan
Physician
7.69%
ACO Participant Representative
Heartland Medical Inc
5
Marie
Toussaint
Physician
7.69%
ACO Participant Representative
Highlands Health and Wellness Center LLC
6
Mina
Bhatt
Physician
7.69%
ACO Participant Representative
Mina B Bhatt MD PA
7
Daniel
Montero
Physician
7.69%
ACO Participant Representative
Family Medical Group PA
8
Wilfredo
Corredera
Physician
7.69%
ACO Participant Representative
Family Medical Group PA
9
Anuraag
Khurana
Physician
7.69%
ACO Participant Representative
Khurana Radiology MD PA
10
Cheri
McCue
Physician
7.69%
ACO Participant Representative
Cheri McCue MD
11
Clare
Padilla
Medicare Beneficiary
7.69%
Medicare Beneficiary Representative
12
Thomas
Leach
Director
7.69%
Other
13
Colin
Campbell
CFO
7.69%
Other

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 2021 $0

— Performance Year 2020 $1,171,682.73

How Shared Savings Are Distributed

  • First Agreement Period
    • 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
    • Performance Year 2020
      • Proportion invested in infrastructure: 35%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 50%

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 Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

For previous year’ Financial and Quality Performance Results, please visit: data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.