CMS Announces Three New Accountable Care Organizations in Florida

Three out of the first 27 accountable care organizations (ACOs) in CMS’ new Shared Savings Program reside in Florida and will be online with its counterparts from across the country this month.

According to a press release by CMS, “The selected organizations have agreed to be responsible for improving care for nearly 375,000 beneficiaries in 18 states through better coordination among providers.”

The CMS statement continues that all ACOs that succeed in providing high quality care may share in the savings to Medicare, as long as their performance reduces the cost of care and is sufficiently rated on 33 quality measures. The quality measures relate to, among other things, care coordination and patient safety, use of appropriate preventive health services, improved care for at-risk populations, and the patient experience of care.

The Florida ACOs include West Florida ACO, Primary Partners and Florida Physicians Trust. CMS provides summaries of each ACO and the Florida initiatives are described here:

  • West Florida ACO, LLC, based in Trinity, is comprised of over 30 participating primary care physicians and specialists. The ACO will focus on coordination of care and quality programs geared towards the geriatric population. The ACO leadership has substantial experience with quality of care and efficiency improvement initiatives, including, but not limited to, service as medical directors, clinical oversight directors and clinical co-management program directors. The ACO is expected to serve more than 10,000 beneficiaries.
  • Clermont-based Primary Partners, LLC’s mission is to provide quality, clinically integrated patient-centered care while allowing primary care physicians to continue operating independent practices. Its participating primary care physicians are located in Lake, Orange, Osceola and Polk Counties. It is expected to serve about 7,500 beneficiaries.
  • Florida Physicians Trust, LLC, based in Winter Park, represents a diverse group of independent physicians, including both Doctors of Medicine and Doctors of Osteopathic Medicine, who have jointly created a patient-centric approach to providing quality service across the entire spectrum of care for beneficiaries in Florida. The ACO will provide care coordination, stressing communication, medical information exchange and team based care among primary care physicians and specialists. The ACO is expected to serve about 16,500 beneficiaries.

Five of the 27 ACOs are also participating in the Advance Payment ACO program, which includes Florida Physicians Trust. These 27 ACOs join the 32 “Pioneer ACOs”, which includes Florida-based JSA Medical Group, a division of HealthCare Partners.

CMS revealed they are reviewing 150 additional applications for the Medicare Shared Savings Program, of which more than 50 are aiming to be in the Advance Payment Model.

More information is available in CMS’ announcement.

LIST OF ACCOUNTABLE CARE ORGANIZATIONS
STARTING APRIL 1, 2012

Accountable Care Organization/Collaborative Health Systems Partnerships

  • Accountable Care Coalition of Caldwell County, LLC – Lenoir, NC
  • Accountable Care Coalition of Coastal Georgia – Ormond, FL (serving beneficiaries in GA and SC)
  • Accountable Care Coalition of Eastern North Carolina, LLC – New Bern, NC
  • Accountable Care Coalition of Greater Athens Georgia – Athens, GA
  • Accountable Care Coalition of Mount Kisco, LLC – Mount Kisco, NY
  • Accountable Care Coalition of the Mississippi Gulf Coast, LLC – Clearwater, FL (serving beneficiaries in the Mississippi Gulf Coast area)
  • Accountable Care Coalition of the North Country, LLC Canton, NY
  • Accountable Care Coalition of Southeast Wisconsin, LLC Milwaukee, WI
  • Accountable Care Coalition of Texas, Inc. – Houston, TX
  • AHS ACO, LLC – Morristown, NJ (Serving beneficiaries in NJ and PA)
  • AppleCare Medical ACO, LLC – Buena Park, CA
  • Arizona Connected Care, LLC – Tucson, AZ
  • Chinese Community Accountable Care Organization – New York, NY
  • CIPA Western New York IPA, doing business as Catholic Medical Partners – Buffalo, NY
  • Coastal Carolina Quality Care, Inc. – New Bern, NC
  • Crystal Run Healthcare ACO, LLC – Middletown, NY (serving beneficiaries in NY and PA)
  • Florida Physicians Trust, LLC – Winter Park, FL
  • Hackensack Physician-Hospital Alliance ACO, LLC – Hackensack, NJ (serving beneficiaries in NJ and NY)
  • Jackson Purchase Medical Associates, PSC – Paducah, KY
  • Jordan Community ACO – Plymouth, MA
  • North Country ACO – Littleton, NH (serving beneficiaries in NH and VT)
  • Optimus Healthcare Partners, LLC – Summit, NJ
  • Physicians of Cape Cod ACO Description of Organization – Hyannis, MA
  • Premier ACO Physician Network – Lakewood, CA
  • Primary Partners, LLC – Clermont, FL
  • RGV ACO Health Providers, LLC – Donna, TX
  • West Florida ACO, LLC – Trinity, FL

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