Accountable Care Organizations Public Reporting Information
FMC ACO
ACO NAME & LOCATION
Florida Medical Clinic ACO, LLC
38135 Market Square
Zephyrhills, FL 33542
ACO PRIMARY CONTACT
Chandresh Saraiya, MD, FMC
Florida Medical Clinic, LLC
Chairman
813-712-1741
csaraiya@floridamedicalclinic.com
ORGANIZATIONAL INFORMATION
ACO Participants
Florida Medical Clinic, LLC
FMC Urgent Care, LLC
ACO PARTICIPANTS IN JOINT VENTURES BETWEEN ACO PROFESSIONALS AND HOSPITALS
FMC Urgent Care, LLC
Florida Medical Clinic, LLC
ACO GOVERNING BODY
Chandresh Saraiya, MD
Title/Position: Chairman
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Joe Delatorre, CEO
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: Other Representative
Florida Medical Clinic, LLC
Joe Cozzolino, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Rohitkumar Vyas, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Juan Cevallos, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Gerald Curley, DO
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Belen Herrero, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Richard Ina, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Mitchell Forman, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC Urgent Care
FMC Urgent Care, LLC
Joseph Gallagher
Title/Position: Medicare Beneficiary
Member’s Voting Power: 1
Membership Type: Medicare Beneficiary Representative
N/A
Paul Gerczuk, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
Matthew Hartlage, MD
Title/Position: Voting Member
Member’s Voting Power: 1
Membership Type: ACO Participant Representative, FMC
Florida Medical Clinic, LLC
KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP
Joe Delatorre, CEO
ACO Executive
Dr. Chandresh Saraiya,
Medical Director
Eddine Luma, Director HealthSync Operations
ACO QA/Compliance
ACO COMMITTEES & COMMITTEE LEADERSHIP
Quality and Performance Monitoring Committee
Parag Pitroda, MD
Chairman
Douglas Baska, DO
Nancy Finnerty, MD
Chandresh Saraiya, MD
Joel Sokolik, MD
Gabriel Somori, MD
Lauren Ruff, PA
Shifa Malik, MD
Compliance Committee
Eddine Luma, Director of HealthSync Operations
Chairperson
Rene Zarate, CFO
Samantha Champagnie, Senior Director
Joe Delatorre, CEO
Gus Taylor, CAO
Paula VanNorman, Sr. Director of Physician Offices
Community Relations Committee/Post-Acute Network Committee
Chandresh Saraiya, MD, FMC Medical Director
Chairman
Katherine North, Associate Director Hospital Medicine
Eddine Luma, Director of HealthSync Operations
Leigh Walker-Blankenship, Associate Director of HealthSync Operations
Florida Medical Clinic ACO Information
What is an ACO?
ACOs are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients.
The goal of coordinated care is to ensure that patients get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, the ACO will share in the savings it achieves for the Medicare program.
Where can I learn more about ACOs?
CMS offers different learning opportunities for providers and organizations interested in learning more about ACOs. Visit the CMS Innovation Center website and Medicare Shared Savings Program website periodically to learn about the latest opportunities.
Visit the Medicare fee-for-service Frequently Asked Questions for more information on the Medicare Shared Savings Program.
______________________________________________________________________________________________________________
Shared Savings and Losses
Amount of Shared Savings/Losses
| Second Agreement Period | First Agreement Period |
| Performance Year 2021, N/A
Performance Year 2020, N/A Performance Year 2019, $5,124,344 Performance Year 2018, $4,680,146 Performance Year 2017, $4,615,423 Performance Year 2016, N/A |
Performance Year 2015, N/A
Performance Year 2014, N/A Performance Year 2013, N/A |
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Shared Savings Distribution
| Second Agreement Period | First Agreement Period |
| Performance Year 2021
Proportion invested in infrastructure: 10% Performance Year 2020 Proportion invested in infrastructure: 10% Performance Year 2019 Proportion invested in infrastructure: 10% Performance Year 2018 Proportion invested in infrastructure: 10% Performance Year 2017 Performance Year 2016 |
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 Performance Year 2013 Proportion invested in infrastructure: N/A Proportion invested in redesigned care processes/resources: N/A Proportion of distribution to ACO participants: N/A |
Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
PAYMENT RULE WAIVERS
Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
WAIVER FOR PAYMENT OF TELEHEALTH SERVICES
Our ACO uses the Waiver for Payment for Telehealth Services, pursuant to 42 CFR § 425.612(f) and 42 CFR § 425.613.
QUALITY PERFORMANCE RESULTS
Click here to view 2021 Quality Report PDF
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
Shared Savings Program Accountable Care Organizations Performance Results 2013 – 2021
- For Quality Performance Results please visit: https://data.cms.gov/medicare-shared-savings-program/performance-year-financial-and-quality-results/data
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For more information on how to interpret scores on the above quality performance measures, see
https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/downloads/MSSP-QM-Benchmarks.pdf