ACO Name and Location

Doctors Accountable Care Organization, LLC (DACO)
2005 Prince Avenue Athens, GA 30606
Phone: 706.963.1722
Fax: 706.208.0878
Email:This email address is being protected from spambots. You need JavaScript enabled to view it.

ACO Primary Contact

Amy Thompson
This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: 678.231.8056

Organizational Information

ACO Participants

ANIL H. JHANGIANI M.D., LLC

ARTHRITIS & RHEUMATOLOGY CENTER, PC

ATHENS FAMILY MEDICINE, INC

ATHENS GASTROENTEROLOGY CENTER,PC

ATHENS HEART CENTER

ATHENS MEDICAL ASSOCIATES, P.C.

ATHENS NEIGHBORHOOD HEALTH CENTER

ATLANTA MEDICAL AND AESTHETIC CENTER

ATLANTA PRIME MED

BEAVERCREEK FAMILY CARE ASSOCIATES, LTD.

BEENA PATEL, MD, PC

CENTER FOR FAMILY MEDICINE, LLC

CLEM KIRKLAND, M.D., INC.

DANIELSVILLE FAMILY PRACTICE

DAYTON INTERNAL MEDICINE CLINIC, INC.

EAST METRO INTERNAL MEDICINE

FAMILY FIRST HEALTHCARE OF N.E. GEORGIA

FAMILY PHYSICIANS, P.A.

FRANK J DIPALMA DPM LTD

GEORGE CLELAND

GEORGIA CLINIC, P.C.

GWINNETT DIGESTIVE CLINIC

HEALTH ASSOCIATES OF GEORGIA, INC.

KIDNEY CLINIC OF ATHENS

MADISON FAMILY MEDICINE, LLP

MADISON MEDICAL ASSOCIATES, P.C

MAGNOLIA MEDICAL CLINIC

MANAN I. SHAH, MD, PC

MIGUEL E. COSSIO, MD PC

MOUND FAMILY PRACTICE ASSOCIATES, INC.

N. AGRAWAL, M.D., PC.

NEW HORIZONS FAMILY CLINIC

NORTH GEORGIA CARDIOLOGY, P.C.

NORTH GA DIGESTIVE DISEASE CONSULTANTS, LLC

NORTH GA NEPHROLOGY CONSULTANTS

OZA & OZA MDS INC

PANKAJ KUMAR, M.D., LLC

PRINCE AVENUE PRIMARY CARE, L.L.C.

PROGRESSIVE INTERNAL MEDICINE, INC.

R.V. DRONAVALLI, M.D., P.C.

RAJEEV MEHTA, M.D., INC.

ROCKDALE NEWTON HEM/ONC

ROHIT DESAI

RONALD KAHN

SARAH V. MCBEE, M.D., P.C.

SUSAN LEIGH JONES MD LLC

WALTON PULMONARY & SLEEP MEDICINE

ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

 

ACO Governing Body

Member Last Name

Member First Name

Member Title/Position

Voting Members

ACO Participant Business Name

Agrawal

Subodh

Chairman/President

Voting Members

Athens Heart Center

Haver

Paul

Vice Chairman/Chief Medical Officer

Voting Members

Athens Family Medicine, Inc

Shah

Manan

Treasurer/Compliance Officer

Voting Members

MANAN I. SHAH, MD, PC

Deasi

Rohit

Secretary/Executive Committee Chairman

Voting Members

Rohit Desai

Butt

Zaigham

Compliance/Performance/Quality/ Credentialing/ Review Committee Chairman

Voting Members

ATHENS MEDICAL ASSOCIATES, P.C.

Gay

Doy

Patient Engagement and Education Committee Chairman

Voting Members

Family Physicians, P.A.

Parikh

Naresh

Health Analytics Committee Chairman

Voting Members

GEORGIA CLINIC, P.C.

Bansal

Rajendra

Finance Committee Chairman

Voting Members

Committee Chairman

Beacham

Ronald

Medicare Beneficiary

Voting Members

Community Stockholder

Key ACO Clinical and Administrative Leadership, Associated Committees and Committee Leadership

Types of ACO Participants that Formed the ACO

Doctors ACO is comprised of the following participants:

  • Networks of individual practices of ACO professionals
  • Federally Qualified Health Center (FQHC)

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Agreement period beginning 2015, Performance Year 2015:  $0
  • Agreement period beginning 2016, Performance Year 2016:  TBD

Shared Savings Distribution

Agreement period beginning 2016, Performance Year 2016:

  • Proportion invested in infrastructure: 15%
  • Proportion invested in redesigned care processes/resources: 15%
  • Proportion of distribution to ACO Participants: 70%


The PCP Profit Pool shall be split according to the following formula

  • 40% based on the number of assigned Medicare Beneficiaries
  • 40% based on savings performance
  • 20% equally

 

Payment Rule Waiver

No, our ACO does not use the SNF 3-Day Waiver Rule.

Quality Performance Results

2015 Quality Performance Results Table

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

REQUIRED PUBLIC DISCLOSURE FOR THE ACO PARTICIPATION WAIVER

Doctors ACO, LLC is a Medicare Shared Savings Program ACO. The Secretary of the Department of Health and Human Services has provided four waivers of federal fraud and abuse laws in connection with the Medicare Shared Savings Program. The Doctors ACO, LLC Board of Directors has made a bona fide determination that an arrangement with Quest Diagnostics Incorporated as described below is reasonably related to the purpose of the Medicare Shared Savings Program, and has authorized such arrangement. The collaboration is related to the purposes of the Medicare Shared Savings Program because it promotes accountability for the quality, cost and overall care for a Medicare population by managing and coordinating care for Medicare beneficiaries, and encouraging investment in infrastructure and redesigned care processes for high quality and efficient service delivery for Medicare beneficiaries. Specifically, Doctors ACO, LLC is seeking ACO Participation Waiver protection for its arrangement with Quest Diagnostics Incorporated for a grant to:

  • Promote evidence-based medicine and patient engagement
  • Meet the requirements for reporting quality and cost measures coordinating care
  • Establish clinical and administrative systems
  • Meet the clinical integration requirements of the Medicare Shared Savings Program
  • Evaluate the health needs of the ACO’s aligned population
  • Communicate clinical knowledge and evidence based medicine to Medicare beneficiaries
  • Develop standards for beneficiary access and communication, including beneficiary access to medical records

For general questions or additional information about Accountable Care Organizations, please visit www.Medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

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