ACO Name and Location

Privia Quality Network Central Florida, LLC
950 N. Glebe Rd Suite 700
Arlington, VA 22203

ACO Primary Contact

James McCoy
Office: 571-366-8850
Email: James.mccoy@priviahealth.com

Organizational Information

ACO Participants:

Aco Participants Aco Participant In Joint Venture
Azzam Adhal N
Health First Medical Group LLC N
Health First Privia Medical Group, LLC N
Healthpoint Medical Group Of The Emerald Coast, LLC N
Myra Reed MD PA N
Pedro Ylisastigui. M.D.P.A. N
Premier Family & Sports Medicine, LLC N
The Family Clinic LLC N

ACO Governing Body:

Member First Name Member Last Name Member Title/Position *Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if Applicable ACO Participant DBA, if applicable
Jamie Tavarez Director 10% ACO Participant Representative Health First Medical Group, LLC
Mario Ruberte Director 10% ACO Participant Representative Health First Medical Group, LLC
Jayde George Director 10% ACO Participant Representative Health First Medical Group, LLC
David Weldon Director 10% ACO Participant Representative Health First Medical Group, LLC
Maryam Phillips Director 10% ACO Participant Representative Health First Privia Medical Group, LLC Dr Phillips Medical Wellness Center, LLC
Gary Visser Director 10% ACO Participant Representative Health First Privia Medical Group, LLC PremierMed Family & Sports Medicine, LLC
Niral Patel Director 10% ACO Participant Representative Health First Privia Medical Group, LLC Patel Medical Ventures, LLC
Timothy Laird Director 10% ACO Participant Representative Health First Medical Group, LLC
Bartley Bryt Director 10% Other N/A
Jim Strader Director 10% Medicare Beneficiary Representative N/A

* – Due to rounding, the members voting power total may not equal 100%

Key ACO Clinical and Administrative Leadership:

ACO Executive:  James McCoy
Medical Director: Mario Ruberte, MD
Medical Director: Gary Visser, MD
Board Chair: Tim Laird, MD
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: Trina Money

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance, Compliance and Governance Committee Dr. Gary Visser, Chair
Funds Flow Committee Dr. Mario Ruberte, Chair

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

  • ACO professionals in a group practice arrangements
  • Networks of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2024: $12,563,826.03
    • Performance Year 2023: $6,978,821
    • Performance Year 2022: $3,863,349

Shared Savings Distribution

  • First Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 28.7%
      • Proportion invested in redesigned care processes/resources: 4.2%
      • Proportion of distribution to ACO participants: 67.1%
    • Performance Year 2023
      • Proportion invested in infrastructure: 10.1%
      • Proportion invested in redesigned care processes/resources: 9.4%
      • Proportion of distribution to ACO participants: 80.5%
    • Performance Year 2022
      • Proportion invested in infrastructure: 49%
      • Proportion invested in redesigned care processes/resources: 4%
      • Proportion of distribution to ACO participants: 47%

Quality Performance Results

2024 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 9.27 9.44
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 74.80 81.46
Measure # 236 Controlling High Blood Pressure CMS Web Interface 70.07 79.49
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 93.57 88.99
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 61.06 68.60
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 80.00 79.98
Measure # 113 Colorectal Cancer Screening CMS Web Interface 82.03 77.81
Measure # 112 Breast Cancer Screening CMS Web Interface 83.08 80.93
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 68.18 86.50
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 14.89 17.35
Measure # 321 CAHPS for MIPS CMS Web Interface 7.70 6.67
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1445 0.1517
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 32.40 37.00
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 86.52 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 96.23 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 95.05 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 78.40 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 62.52 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 62.57 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 75.32 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 87.44 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 95.20 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 18.86 26.98
  • *For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
  • *For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov