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
Arthritis & Joint Center Of Florida LLC N
Azzam Adhal N
Brevard Health Group LLC N
Devoted To Women, P.A. N
Health First Medical Group LLC N
Health First Privia Medical Group, LLC N
Healthpoint Medical Group Of The Emerald Coast, LLC N
Jeffrey T Obrien MD Inc N
Myra Reed MD PA N
Orange Blossom Women’s Group PLLC N
Parveen S. Vahora MD PA N
Pedro Ylisastigui. M.D.P.A. N
Premier Family & Sports Medicine, LLC N
The Family Clinic LLC N
Truwell Health PLLC 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 TIN Legal Business Name/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 Dr Phillips Medical Wellness Center, LLC
Gary Visser Director 10% ACO Participant Representative Premier Med Family and Sports Medicine, LLC
Niral Patel Director 10% ACO Participant Representative Health First Medical Group, 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
Board Chair: Tim Laird
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. Maryam Phillips, 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 2023: $6,978,821
    • Performance Year 2022: $3,863,349

Shared Savings Distribution

  • First Agreement Period
    • 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

2023 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 10.44 9.84
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 78.46 80.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 66.96 77.80
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 93.60 89.42
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 64.13 70.76
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 62.50 79.29
Measure # 113 Colorectal Cancer Screening CMS Web Interface 77.29 77.14
Measure # 112 Breast Cancer Screening CMS Web Interface 83.06 80.36
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 79.58 87.05
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 10.81 16.58
Measure # 321 CAHPS for MIPS CMS Web Interface 6.90 6.25
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1533 0.1553
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 32.35 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.94 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.59 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.53 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 75.64 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 61.87 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 65.48 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.90 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.97 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.53 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 21.95 26.69

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