ACO Name and Location

CITRUS ACO
Citrus County ACO, LLC d/b/a Citrus ACO
1990 North Prospect Avenue, Lecanto, FL 34461

ACO Primary Contact

Derek J. Pauley
(954) 290-8918
Derek.pauley@citrusaco.com

 

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Alexander O. Liu, Jr., M.D., P.A.	N
Blessilda B. Liu, M.D., P.A.	N
Delcare, P.A.	N
Internal Medicine & Pediatrics Wellness Center	N
Joshua A Summers MD PA	N
Nature Coast Primary Care PLLC	N
Padala Family Practice PLLC	N
Pediatric and Internal Medicine Specialists LLC	N
Romulo J Camogliano MD PA	N
Tara Connor DO P.A	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
St. Martin	Dacelin	Chairman/ Voting Member	12.5%	ACO Participant Representative	Pediatric And Internal Medicine Specialists, Inc
Louis	Morgenier	Voting Member	12.5%	ACO Executive	N/A
Kenneth	Savage	Voting Member	12.5%	ACO Participant Representative	Nature Coast Primary Care Pllc
Fariborz	Delbakhsh	Voting Member	12.5%	ACO Participant Representative	Delcare, P.A
Tara	Connor	Voting Member	12.5%	ACO Participant Representative	Tara Connor Do Pa
Romulo	Camogliano	Voting Member	12.5%	ACO Participant Representative	Romulo Camogliano Do Pa
Alexander	Liu	Voting Member	12.5%	ACO Participant Representative	Alexander O. Liu, Jr., M.D., P.A.
Nicholas	Lembo, Jr	Voting Member	12.5%	Medicare Beneficiary Representative	N/A

Key ACO clinical and administrative leadership:

ACO Executive: Louis C. Morgenier, III

Medical Director: Romulo Camogliano, MD

Compliance Officer: Carlene Wilson, MD

Quality Assurance/Improvement Officer: Mary “Ginny” Williams, RN

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Executive Committee	Dacelin St Martin, MD, Chair, ACO Participant
Finance Committee	Fariborz Delbakhsh, MD, Chair, ACO Participant
Clinical Programs/IT Committee	Kenneth Savage, DO, ACO Participant

 

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

• Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• Second Agreement Period
  • Performance Year 2022, $9,530,396
  • Performance Year 2021, $11,838,119
  • Performance Year 2020, $11,882,677
  • Performance Year 2019, $13,881,540

• First Agreement Period
  • Performance Year 2019, $13,881,540
  • Performance Year 2018, $7,526,954
  • Performance Year 2017, $5,562,138
  • Performance Year 2016, $3,830,947

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses 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
  • Performance Year 2022
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  
  
  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  
  
  • Performance Year 2020
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  
  
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%


• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2018
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2017
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2016
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 80%

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.

Quality Performance Results

2022 Quality Performance Results:

Measure #	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	6.40	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	90.91	76.97
236	Controlling High Blood Pressure	CMS Web Interface	88.54	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	98.15	87.83
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	90.80	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	95.00	79.27
113	Colorectal Cancer Screening	CMS Web Interface	87.98	75.32
112	Breast Cancer Screening	CMS Web Interface	90.81	78.07
370	Depression Remission at Twelve Months	CMS Web Interface	22.00	16.03
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	90.16	86.37
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.17	0.15
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	19.65	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	81.02	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	92.84	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	90.13	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	71.52	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	60.61	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.32	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.03	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	82.61	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	89.81	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	22.50	25.62

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

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612. 10%
• Waiver for Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

Fraud and Abuse Waivers

None