ACO Name and Location

CITRUS ACO
Previous Names: Citrus County ACO, LLC
1990 North Prospect Avenue
Lecanto, FL 34461

ACO Primary Contact

Primary Contact Name	Derek Pauley
Primary Contact Phone Number	(954) 290-8918
Primary Contact Email Address	Derek.pauley@citrusaco.com

 

 

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Delcare, P.A.	N
Tara Connor DO P.A	N
Internal Medicine & Pediatrics Wellness Center	N
Padala Family Practice PLLC	N
Nature Coast Primary Care PLLC	N
Florida Family Health Medical Center, PLLC	N
Joshua A Summers MD PA	N
Pediatric and Internal Medicine Specialists LLC	N
Romulo J Camogliano MD PA	N
Blessilda B. Liu, M.D., P.A.	N
Alexander O. Liu, Jr., M.D., P.A.	N

 

ACO governing body:

Member			Member's Voting Power	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position
St. Martin	Dacelin	Chair	1	ACO Participant	Pediatric and Internal Medicine Specialists LLC
Camogliano	Romulo	Voting Member	1	ACO Participant	Romulo J Camogliano Md P.A
Connor	Tara	Voting Member	1	ACO Participant	Tara Connor DO PA
Savage	Kenneth	Voting Member	1	ACO Participant	Nature Coast Primary Care PLLC
Lembo, Jr	Nicholas	Voting Member	1	Medicare Beneficiary	N/A
Delbakhsh	Fariborz	Voting Member	1	ACO Participant	DELCARE, P.A.
Liu	Alexander	Voting Member	1	ACO Participant	Alexander O. Liu, Jr., M.D., P.A.
Morgenier	Louis	Voting Member	1	ACO Executive	N/A

 

Key ACO clinical and administrative leadership:

Louis Morgenier	ACO Executive, CEO/CFO
Kenneth Savage, DO	Development Director
Romulo Camogliano, MD	Medical Director
Carlene Wilson, MD	Compliance Officer
Derek Pauley	President & CIO
Ginny Williams, RN	Quality Assurance/Improvement Officer

 

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	Ken Savage, MD, Chair, 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 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 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

2021 Quality Performance Results:

Measure #	Measure Name	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control2	4.84	12.46
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	92.40	74.38
236	Controlling High Blood Pressure	84.53	74.87
318	Falls: Screening for Future Fall Risk	96.77	87.03
110	Preventative Care and Screening: Influenza Immunization	92.89	80.52
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	100.00	80.97
113	Colorectal Cancer Screening	87.83	73.63
112	Breast Cancer Screening	83.87	75.11
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	89.98	84.24
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2	0.1570	0.1540
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2	17.64	33.99
CAHPS-1	Getting Timely Care, Appointments, and Information	86.28	84.67
CAHPS-2	How Well Providers Communicate	92.56	93.56
CAHPS-3	Patient’s Rating of Provider	92.24	92.19
CAHPS-4	Access to Specialists	76.67	78.8
CAHPS-5	Health Promotion and Education	67.18	61.61
CAHPS-6	Shared Decision Making	62.93	60.89
CAHPS-7	Health Status and Functional Status	73.29	71.78
CAHPS-8	Care Coordination	85.02	85.66
CAHPS-9	Courteous and Helpful Office Staff	89.09	91.88
CAHPS-11	Stewardship of Patient Resources	25.72	24.71
Measure #	Measure Name	Rate	ACO Mean

Please note, the Quality ID #:370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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

Note: In the Quality Performance Results file(s) above, search for “Citrus County ACO, LLC” or “Citrus ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A2772 in the public use files on data.cms.gov.

Payment Rule Waivers

Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612