Public Reporting

ACO Name and Location

American Health Alliance, LLC
2654 SW 32nd Place
Ocala, Florida 34471

ACO Primary Contact

Dr. Jay Panchal
813-920-2360
DrJayPanchal1@gmail.com

Organizational Information

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Nina M. Hare D.O., PA Y
Bhavani Ketheeswaran, MD N
Mid-Florida Medical Group, PA Y
Wisdo Family Medicine James John Wisdo, PA Y
Luna Beck Md And Associates, PA Y
Ocala Family Care, PA Y
Ocala Internal Medicine Associates, PA Y
American Family Medical, LLC Y
Benakanahalli, MD, PA Y
Quick Primary Care, PA Y
Nikhill K, Shah, MD Y
Breen Health, LLC Y
L.A. Oliverio, M.D. Enterprises, Inc Y
Jayanti Professional Corporation Y
Countryside Medical, PA Y
Cornerstone Medical Care of Brandon, PL Y
Lake Point Medical Associates Y
Renuka Swaminathan, MD, PA Y
Diana J. Graves, D.O., LLC Y
Advance Primary Care, LLC Y

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
Panchal Jay Voting Member and  Chair Y ACO provider/ supplier Jayanti Professional Corp
Lee Kenneth Voting Member and  Chair Y ACO provider/ supplier Countryside Medical
Jagular Thumati Voting Member and  Chair Y ACO provider/ supplier Mid FL Medical Group
Shah Nikhil Voting Member and  Chair Y ACO provider/ supplier N Shah MD
Gummadi Siva Voting Member and  Chair Y ACO provider/ supplier Cardiovascular Institue of Central Florida
Oliver David Voting Member and  Chair Y ACO provider/ supplier American Family Medical
Patel Narandrakumar Voting Member and  Chair Y ACO provider/ supplier Ocala Internal Medicine Associates, PA
Patel Rajnikant Voting Member and Chair Y ACO provider/ supplier Quick Primary Care
Reddy Srinivas Voting Member and Chair Y ACO provider/ supplier Quick Primary Care
Beck Luna Voting Member and Chair Y ACO provider/ supplier Luna Beck and Associates
Meretsky Morton L. Voting Member Y   Medicare Beneficiary Representative

Key ACO clinical and administrative leadership

NameCommittee
Jayanti PanchalACO Executive
Kenneth LeeMedical Director
Neha ShahCompliance Officer
Kenneth LeeQuality Assurance/Improvement Officer

Associated committees and committee leadership

Committee NameCommittee Leader Name and Position
Quality Assurance and Improvement Committee Kenneth Lee, ACO Chief Medical Officer and Chair
Compliance Committee Neha Shah
Operations and Finance Committee Dr. Siva Gummadi, Chair
Provider Network Development Committee Dr. Nikhil Shah, Chair

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

  1. ACO professionals in a group practice arrangement
  2. Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

    Second Agreement Period
  • Performance Year 2017, $4,568,348
  • Performance Year 2016, $1,655,958
    First Agreement Period
  • Performance Year 2015, $2,550,532
  • Performance Year 2014, $1,906,648
  • Performance Year 2013, $0

Shared Savings Distribution

    Second Agreement Period
  • Performance Year 2017
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2016
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
    First Agreement Period
  • Performance Year 2015
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2014
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2013
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2017 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 82.68 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.57 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 91.43 92.31
ACO-4 CAHPS: Access to Specialists 85.06 83.32
ACO-5 CAHPS: Health Promotion and Education 65.33 62.30
ACO-6 CAHPS: Shared Decision Making 74.86 75.85
ACO-7 CAHPS: Health Status/Functional Status 75.60 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.90 25.68
ACO-8 Risk Standardized, All Condition Readmission 14.94 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 17.94 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 67.31 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.97 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.58 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 100.00 75.32
ACO-13 Falls: Screening for Future Fall Risk 93.73 74.38
ACO-44 Imaging Studies for Low Back Pain 40.00 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 87.27 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 78.86 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 98.67 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99.67 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 84.21 61.98
ACO-19 Colorectal Cancer Screening 80.13 64.58
ACO-20 Breast Cancer Screening 80.67 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 83.16 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 7.74 16.74
ACO-41 Diabetes: Eye Exam 76.09 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 81.69 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 90.12 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

Note: In the Quality Performance Results file(s) above, search for “American Health Alliance, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A42284 in the public use files on data.cms.gov.

Payment Rule Waivers

    Yes, our ACO uses the SNF 3-Day Rule Waiver.