Public Reporting

ACO Name and Location

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

ACO Primary Contact

Dr. Jay Panchal
352-895-4890
DrJayPanchal1@gmail.com

Organizational Information

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Nina M. Hare D.O.P.A. Y
Mid-Florida Medical Group, PA Y
Wisdo Family Medicine, James John Wisdo, D.O., P.A Y
Luna Beck MD & Associates, PA Y
Ocala Family Care, PA Y
Ocala Internal Medicine Associates, PA Y
American Family Medical, LLC Y
Quick Primary Care, PA Y
Nikhil Shah Y
Life Care Family Practice Y
Douglas County Family Practice, P.C. Y
L.A. Oliverio, MD Enterprises, INC. Y
Jayanti Professional Corporation Y
Countryside Medical, PA Y
Cornerstone Medical Care of Brandon P L Y
Lake Point Medical Associates, INC. Y
Renuka Swaminathan, MD, PA Y
Diana J. Graves, D.O., LLC Y
Citrus Park Medical Care, INC. Y
Douglas Medical Group Y
Sukumaran Ramaswami Y
Wesley Chapel Medical Care Y
West GA Family Medicine, PC 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
Dr. Jayanti PanchalACO Executive
Dr. Jayanti PanchalMedical Director
SZ KabirCompliance Officer
SZ KabirQuality Assurance/Improvement Officer

Associated committees and committee leadership

Committee NameCommittee Leader Name and Position
Quality Assurance and Improvement Committee SZ Kabir
Compliance Committee SZ Kabir
Operations and Finance Committee Dr. Jayanti Panchal
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

    Third Agreement Period
  • Performance Year 2019, $5,072,273
    Second Agreement Period
  • Performance Year 2018, $4,576,946
  • 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

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

    Third Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
    Second Agreement Period
  • Performance Year 2018
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • 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

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

2019 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.51 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 92.74 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 90.4 92.69
ACO-4 CAHPS: Access to Specialists 80.62 81.54
ACO-5 CAHPS: Health Promotion and Education 63.04 60.44
ACO-6 CAHPS: Shared Decision Making 62.99 62.78
ACO-7 CAHPS: Health Status/Functional Status 75.26 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 22.05 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 91.2 92.84
ACO-46 CAHPS: Care Coordination 87.44 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.29 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 49.17 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.82 1.87
ACO-13 Falls: Screening for Future Fall Risk 92.61 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 90.14 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.65 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 79.53 70.4
ACO-19 Colorectal Cancer Screening 90.17 70.76
ACO-20 Breast Cancer Screening 87 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 78.81 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 9.12 13.88
ACO-28 Controlling High Blood Pressure 90.44 75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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 A1702 in the public use files on 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.