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
DrPanchal1@hotmail.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 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
Anita Patel, MD, PA Y
Curewell Medical Center Y
Dr. PJM Reddy 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, Executive Committee, and President Y ACO provider/ supplier Jayanti Professional Corporation
Lee Kenneth Voting Member and Executive member Y ACO provider/ supplier Countryside Medical PA
Shah Nikhil Voting Member Y ACO provider/ supplier Nikhil Shah
Gummadi Siva Voting Member Y ACO provider/ supplier Cardiovascular Institue of Central Florida
Oliver David Voting Member and Executive Committee Y ACO provider/ supplier American Family Medical, LLC
Patel Narandrakumar Voting Member Y ACO provider/ supplier Ocala Internal Medicine Associates, PA
Patel Rajnikant Voting Member Y ACO provider/ supplier Quick Primary Care, PA
Reddy Srinivas Voting Member Y ACO provider/ supplier Lake Point Medical Associates Inc
Beck Luna Voting Member Y ACO provider/ supplier Luna Beck MD and Associates PA
Maxom Linda Voting Member Y Medicare ACO Beneficiary Representative

Key ACO clinical and administrative leadership

NameCommittee
Dr. Jayanti PanchalACO Executive
Dr. Jayanti PanchalMedical Director
SZ KabirCompliance Officer
Dr. Kenneth LeeQuality Officer

Associated committees and committee leadership

Committee NameCommittee Leader Name and Position
Quality Assurance and Improvement Committee Dr. Kenneth Lee, Chair
Compliance Committee SZ Kabir
Operations and Finance Committee Dr. Jayanti Panchal
Provider Network Development Committee Dr. David Oliver (chair), Dr. S Reddy (member)

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

  1. ACO participants are all physicians and physicians groups

Shared Savings and Losses

Amount of Shared Savings/Losses

    Third Agreement Period
  • Performance Year 2022, $2,794,575
  • Performance Year 2021, $4,595,829
  • Performance Year 2020, $7,152,783
  • 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 2022
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2021
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • Performance Year 2020
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 70%
  • 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

2022 Quality Performance Results

Measure #  Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 9.03 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 91.44 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 83.09 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk  CMS Web Interface 95.50 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 80.72 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 100.00 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 93.58 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 90.65 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 79.42 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 10.00 16.03
Quality ID# 321 CAHPS for MIPS CMS Web Interface N/A N/A
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1619 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 26.35 30.97

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

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.