ACO Name and Location
CareMax Accountable Care Network, LLC
40 Burton Hills Blvd
Suite 370
Nashville, TN 37215
ACO Primary Contact
Primary Contact Name: Kristin Shaw, MPH, Director of Medicare ACO
Primary Contact Phone: 855-333-2070
Primary Contact Email: MSSPRevereACO@reveremedical.com
Organizational Information
ACO Participants
ACO Participants
ACO Participant in Joint Venture
BREVARD FAMILY WALK IN CLINIC LLC
N
BREVARD HEALTH CARE LLC
N
DOCTORS JAMES AND KELLY HOYE PARTNERS IN FAMILY CARE
N
DONNA L BACON PA
N
DR CRAIG S GUSTAFSOON LLC
N
FAMILY HEALTH CENTER AT PORT ST JOHN LLC
N
Family Practice of Suntree and Viera, PA
N
FELIX ANTHONY SOSA MD PA
N
FIRST PHYSICIANS PLLC
N
HERITAGE TECHNOLOGIES LLC
N
I&B Medical Associates, PLLC
N
Jai Ho LLC
N
KALPANA GORTHI MD PLLC
N
LAKEVILLE FAMILY MEDICINE PC
N
MEDICAL ASSOCIATES OF WARREN INC
N
MHM MEDICAL GROUP, PLLC
N
MICHAEL VENAZIO
N
PERMIAN PREMIER HEALTH SERVICES INC
N
PHOENICIAN MEDICAL CENTER INC
N
PHYSICIAN GROUP OF ARIZONA INC
N
PHYSICIAN GROUP OF ARKANSAS, INC.
N
PHYSICIAN GROUP OF LOUISIANA INC
N
QUALITY HEALTH CARE INC OF FLORIDA
N
RIGHT MEDICAL CARE
N
RIVERTON FAMILY HEALTH CENTER LLC
N
SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC
N
SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC
N
SPACECOAST INTERNAL MEDICINE AND GERITRIC CORP
N
STEWARD MEDICAL GROUP INC
N
SUSAN C FAIR DO PA
N
TRINITY FAMILY MEDICINE
N
VS PRIMO HEALTH CARE P A
N
ACO Governing Body
Member First Name
Member Last Name
Member Title/Position
Member’s Voting Power (Expressed as a percentage or number)
Membership Type
ACO Participant Legal Business Name and D/B/A, if applicable
Kelly
Hoye
Provider Manager
18.75%
ACO Participant Representative
Doctors James and Kelly Hoye
Partners in Family Care
Partners in Family Care
Brett
Stecker
Provider Manager
18.75%
ACO Participant Representative
Steward Medical Group, Inc.
Richard
Dinsdale
Provider Manager
18.75%
ACO Participant Representative
Steward Medical Group, Inc.
Nico
Tsanotelis
Provider Manager
18.75%
ACO Participant Representative
Steward Medical Group, Inc.
Benson
Sloan
Provider Manager
5%
Other
N/A
Mark
Jansen
Member Manager
5%
Other
N/A
Tommy
Jansen
Member Manager
5%
Other
N/A
Joseph
Weinstein
Member Manager
5%
Other
N/A
Andrew
Herman
Member Manager
5%
Other
N/A
Sister Marie
Puleo
Beneficiary Manager
0%
Medicare Beneficiary Representative
N/A
Key ACO Clinical and Administrative Leadership
ACO Executive: Dr. Joseph Weinstein
Medical Director: Dr. Joseph Weinstein
Compliance Officer: Melissa Andrews
Quality Assurance/Improvement Officer: Virgina Rego
Associated Committees and Committee Leadership
Committee Name
Committee Leader Name and Position
Revere Medicare ACO Compliance Committee
Kimberly Anderson, Director of Compliance
Types of ACO Participants, or Combinations of Participants, That Formed the ACO
- Federally Qualified Health Center (FQHC)
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Networks of Individual Practices
Types of ACO Participants, or Combinations of Participants, That Formed the ACO
Amount of Shared Savings/Losses:
- Second Agreement Period
- Performance Year 2024, TBD
- Performance Year 2023, $1,410,201
- Performance Year 2022, $2,052,444
Shared Savings Distributions:
- Second Agreement Period
- Performance year 2024
- Proportion invested in infrastructure: TBD
- Proportion invested in redesigned care processes/resources: TBD
- Proportion of distribution to ACO participants: TBD
- Performance Year 2023, $1,410,201
- Proportion invested in infrastructure: 25%
- Proportion invested in redesigned care processes/resources: 25%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2022, $2,052,444
- Proportion invested in infrastructure: TBD
- Proportion invested in redesigned care processes/resources: TBD
- Proportion of distribution to ACO participants: TBD
- Performance year 2024
Quality Performance Results
2023 Quality Performance Results:
Quality performance results are based on the eCQMs/MIPS CQMs” Measure Set collection type.
Measure #
Measure Name
Collection Type
Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOs)
Quality ID#: 001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]
MIPS CQM
32.97
35.18
Quality ID#: 134
Preventive Care and Screening: Screening for Depression and Follow-up Plan
MIPS CQM
41.99
43.70
Quality ID#: 236
Controlling High Blood Pressure
MIPS CQM
66.73
69.63
Quality ID#: 321
CAHPS for MIPS [2]
CAHPS
5.17
6.25
Measure #479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinical Groups [1]
Administrative Claims
0.1509
0.1553
Measure #484
Clinical and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]
Administrative Claims
----
35.59
CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS
85.28
83.68
CAHPS-2
How Well Providers Communicate
CAHPS
91.57
93.69
CAHPS-3
Patient’s Rating of Provider
CAHPS
90.82
92.14
CAHPS-4
Access to Specialists
CAHPS
77.49
75.97
CAHPS-5
Health Promotion and Education
CAHPS
60.08
63.93
CAHPS-6
Shared Decision Making
CAHPS
61.32
61.60
CAHPS-7
Health Status and Functional Status
CAHPS
76.89
74.12
CAHPS-8
Care Coordination
CAHPS
85.82
85.77
CAHPS-9
Courteous and Helpful Office Staff
CAHPS
91.35
92.31
CAHPS-11
Stewardship of Patient Resources
CAHPS
27.59
26.69
For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov
Member First Name
Member Last Name
Member Title/Position
Membership Type
ACO Participant Legal Business Name and D/B/A, if applicable
Nabil
Aziz
Provider Manager
15%
ACO Participant Representative
Nabil W Aziz MD PA
Paul
Burns
15%
Burns
ACO Participant Representative
Paul Burns
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.
Fraud and Abuse Waivers
- ACO Pre-Participation Waiver:
The following information describes each arrangement for which our ACO seeks
protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement: N/A - ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement: N/A