ACO Public Reporting Information

ACO Name and Location
EPC ACO, LLC
8911 N. Capital of Texas Hwy, Bldg 1, #1110,
Austin, TX 78759

ACO Primary Contact
Jennifer Marcus, ACO Executive
(737)-226-6706
jennifer.marcus@curanahealth.com

Organizational Information

ACO participants:

Participant
ACO Participant in Joint Venture (Enter Y or N)
Barnes Health LLC
N
California PHS PC
N
CH MSSP Services AL LLC
N
CH MSSP Services CO LLC
N
CH MSSP Services MS LLC
N
CH MSSP Services MI PLLC
N
CRM Physicians LLC
N
Curana Health of Arizona
N
Curana Health of Illinois PC
N
Curana Health of Pennsylvania PC
N
Curana Health of Wisconsin INC
N
Curana Health of California, PC
N
Curana Health of Maryland, LLC
N
Curana Health of North Carolina, PLLC
N
Curana Health of Ohio LLC
N
Elite Patient Care Iowa PLLC
N
Elite Patient Care LLC
N
Elite Patient Care Louisiana LLC
N
Elite Patient Care New Mexico LLC
N
Elite Patient Care of Minnesota PLLC
N
Elite Patient Care of South Carolina PC
N
Elite Patient Care of Tennessee PLLC
N
Elite Patient Care PLLC
N
Florida PHS LLC
N
Georgia PHS LLC
N
Geriatric Primary Care PC
N
Joy E Cuezze MD LLC
N
Legacy Primary Care PLLC
N
Marquis Clinical Services LLC
N
Meridian Health Partners PLLC
N
PMG Inpatient Services LLC
N
Post Acute Care Clinicians LLC
N
Preferred Physician Services of Ohio LLC
N
Progressive Care Medical Group of CT, PLLC
N
Progressive Care Medical Group of FL, LLC
N
Progressive Care Medical Group of MD, LLC
N
Progressive Care Medical Group of MI, PLLC
N
Progressive Care Medical Group of NJ, LLC
N
Progressive Care Medical Group of TN PLLC
N
Progressive Care Medical Group PLLC
N
Progressive Care Medical Group of PA, LLC
N
Redwood Health Partners LLC
N
Requeijo-Gamboa EPC PLLC
N
SE Virginia Valued Based Care LLC
N
Sunshine Health Partners LLC
N
Trumen Physicians and Associates PLLC
N
Vesper Medical Care PLLC
N
Virginia Care Coordination Services LLC
N

ACO Governing Body

Member Last NameMember First NameMember Title/PositionMember's Voting Power: expressed as a percentage or numberMembership TypeACO Participant Legal Business Name/DBA if Applicable
AumockNateChairperson25.00%ACO Participant RepresentativeElite Patient Care, PLLC; Joy Cuezze, MD, LLC; Elite Patient Care Iowa, LLC; Elite Patient Care New Mexico, LLC; Elite Patient Care Louisiana, LLC
RequeijoPaulaMedical Director15.00%ACO Participant RepresentativeElite Patient Care, PLLC; Joy Cuezze, MD, LLC; Elite Patient Care Iowa, LLC; Elite Patient Care New Mexico, LLC; Elite Patient Care Louisiana, LLC
HermanChrisVoting Member15.00%ACO Participant RepresentativeCurana Health of North Carolina, PLLC
YoungAmy Voting Member15.00%ACO Participant RepresentativeElite Patient Care of South Carolina PC
CobbJudyFee-for Service Beneficiary15.00%Medicare Beneficiary RepresentativeN/A
EmeryMichaelVice-Chair Person15.00%ACO Participant RepresentativeElite Patient Care, PLLC; Joy Cuezze, MD, LLC; Elite Patient Care Iowa, LLC; Elite Patient Care New Mexico, LLC; Elite Patient Care Louisiana, LLC

Key ACO Clinical and Administrative Leadership

EPC ACO, LLC

PositionName
ACO ExecutiveJennifer Marcus
Medical DirectorDr. Paula Requeijo
Compliance Officer Valorie Bouyer
Quality Assurance/Improvement OfficerJayne MacDonald
ChairpersonNate Aumock
Vice ChairpersonMichael Emery
TreasurerLily Huang
SecretaryRiley Page
Director of ACO OperationsJennifer Marcus

Associated Committees and Committee Leadership
Compliance: Valorie Bouyer, Compliance Officer

Quality: Jayne MacDonald, Director of Quality

 


Types of ACO Participants, or Combination 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 2023, $47,083,434

First Agreement Period

  • Performance Year 2022, $8,259,619

Shared Savings Distribution:

Second Agreement Period

Performance Year 2023

  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes/resources: 55%
  • Proportion of distribution to ACO participants: 35%

First Agreement Period

Performance Year 2022

  • Proportion invested in infrastructure: 12%
  • Proportion invested in redesigned care processes/resources: 60%
  • Proportion of distribution to ACO participants: 28%

QUALITY PERFORMANCE RESULTS

2023 Quality Performance Results

Quality performance results are based on MIPS CQM

Measure #Measure NameCollection TypeRateACO Mean
Measure#: 001Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]MIPS CQM34.9935.18
Measure #: 134Preventative Care and Screening: Screening for Depression and Follow-up PlanMIPS CQM39.3543.70
Measure#: 236Controlling High Blood PressureMIPS CQM74.3669.63
Measure#: 321CAHPS for MIPS SurveyCAHPS2.786.25
CAHPS-1Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey76.9383.68
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey87.1493.69
CAHPS-3Patient's Rating of ProviderCAHPS for MIPS Survey84.1192.14
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey66.9375.97
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey60.7563.93
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey59.0461.60
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey58.6374.12
CAHPS-8Care CoordinationCAHPS for MIPS Survey76.7985.77
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey86.8992.31
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey24.7926.69
Measure#: 484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]Administrative Claims---35.39
Measure#: 479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]Administrative Claims0.15740.1553

[1] A lower performance rate corresponds to higher quality.

 

2021 & 2022 Quality Performance Results:

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

COMPLIANCE HOTLINE

Compliance Hotline

Navex (3rd Party Vendor):  1-844-317-9059

https://secure.ethicspoint.com/domain/media/en/gui/41094/index.html

 

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.