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
Marianne Batzler, ACO Executive and Secretary
(443)-685-4223
marianne.batzler@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 Name | Member First Name | Member Title/Position | Member's Voting Power: expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA if Applicable |
|---|---|---|---|---|---|
| Aumock | Nate | Chairperson | 25.00% | ACO Participant Representative | Elite Patient Care, PLLC; Joy Cuezze, MD, LLC; Elite Patient Care Iowa, LLC; Elite Patient Care New Mexico, LLC; Elite Patient Care Louisiana, LLC |
| Requeijo | Paula | Medical Director | 15.00% | ACO Participant Representative | Elite Patient Care, PLLC; Joy Cuezze, MD, LLC; Elite Patient Care Iowa, LLC; Elite Patient Care New Mexico, LLC; Elite Patient Care Louisiana, LLC |
| Herman | Chris | Voting Member | 15.00% | ACO Participant Representative | Curana Health of North Carolina, PLLC |
| Young | Amy | Voting Member | 15.00% | ACO Participant Representative | Elite Patient Care of South Carolina PC |
| Cobb | Judy | Fee-for Service Beneficiary | 15.00% | Medicare Beneficiary Representative | N/A |
| Emery | Michael | Vice-Chair Person | 15.00% | ACO Participant Representative | Elite 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
| Position | Name |
|---|---|
| ACO Executive | Marianne Batzler |
| Medical Director | Dr. Paula Requeijo |
| Compliance Officer | Valorie Bouyer |
| Quality Assurance/Improvement Officer | Jayne MacDonald |
| Chairperson | Nate Aumock |
| Vice Chairperson | Michael Emery |
| Treasurer | Lily Huang |
| Secretary | Marianne Batzler |
| Director of ACO Operations | Jennifer 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
| ure # | Measure Name | Collection Type | Rate | ACO Mean |
|---|---|---|---|---|
| Measure#: 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] | MIPS CQM | 34.99 | 35.18 |
| Measure #: 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | MIPS CQM | 39.35 | 43.70 |
| Measure#: 236 | Controlling High Blood Pressure | MIPS CQM | 74.36 | 69.63 |
| Measure#: 321 | CAHPS for MIPS | CAHPS | 2.78 | 6.25 |
| Measure#: 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | Administrative Claims | 0.1574 | 0.1553 |
| Measure#: 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | Administrative Claims | --- | 35.39 |
[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.