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
[email protected]
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 | Jennifer Marcus |
| 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 | Riley Page |
| 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
| Measure # | 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 Survey | CAHPS | 2.78 | 6.25 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 76.93 | 83.68 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 87.14 | 93.69 |
| CAHPS-3 | Patient's Rating of Provider | CAHPS for MIPS Survey | 84.11 | 92.14 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 66.93 | 75.97 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 60.75 | 63.93 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 59.04 | 61.60 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 58.63 | 74.12 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 76.79 | 85.77 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 86.89 | 92.31 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 24.79 | 26.69 |
| Measure#: 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | Administrative Claims | --- | 35.39 |
| Measure#: 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] | Administrative Claims | 0.1574 | 0.1553 |
[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.
- Below are the arrangements for which EPC ACO seeks protection under the ACO Participation Waiver:
- The EPC ACO Board of Directors (BOD) on November 7, 2024, approved an arrangement where EPC ACO would extend an implementation payment to certain participating providers to support the costs associated with joining our ACO. These costs could include but are not limited to IT, data exchange setup, and policy and procedure development and implementation. This type of arrangement has been extended to SE Virgina Value Based Care, LLC and Geriatric Primary Care, PC. This arrangement increases the ability for receiving participant providers to invest in infrastructure and care processes that enable them to participate in our ACO where we collectively take accountability for the quality and cost for attributed patients.
- On August 28, 2025, the EPC ACO BOD approved the use of three-party care coordination services agreements between EPC ACO, a Participating Provider and a facility partner where a facility partner may earn the opportunity to receive a portion of shared savings for attributed beneficiaries in their building if they complete specified care coordination activities. This type of arrangement has been extended to CRM Physicians LLC. This is reasonably related to the Purposes of MSSP because, without limitation, this coordination results in higher quality and lower costs due to the greater clarity and better alignment between the different parties’ expectations and obligations with respect to care coordination activities.