Physician First ACO


ACO Name and Location
Physician First ACO, LLC
1555 Saxon Blvd
Deltona, FL 32725

ACO Primary Contact

Bishnu Verma MD
PhysicianFirstAco@Gmail.com
386-860-2600

Organizational information

ACO Participants

Advanced Family Care, INC.
Advanced Medical Care, LLC
Allergy Diagnostics Of Central Fl
Andrew J Randolph PA
Anthony P. Joseph, M.D., P.A.
Aravind N Pillai, Md
Atlantic Ear Nose & Throat PA
Bishnu P. Verma Md, PA
Cardiovascular Specialists PA
Carlos L Dominguez Md PA
Central Florida Heart Associates PA
Central Florida Medical Associates, INC
Florida Kidney And Hypertension Specialists PA
Florida Neurology PA
Gastroenterology Of Greater Orlando, P.A
George T Besong Md Ob/Gyn LLC
Hina Azmat, M.D. , P.A.
Howard J Sakowitz Md PA
Jacob K. Agamasu , M.D., P.A.
Madhavi Up PAla PAti, Md, P.A.
Michael P. Desouza, M.D., P. A.
Mid Florida Radiology Centers, P.A.
Mid-Florida Hematology & Oncology Corp
Mid-Florida Kidney And Hypertension Care, Pl
Midland Florida Infectious Diseases Specialists Pl
Mohan L. Sharma M.D., P.A.
Neurology Center Of Florida LLC
Nguyen Vu Md PA
North Orlando Surgical Group, INC
Potenciano Gonzales PA
Pothen Koruth M.D., LLC
Pradeep Mathur Md, PA
Pulmonary Practice Associates, M.D., P.A.
Radiation Onclology Consultants PA
Samuel M.Edwards, Md PA
Sanford Medical Group, P.A.
Saxon Internal Medicine, P.A.
Sunstate Medical Associates, P.A.
Uday Chauhan PA
Vinny M Varghese Md, PA
West Volusia Family And Sports Medicine, INC.


ACO participants in joint ventures between ACO professionals and hospitals:
No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

Bishnu Verma MD, Board Member and CEO , Bishnu P. Verma MD PA
Ajay Verma MD, Board Member and COO, Mid Florida Radiology Centers PA
Ram Amilineni MD, Board Member, Pradeep Mathur MD, PA
Samuel Edwards MD, Board Member, Samuel M.Edwards, MD PA
Syed Khurshid MD, Board Member, Saxon Internal Medicine, PA
John Cormier, Board Member, Medicare beneficiary representative
Mohan Sharma MD, Board Member, Mohan L. Sharma M.D., PA.
Aravind Pillai MD, Board Member, Aravind N Pillai MD
Ratan Ahuja MD, CMO, Consultant


Key ACO clinical and administrative leadership
ACO Executive: Bishnu Verma MD
Medical Director: Bishnu Verma MD


Associated committees and committee leadership:

CEO: Bishnu Verma MD
CFO: Anita Verma
Legal Counsel Consultant: Dina McKenna,Esq.
COO: Ajay Verma MD
CMO: Ratan Ahuja MD
Compliance: Brianna Edwards
CIO: Rajesh Verma
Care Coordination: Ram Amilineni MD, Syed Khurshid MD, Vinny Varghese MD
QA/QI: Samuel Edwards MD


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

This is a partnership of independent physician groups in Central Florida



Shared Savings and Losses


Amount of Shared Savings/Losses Aggregate Amount of Shared Savings/Losses

    Performance Year 1:  not in operations
    Performance Year 2014:  $0

How Shared Savings Are Distributed
Managment company 30%
Distribution to ACO Participants:  70%
   Primary Care Professionals:  35%
   Specialists: 21%
   Incentive 14%




Quality Performance Results Table
Measure
Number
Performance
Measure
2012 Period
2013 Period
2014 Period
ACO
Performance Rate
Mean performance
rate for all ACOs
ACO
Performance Rate
Mean performance
rate for all ACOs
ACO
Performance Rate
Mean performance
rate for all ACOs
ACO #1 Getting Timely Care, Appointments, and Information Not in operations Not in operations Not in operations Not in operations 80.55 80.13
ACO #2 How Well Your Doctors Communicate Not in operations Not in operations Not in operations Not in operations 92.13 92.39
ACO #3 Patients’ Rating of Doctor Not in operations Not in operations Not in operations Not in operations 89.60 91.58
ACO #4 Access to Specialists Not in operations Not in operations Not in operations Not in operations 83.08 83.97
ACO #5 Health Promotion and Education Not in operations Not in operations Not in operations Not in operations 58.11 58.29
ACO #6 Shared Decision Making Not in operations Not in operations Not in operations Not in operations 74.04 74.60
ACO #7 Health Status/Functional Status Not in operations Not in operations Not in operations Not in operations 66.40 71.10
ACO #8 Risk Standardized, All Condition Readmissions Not in operations Not in operations Not in operations Not in operations 15.28 15.15
ACO #9 ASC Admissions: COPD or Asthma in Older Adults Not in operations Not in operations Not in operations Not in operations 1.32 1.08
ACO #10 ASC Admission: Heart Failure Not in operations Not in operations Not in operations Not in operations 1.84 1.19
ACO #11 Percent of PCPs who Qualified for EHR Incentive Payment Not in operations Not in operations Not in operations Not in operations 83.33% 76.71
ACO #12 Medication Reconciliation Not in operations Not in operations Not in operations Not in operations 99.53% 82.61
ACO #13 Falls: Screening for Fall Risk Not in operations Not in operations Not in operations Not in operations 44.98% 45.60
ACO #14 Influenza Immunization Not in operations Not in operations Not in operations Not in operations 25.59% 57.51
ACO #15 Pneumococcal Vaccination Not in operations Not in operations Not in operations Not in operations 21.57% 55.03
ACO #16 Adult Weight Screening and Follow-up Not in operations Not in operations Not in operations Not in operations 72.94% 66.75
ACO #17 Tobacco Use Assessment and Cessation Intervention Not in operations Not in operations Not in operations Not in operations 82.21% 86.79
ACO #18 Depression Screening Not in operations Not in operations Not in operations Not in operations 23.06% 39.27
ACO #19 Colorectal Cancer Screening Not in operations Not in operations Not in operations Not in operations 35.29% 56.14
ACO #20 Mammography Screening Not in operations Not in operations Not in operations Not in operations 59.63% 61.41
ACO #21 Proportion of Adults who had blood pressure screened in past 2 years Not in operations Not in operations Not in operations Not in operations 69.58% 60.24
ACO #22 Hemoglobin A1c Control (HbA1c) (<8 percent) Not in operations Not in operations Not in operations Not in operations 64.31% N/A
ACO #23 Low Density Lipoprotein (LDL) (< 100 mg/dL) Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #24 Blood Pressure (BP) < 140/90 Not in operations Not in operations Not in operations Not in operations 71.55% N/A
ACO #25 Tobacco Non Use Not in operations Not in operations Not in operations Not in operations 77.92% N/A
ACO #26 Aspirin Use
Not in operations Not in operations Not in operations Not in operations 74.38% N/A
ACO #27 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) Not in operations Not in operations Not in operations Not in operations 25.65% 20.35
ACO #28 Percent of beneficiaries with hypertension whose BP < 140/90 Not in operations Not in operations Not in operations Not in operations 73.99% 68.02
ACO #29 Percent of beneficiaries with IVD with complete lipid profile and LDL control <100mg/dl Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #30 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic Not in operations Not in operations Not in operations Not in operations 75.24% 80.79
ACO #31 Beta-Blocker Therapy for LVSD Not in operations Not in operations Not in operations Not in operations 60.38% 82.71
ACO #32 Drug Therapy for Lowering LDL Cholesterol Not in operations Not in operations Not in operations Not in operations N/A N/A
ACO #33 ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD Not in operations Not in operations Not in operations Not in operations 62.45% N/A