ACO Name and Location
TC2, LLC
Previous Names: N/A
111 Perimeter Parkway
Macon, GA 31210
ACO Primary Contact
| Primary Contact Name | Dale Boylston |
| Primary Contact Phone Number | (404) 307-1100 |
| Primary Contact Email Address | [email protected] |
Organizational Information
ACO Participants:
| ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
| North Macon Family Healthcare Associates | N |
| MIDDLE GEORGIA PRIMARY CARE, PC | N |
| MUHAMMAD REHAN | N |
| MADALYN N. DAVIDOFF, M.D., LLC | N |
| W. STEVEN WILSON, M.D., P.C. | N |
| HAZLEHURST FAMILY CLINIC LLC | N |
| Cogent Healthcare of Macon, LLC | N |
| Charles Shiver | N |
| PULMONARY ASSOCIATES, LLC | N |
| CENTRAL GEORGIA HEART INSTITUE, LLC | N |
| Miller Family Practice, LLC. | N |
| IDSA, LLC | N |
| DOUGLAS MEDICAL SPECIALIST | N |
| FIRST CHOICE PRIMARY CARE, INC. | N |
| SOUTH HOUSTON INTERNAL MEDICINE | N |
| CRH PHYSICIAN PRACTICES, LLC | N |
| Vidalia Women’s Center, LLC | N |
| MAHENDRA G AMIN MD PC | N |
| WILLIAM WHITE | N |
| HYPERTENSION AND KIDNEY ASSOCIATES OF MIDDLE GEORGIA, LLC | N |
| INTERNAL MEDICINE & GERIATRICS OF HOUSTON, LLC | N |
| DEEPTI BHASIN MD INC | N |
| DAVID KAVTARADZE MD INC | N |
| AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC | N |
| PRIMARY FAMILY MEDICINE L.L.C | N |
| VIDALIA PULMONOLOGY CENTER LLC | N |
| MEDICAL GROUP OF CENTRAL GEORGIA, LLC | N |
| NT CARDIOVASCULAR CENTER, PC | N |
| R T Stanley Health Center LLC | N |
| STEVENS HEALTH SERVICES PC | N |
| PREMIERE NEUROLOGY LLC, PC | N |
| Hutchings Health Care | N |
| GUIDO H. RING, M.D, LLC | N |
| Southeast Regional Cardiac and Vascular Institute, LLC | N |
| Lake Oconee Partners in Healthcare, LLC | N |
| Georgia Hyperbaric And Wound Consulting, Llc | N |
| Burton Medical Group LLC | N |
| ADVANCED NEUROLOGY SPECIALIST, LLC | N |
| PRIME MEDICAL ASSOCIATES, PC | N |
| Central Georgia Rehabilitation | N |
| Houston Primary Care Physicians, LLC | N |
| ORTHOPEDIC SURGEONS OF GEORGIA LLC | N |
| Southern Lung Specialists PC | N |
| The Medical Center of Peach County, Inc | N |
| CARDIAC CONSULTANTS OF CENTRAL GEORGIA | N |
| UNITED MEDICAL SPECIALIST, LLC | N |
| WARNER ROBINS MEDICAL CLINIC, PC | N |
| OCONEE ORTHOPEDICS LLC | N |
| Brown Family Practice, LLC | N |
| Houston Physician Specialists, LLC | N |
| URGENT CARE CENTER OF CENTRAL GEORGIA LLC | N |
| INFECTIOUS DISEASE CLINIC LLC | N |
| Paul Joseph Giles, M.D., LLC | N |
| MIDDLE GEORGIA PULMONARY, LLC | N |
| OCONEE INTERNAL MEDICINE, LLC | N |
| INFECTION SPECIALISTS OF MIDDLE GEORGIA,LLC | N |
| Georgia Neurosurgical Institute, P.C | N |
| WOMEN’S HEALTHCARE OF MIDDLE GEORGIA, INC. | N |
| SURGICAL ASSOCIATES OF WR, PC | N |
| Schuessler, Pope, Kehl, Barnes & Durso | N |
| PHYSICIANS FOR WOMEN, PC | N |
| RICHARD LYNDON SMITH JR MD PC | N |
| W. Wilson Gray Jr., M.D.Phd.P.C. | N |
| Rafael Aguila | N |
| Women’s Specialty Care Pc | N |
| WALLACE STEVE ANDERSON DO PC | N |
| DOUGLAS MEDICAL & SURGICAL GROUP, PC | N |
| Women for Women’s Health, PC | N |
| RADIOLOGY ASSOC OF SOUTH GA, P.C. | N |
| SOUTHEAST REGIONAL PRIMARY CARE CORPORATION | N |
| Drs. Woodall, Wilson & Manley, LLP | N |
| The Medical Center of Central Georgia Inc. | N |
| SAMUEL E. PALMER | N |
| CRISP REGIONAL HOSPITAL INC | N |
| Freddy N. Gaton | N |
| FAMILY MEDICAL ASSOCIATES-CLAXTON, INC. | N |
| DOUGLAS INTERNAL MEDICINE PC | N |
| EAR, NOSE, AND THROAT CLINIC OF COFFEE CO. | N |
| Health Services of Central Georgia | N |
| GAMMA ADULT CARE, P.C. | N |
| Middle Georgia Medical Associates, P.C. | N |
| WARNER ROBINS OB/GYN LLC | N |
| SOUTHERN GASTROENTEROLOGY& HEPATOLOGY CONSULTANTS INC | N |
| Thomaston Medical Clinic, PC | N |
| Jasper Health Services, Inc. | N |
| Mohammad Rahman | N |
| Central Georgia Kidney Specialists, Pc | N |
| ADVANCED MEDICAL ASSOCIATES PC | N |
| COMPREHENSIVE CARE MEDICAL OFFICES, LLC | N |
| HOUSTON PRIMARY CARE INC | N |
| Harry Linkous | N |
| COLLINS CARDIOLOGY | N |
| MIDDLE GEORGIA FAMILY | N |
| SOUTHEASTERN ORTHOPEDICS | N |
| MIDDLE GEORGIA NEUROLOGY, LLC | N |
| COFFEE REGIONAL MEDICAL CENTER INC | N |
| Vineville Internal Medicine, LLC | N |
| BALDWIN MEDICAL CENTER | N |
| COFFEE COUNTY HOSPITALIST PHYSICIANS LLC | N |
| Southern Primary Care, LLC | N |
| GENESIS GASTROENTEROLOGY LLC | N |
ACO Governing Body:
| Member | Member’s Voting Power – Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable | ||
| First Name | Last Name | Title/Position | |||
| Mohammad | Al-Shroof | Chairman | 3 | ACO Participant Representative | The Medical Group of Central Georgia, L.L.C. |
| Sohail | Akbar, MD | Voting Member | 3 | ACO Participant Representative | Central Georgia Kidney Specialists |
| Fred | Gaton, MD | Voting Member | 3 | ACO Participant Representative | North Macon Family Health Associates, LLC |
| Dale | Boylston | Voting Member | 1 | Other | TC2 LLC |
| Bill | Wiley | Voting Member | 1 | Medicare Beneficiary Representative | N/A |
| Charles | Briscoe | Voting Member | 1 | Community Stakeholder | N/A |
| Ed | Young, MD | Voting Member | 3 | ACO Participant Representative | Cogent Healthcare of Macon, LLC |
| Dean | Kindler, MD | Voting Member | 1 | Community Stakeholder | N/A |
| Vicki | Lewis | Voting Member | 1 | Community Stakeholder | N/A |
| Jim | Barber, MD | Voting Member | 3 | ACO Participant Representative | Southeastern Orthopedics |
| Steve | Gautney | Voting Member | 1 | Community Stakeholder | N/A |
| Ricky | Stevens, MD | Voting Member | 3 | ACO Participant Representative | Stevens Health Services PC |
Key ACO Clinical and Administrative Leadership:
| Dale Boylston | ACO Executive |
| Freddy Gaton | Medical Director |
| Jim Rush | Compliance Officer |
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Finance Committee | Dr. Freddy Gaton, Chairman |
| Clinical Quality Committee | Dr. Dipesh Patel, Chairman |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Critical Access Hospital (CAH) billing under Method II
- Federally Qualified Health Center (FQHC)
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
- Electing Teaching Amendment (ETA) Hospital
Shared Savings and Losses
Amount of Shared Savings/Losses
- First Agreement Period
-
- Performance Year 2019, $5,632,158
- Performance Year 2018, ($1,200,236)
- Performance Year 2017, ($845,869)
Shared Savings Distribution
- First Agreement Period
-
- Performance Year 2018
-
-
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
-
Quality Performance Results
2018 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 86.76 | 86.14 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 93.34 | 93.93 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 91.80 | 92.45 |
| ACO-4 | CAHPS: Access to Specialists | 82.30 | 81.50 |
| ACO-5 | CAHPS: Health Promotion and Education | 59.53 | 59.26 |
| ACO-6 | CAHPS: Shared Decision Making | 60.12 | 61.94 |
| ACO-7 | CAHPS: Health Status/Functional Status | 68.63 | 73.35 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 30.33 | 26.26 |
| ACO-8 | Risk Standardized, All Condition Readmission | 15.40 | 14.98 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 18.31 | 18.59 |
| ACO-36 | All-Cause Unplanned Admissions for Patients with Diabetes | 42.88 | 37.01 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 93.42 | 76.75 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 69.82 | 59.00 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) | 2.31 | 1.98 |
| ACO-11 | Use of Certified EHR Technology | 100.00 | 98.20 |
| ACO-12 | Medication Reconciliation Post-Discharge | 94.19 | 85.91 |
| ACO-13 | Falls: Screening for Future Fall Risk | 94.47 | 79.73 |
| ACO-44 | Use of Imaging Studies for Low Back Pain | 66.67 | 64.36 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 74.67 | 72.71 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 80.41 | 75.97 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up | 90.10 | 76.83 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91.84 | 72.81 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 81.38 | 66.74 |
| ACO-19 | Colorectal Cancer Screening | 70.16 | 68.27 |
| ACO-20 | Breast Cancer Screening | 75.59 | 71.96 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 90.75 | 81.47 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 15.79 | 15.51 |
| ACO-41 | Diabetes: Eye Exam | 58.28 | 52.42 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 80.12 | 73.10 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 94.99 | 88.92 |
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
- For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
Note: In the Quality Performance Results file(s) above, search for “TC2, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3365 in the public use files on data.cms.gov.
Payment Rule Waivers
- Yes, our ACO does use the SNF 3-Day Rule Waiver.
MSSP Waivers
The Secretary of the Department of Health and Human Services (HHS) has made available a participation waiver of federal fraud and abuse laws in connection with the operation of accountable care organizations (ACOs) that have entered into a participation agreement under the Medicare Shared Savings Program (MSSP) with the Centers for Medicare & Medicaid Services (CMS).
Arrangements Disclosed
The TC2 (ACO) Board of Managers has duly authorized the arrangement below and made a bona fide determination that the arrangement is reasonably related to the purposes of the MSSP because the arrangement will promote accountability for the quality, cost and overall care for Medicare beneficiaries assigned to ACO. The descriptions of relevant arrangements are disclosed below for the purpose of the ACO availing itself of the protections afforded under the MSSP Waivers:
- ACO Participation Waiver: Navicent Health, a participant in and member of the ACO, may make payments or contributions to the ACO to cover shared losses of the ACO for the performance year 2017.