ACO Name and Location

TC2, LLC
111 Perimeter Parkway
Macon, GA 31210

ACO Primary Contact

Dale Boylston
(404) 307-1100
[email protected]

Organizational Information

ACO Participants:

ACO Participants ACO Particpant in Joint Venture
ADVANCED MEDICAL ASSOCIATES PCC N
AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC N
ALLERGY & ASTHMA CENTER OF MIDDLE GEORGIA, INC. N
BALDWIN MEDICAL CENTER N
Brown Family Practice, LLC N
Burton Medical Group LLC N
CARDIAC CONSULTANTS OF CENTRAL GEORGIA N
CENTRAL GEORGIA HEART INSTITUE, LLC N
Central Georgia Kidney Specialists, Pc N
COFFEE COUNTY HOSPITALIST PHYSICIANS LLC N
COFFEE REGIONAL MEDICAL CENTER INC N
Cogent Healthcare of Macon, LLC N
COLLINS CARDIOLOGY N
COMPREHENSIVE CARE MEDICAL OFFICES, LLC N
CRH PHYSICIAN PRACTICES, LLC N
CRISP REGIONAL HOSPITAL INC N
CYNTHIA CHAMBLESS M.D. LLC N
DAVID KAVTARADZE MD INC N
DOUGLAS INTERNAL MEDICINE PC N
DOUGLAS MEDICAL & SURGICAL GROUP, PC N
DOUGLAS MEDICAL SPECIALIST N
Drs. Woodall, Wilson & Manley, LLP N
EAR, NOSE, AND THROAT CLINIC OF COFFEE CO. N
FIRST CHOICE PRIMARY CARE, INC. N
Freddy N. Gaton N
GAMMA ADULT CARE, P.C. N
Georgia Neurosurgical Institute, P.C N
GUIDO H. RING, M.D, LLC N
Harry Linkous N
HAZLEHURST FAMILY CLINIC LLC N
Health Services of Central Georgia N
HOUSTON LUNG CLINIC L.L.C. N
Houston Physician Specialists, LLC N
HOUSTON PRIMARY CARE INC N
Houston Primary Care Physicians, LLC N
Hutchings Health Care N
HYPERTENSION AND KIDNEY ASSOCIATES OF MIDDLE GEORGIA, LLC N
IDSA, LLC N
INFECTION SPECIALISTS OF MIDDLE GEORGIA,LLC N
INFECTIOUS DISEASE CLINIC LLC N
INTERNAL MEDICINE & GERIATRICS OF HOUSTON, LLC N
Jasper Health Services, Inc. N
Lake Oconee Partners in Healthcare, LLC N
MAHA M DAWOOD MD LLC N
MAHENDRA G AMIN MD PC N
MALOZERA PRIMARY CARE LLC N
MCLEAN CARES INC N
MEDICAL GROUP OF CENTRAL GEORGIA, LLC N
MEYER CARDIOLOGY PC N
Middle Georgia Medical Associates, P.C. N
MIDDLE GEORGIA NEUROLOGY, LLC N
MIDDLE GEORGIA PRIMARY CARE, PC N
MIDDLE GEORGIA PULMONARY, LLC N
Miller Family Practice, LLC. N
Mohammad Rahman N
MUHAMMAD REHAN N
North Macon Family Healthcare Associates N
NT Cardiovascular Perry N
OCONEE HEALTHCARE CENTER LLC N
ORTHOPEDIC SURGEONS OF GEORGIA LLC N
PERRY PRIMARY CARE N
PHYSICIANS FOR WOMEN, PC N
PREMIERE NEUROLOGY LLC, PC N
PRIMARY CARE & GERIATRICS ASSOCIATES OF CENTRAL GEORGIA L.L.C N
PRIMARY FAMILY MEDICINE L.L.C N
PRIME MEDICAL ASSOCIATES, PC N
PULMONARY ASSOCIATES, LLC N
RADIOLOGY ASSOC OF SOUTH GA, P.C. N
RICHARD LYNDON SMITH JR MD PC N
SAMUEL E. PALMER N
Schuessler, Pope, Kehl, Barnes & Durso N
SOUTH HOUSTON INTERNAL MEDICINE N
SOUTHEASTERN ORTHOPEDICS N
SOUTHERN GASTROENTEROLOGY& HEPATOLOGY CONSULTANTS INC N
Southern Lung Specialists PC N
Southern Primary Care, LLC N
STEVENS HEALTH SERVICES PC N
SURGICAL ASSOCIATES OF WR, PC N
The Medical Center of Peach County, Inc N
Thomaston Medical Clinic, PC N
UNITED MEDICAL SPECIALIST, LLC N
URGENT CARE CENTER OF CENTRAL GEORGIA LLC N
Vineville Internal Medicine, LLC N
W. STEVEN WILSON, M.D., P.C. N
W. Wilson Gray Jr., M.D.Phd.P.C. N
WARNER ROBINS MEDICAL CLINIC, PC N
WARNER ROBINS OB/GYN LLC N
WILLIAM WHITE N
WOMEN’S HEALTHCARE OF MIDDLE GEORGIA, INC. 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
Al-Shroof Mohammad Chairman 3 ACO Participant Representative The Medical Group of Central Georgia, L.L.C.
Akbar, MD Sohail Voting Member 3 ACO Participant Representative Central Georgia Kidney Specialists
Gaton Fred Voting Member 3 ACO Participant Representative North Macon Family Health Associates, LLC
Boylston Dale Voting Member 1 Other TC2 LLC
Wiley Bill Voting Member 1 Medicare Beneficiary Representative N/A
Briscoe Charles Voting Member 1 Community Stakeholder N/A
Young Ed Voting Member 3 ACO Participant Representative Cogent Healthcare of Macon, LLC
Kindler Dean Voting Member 1 Community Stakeholder N/A
Lewis Vicki Voting Member 1 Community Stakeholder N/A
Barber Jim Voting Member 3 ACO Participant Representative Southeastern Orthopedics
Gautney Steve Voting Member 1 Community Stakeholder N/A
Stevens Ricky Voting Member 3 ACO Participant Representative Stevens Health Services PC

 Key ACO Clinical and Administrative Leadership:

ACO Executive: Dale Boylston
Medical Director: Freddy Gaton
Compliance Officer: Jim Rush
Quality Assurance/Improvement Officer: Kimberly Kicklighter, MSN, RN

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:

    • ACO professionals in a group practice arrangement
    • Networks of individual practices of ACO professional
    • Partnerships or joint venture arrangements between hospitals and ACO professionals
    • Hospital employing ACO professionals
    • Critical Access Hospital (CAH) billing under Method II
    • Federally Qualified Health Center (FQHC)
    • Electing Teaching Amendment (ETA Hospital)

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2020, $6,318,361
  • First Agreement Period
    • Performance Year 2019, $5,632,158
    • Performance Year 2018, ($1,200,236)
    • Performance Year 2017, ($845,869)

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 78%
  • First Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 22%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 78%

Quality Performance Results

2020 Quality Performance Results:

ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information N/A N/A
ACO-2 CAHPS: How Well Your Providers Communicate N/A N/A
ACO-3 CAHPS: Patients ’ Rating of Provider N/A N/A
ACO-4 CAHPS: Access to Specialists N/A N/A
ACO-5 CAHPS: Health Promotion and Education N/A N/A
ACO-6 CAHPS: Shared Decision Making N/A N/A
ACO-7 CAHPS: Health Status/Functional Status N/A N/A
ACO-34 CAHPS: Stewardship of Patient Resources N/A N/A
ACO-45 CAHPS: Courteous and Helpful Office Staff N/A N/A
ACO-46 CAHPS: Care Coordination N/A N/A
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI#91)) 1.39 0.95
ACO-13 Falls: Screening for Future Fall Risk 97.22 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 85.88 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation
Intervention		 98.15 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 85.88 71.46
ACO-19 Colorectal Cancer Screening 77.57 72.59
ACO-20 Breast Cancer Screening 82.81 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 94.04 83.37
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 12.50 14.70
ACO-28 Controlling High Blood Pressure 71.71 72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

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:

    1. 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 years 2017 & 2018.