ACO Name and Location
TC2, LLC
Previous Names: N/A
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 |
| HOUSTON PRIMARY CARE INC | N |
| CRISP REGIONAL HOSPITAL INC | N |
| Houston Physician Specialists, LLC | N |
| Jasper Health Services, Inc. | N |
| Health Services of Central Georgia | N |
| ORTHOPEDIC SURGEONS OF GEORGIA LLC | N |
| DOUGLAS MEDICAL SPECIALIST | N |
| Thomaston Medical Clinic, PC | N |
| COFFEE REGIONAL MEDICAL CENTER INC | N |
| Lake Oconee Partners in Healthcare, LLC | N |
| WOMEN’S HEALTHCARE OF MIDDLE GEORGIA, INC. | N |
| Cogent Healthcare of Macon, LLC | N |
| CENTRAL GEORGIA HEART INSTITUE, LLC | N |
| Georgia Neurosurgical Institute, P.C | N |
| North Macon Family Healthcare Associates | N |
| Vineville Internal Medicine, LLC | N |
| GUIDO H. RING, M.D, LLC | N |
| Houston Primary Care Physicians, LLC | N |
| CRH PHYSICIAN PRACTICES, LLC | N |
| SOUTHERN GASTROENTEROLOGY & HEPATOLOGY CONSULTANTS INC | N |
| URGENT CARE CENTER OF CENTRAL GEORGIA LLC | N |
| COLLINS CARDIOLOGY | N |
| Southern Primary Care, LLC | N |
| The Medical Center of Peach County, Inc | N |
| COFFEE COUNTY HOSPITALIST PHYSICIANS LLC | N |
| INFECTIOUS DISEASE CLINIC LLC | N |
| Drs. Woodall, Wilson & Manley, LLP | N |
| Mohammad Rahman | N |
| MEDICAL GROUP OF CENTRAL GEORGIA, LLC | N |
| DOUGLAS INTERNAL MEDICINE PC | N |
| FIRST CHOICE PRIMARY CARE, INC. | N |
| NT Cardiovascular Perry | N |
| W. STEVEN WILSON, M.D., P.C. | N |
| CARDIAC CONSULTANTS OF CENTRAL GEORGIA | N |
| ADVANCED MEDICAL ASSOCIATES PC | N |
| SAMUEL E. PALMER | N |
| WILLIAM WHITE | N |
| PRIME MEDICAL ASSOCIATES, PC | N |
| WARNER ROBINS MEDICAL CLINIC, PC | N |
| PULMONARY ASSOCIATES, LLC | N |
| SOUTH HOUSTON INTERNAL MEDICINE | N |
| Burton Medical Group LLC | N |
| GAMMA ADULT CARE, P.C. | N |
| PHYSICIANS FOR WOMEN, PC | N |
| SOUTHEASTERN ORTHOPEDICS | N |
| UNITED MEDICAL SPECIALIST, LLC | N |
| COMPREHENSIVE CARE MEDICAL OFFICES, LLC | N |
| Central Georgia Kidney Specialists, Pc | N |
| STEVENS HEALTH SERVICES PC | N |
| SURGICAL ASSOCIATES OF WR, PC | N |
| INTERNAL MEDICINE & GERIATRICS OF HOUSTON, LLC | N |
| EAR, NOSE, AND THROAT CLINIC OF COFFEE CO. | N |
| Schuessler, Pope, Kehl, Barnes & Durso | N |
| OCONEE HEALTHCARE CENTER LLC | N |
| RADIOLOGY ASSOC OF SOUTH GA, P.C. | N |
| Middle Georgia Medical Associates, P.C. | N |
| Hutchings Health Care | N |
| HYPERTENSION AND KIDNEY ASSOCIATES OF MIDDLE GEORGIA, LLC | N |
| HAZLEHURST FAMILY CLINIC LLC | N |
| MIDDLE GEORGIA NEUROLOGY, LLC | N |
| W. Wilson Gray Jr., M.D.Phd.P.C. | N |
| MAHA M DAWOOD MD LLC | N |
| Miller Family Practice, LLC. | N |
| DAVID KAVTARADZE MD INC | N |
| IDSA, LLC | N |
| Harry Linkous | N |
| Freddy N. Gaton | N |
| MUHAMMAD REHAN | N |
| INFECTION SPECIALISTS OF MIDDLE GEORGIA,LLC | N |
| Brown Family Practice, LLC | N |
| MIDDLE GEORGIA PRIMARY CARE, PC | N |
| AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC | N |
| MAHENDRA G AMIN MD PC | N |
| BALDWIN MEDICAL CENTER | N |
| PRIMARY FAMILY MEDICINE L.L.C | N |
| MEYER CARDIOLOGY PC | N |
| MIDDLE GEORGIA PULMONARY, LLC | N |
| WARNER ROBINS OB/GYN LLC | N |
| RICHARD LYNDON SMITH JR MD PC | N |
| PERRY PRIMARY CARE | N |
| Southern Lung Specialists PC | N |
| PREMIERE NEUROLOGY LLC, PC | N |
ACO Governing Body:
| First Name | Last Name | Title/Position | Member’s Voting Power – Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
| 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:
ACO Executive: Dale Boylston
Medical Director: Freddy Gaton
Compliance Officer: Jim Rush
Quality Assurance/Improvement Officer: Kimberly Kicklighter
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
- Hospital employing ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
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 2019
-
-
- Proportion invested in infrastructure: 22%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 78%
-
Quality Performance Results
2019 Quality Performance Results:
| ACO Quality Measure Number | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 89.70 | 85.86 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 93.12 | 94.11 |
| ACO-3 | CAHPS: Patients ’ Rating of Provider | 91.35 | 92.69 |
| ACO-4 | CAHPS: Access to Specialists | 84.89 | 81.54 |
| ACO-5 | CAHPS: Health Promotion and Education | 53.50 | 60.44 |
| ACO-6 | CAHPS: Shared Decision Making | 52.94 | 62.78 |
| ACO-7 | CAHPS: Health Status/Functional Status | 70.74 | 73.79 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 24.85 | 26.17 |
| ACO-45 | CAHPS: Courteous and Helpful Office Staff | 93.19 | 92.84 |
| ACO-46 | CAHPS: Care Coordination | 84.27 | 86.89 |
| ACO-8 | Risk Standardized, All Condition Readmission | 15.14 | 14.86 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 58.56 | 58.15 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) | 2.28 | 1.87 |
| ACO-13 | Falls: Screening for Future Fall Risk | 96.62 | 84.04 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 85.85 | 74.77 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
93.59 | 78.04 |
| ACO-18 | Preventive Care and Screening: Screening for Depression and Follow-up Plan | 92.59 | 70.40 |
| ACO-19 | Colorectal Cancer Screening | 76.00 | 70.76 |
| ACO-20 | Breast Cancer Screening | 83.45 | 73.84 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 92.74 | 82.17 |
| ACO-40 | Depression Remission at Twelve Months | 16.67 | 13.58 |
| ACO-27 | Diabetes: Hemoglobin A1c Poor Control (>9%) | 12.94 | 13.88 |
| ACO-28 | Controlling High Blood Pressure | 80.15 | 75.04 |
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:
-
- 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.