ACO Name and Location

TC2, LLC
111 Perimeter Parkway
Macon, GA 31210

ACO Primary Contact

Stephen Kardon
(404) 229-5839
kardon.stephen@tc2health.com

Organizational Information

ACO Participants:

ACO Governing Body:

Key ACO Clinical and Administrative Leadership:

ACO Executive: Stephen Kardon
Medical Director: Fred Gaton, MD
Compliance Officer: Jim Rush
Quality Assurance/Improvement Officer: Kimberly Kicklighter, MSN, RN

Associated Committees and Committee Leadership:

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 professionals
• Partnerships or joint venture arrangements between hospitals and ACO professionals
• Hospital employing ACO professionals
• Critical Access Hospital (CAH) billing under Method ll
• Federally Qualified Health Center (FQHC)
• Electing Teaching Amendment (ETA Hospital

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Second Agreement Period
  • Performance Year 2022, $7,500,091
  • Performance Year 2021, $6,195,672
  • 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 2022
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 75%
  • Performance Year 2021
    • Proportion invested in infrastructure: 28%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 72%
  • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

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.

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.