Public Reporting

About TC2 ACO

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 Participants ACO Participant in Joint Venture
AEGIS NEPHROLOGY & INTERNAL MEDICINE, LLC N
ALLERGY & ASTHMA CENTER OF MIDDLE GEORGIA, INC. N
Brown Family Practice, 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
FREDDY N. GATON N
GABRIEL PRIMARY CARE N
GAMMA ADULT CARE, P.C. N
GEORGIA HEART PHYSICIANS LLC N
GEORGIA NEUROSURGICAL INSTITUTE, P.C 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 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
KAVURI & COLLIER INTERNAL MEDICINE LLC N
LESLEY JILL COWN MD 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 PULMONARY, LLC N
MILLER FAMILY PRACTICE, LLC. N
MOHAMMAD RAHMAN N
MUHAMMAD REHAN N
NICHOLAS A PIETRZAK MD LLC N
NORTH MACON FAMILY HEALTHCARE ASSOCIATES N
NT CARDIOVASCULAR PERRY N
OCONEE HEALTHCARE CENTER LLC N
ORTHOPEDIC SURGEONS OF GEORGIA LLC N
PRIMARY CARE & GERIATRICS ASSOCIATES OF CENTRAL GEORGIA L.L.C N
PRIMARY FAMILY MEDICINE L.L.C N
PULMONARY ASSOCIATES, LLC N
RANA MUNNA 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
THE MEDICAL CENTER OF PEACH COUNTY, INC N
THOMASTON MEDICAL CLINIC, PC N
URGENT CARE CENTER OF CENTRAL GEORGIA LLC N
VINEVILLE INTERNAL MEDICINE, LLC N
W. JASON WOODS, LLC N
W. STEVEN WILSON, M.D., P.C. N
WARNER ROBINS MEDICAL CLINIC, PC N
WILLIAM WHITE N
WOMENS 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
Stevens Ricky Chairman 3 ACO Participant Representative Stevens Health Services PC
Al-Shroof Mohammad Voting Member 3 ACO Participant Representative The Medical Group of Central Georgia, L.L.C.
Akbar 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
Kardon Stephen Voting Member 3 Other TC2 Health, LLC
Carstarphen Phyllis Voting Member 1 Medicare Beneficiary Representative N/A
Briscoe Charles Voting Member 1 Community Stakeholder N/A
Young Edward Voting Member 3 ACO Participant Representative Cogent Healthcare of Macon, LLC
Duke Sanford Voting Member 1 Community Stakeholder N/A
Lewis Vicki Voting Member 1 Community Stakeholder N/A
Gautney Steve Voting Member 1 Community Stakeholder N/A
Bradley Goldberg Voting Member 3 ACO Participant Representative CRH Physician Practices, LLC

Key ACO Clinical and Administrative Leadership:

ACO Executive: Stephen Kardon
Medical Director: Fitz Beauharnais, MD
Compliance Officer: Melissa Pollock, M.Div, CHC
Quality Assurance/Improvement Officer: Kimberly Kicklighter, MSN, RN

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Finance Committee Dr. Fred Gaton, 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 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.

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 9.02 10.71
Quality ID#134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.38 76.97
Quality ID#236 Controlling High Blood Pressure CMS Web Interface 76.68 76.16
Quality ID#318 Falls: Screening for Future Fall Risk CMS Web Interface 97.98 87.83
Quality ID#110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 74.14 77.34
Quality ID#226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 80.43 79.27
Quality ID#113 Colorectal Cancer Screening CMS Web Interface 74.33 77.34
Quality ID#112 Breast Cancer Screening CMS Web Interface 82.47 78.07
Quality ID#438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 80.88 86.37
Quality ID#370 Depression Remission at Twelve Months CMS Web Interface 22.73 16.03
Measure #479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.154 0.151
Measure #484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface 28.99 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Measures 86.71 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Measures 92.80 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Measures 91.45 93.47
CAHPS-4 Access to Specialists CAHPS for MIPS Measures 83.12 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Measures 59.92 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Measures 60.00 60.97
CAHPS-7 Health Status/Functional Status CAHPS for MIPS Measures 71.42 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Measures 85.24 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Measures 89.93 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Measures 21.15 25.62

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.

History

Mission & Values

Leadership

Have Questions?

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048

Ethics Reporting

TC2 Health encourages open communication about potential policy or standard violations by emphasizing employee comfort in approaching supervisors or management.