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UF Health University of Florida

Our ACO / Member Directory

ACO name and location

First Coast Health Alliance, LLC
400 Health Park Boulevard
St. Augustine, FL 32086

ACO primary contact

Jacky Lagrace
904-819-4629
FCHA@flaglerhealth.org

ACO participants (ACO Participant in Joint Venture)

  • Advanced Pain and Spine Institute of Florida, LLC
  • All About Feet & Legs, PA
  • Anastasia Medical Group LLC
  • Ashfaq Kudia, M.D., PA
  • Bruce H Paley, PA
  • Cardiovascular Consultants of St. Augustine, PL
  • Crescent Beach Care, LLC
  • First Coast Heart & Vascular Center, PA
  • Flagler Professional Health Care Services, Inc
  • Family Medical Care of St. Augustine, PA
  • Flagler Hospital, Inc.
  • Heart Center of Saint Augustine, PA
  • Infectious Diseases Associates of North Florida, PA
  • John S Koppman, MD, PL
  • Michael Hsu, MD, LLC
  • Mason H. Long, MD, PA
  • Neurology Care, Inc.
  • North Florida Specialists In Lung Diseases & Internal Medicine, PA
  • Orthonorthrup, PA.
  • Pain Management Specialists of North Florida, PA
  • Pulmonary Associates of St. Augustine, PA
  • Qixia Huang, M.D., PA
  • St. Augustine Neurology, PA
  • Scott D. McDowall, PLLC
  • St. Augustine Foot & Ankle Inc.
  • T S Hossain, MD, PA
  • Villages Regional Hospital Physician Services LLC
  • William J Oktavec, PA

ACO governing body

  • Ashfaq Kudia
    ACO Executive & President
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    Legal Business Name: Ashfaq Kudia, MD, PA
  • Imraan Ansaarie
    Board Member
    Member’s Voting Power: 7.7%
    Community Stakeholder
  • Kent Bailey
    Treasurer Hospital
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Flagler Hospital, Inc.
  • Marvin Dewar
    Board Member
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Flagler Hospital, Inc.
  • Huson Gilberstadt
    Board Member
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Flagler Hospital, Inc.
  • Patrick Green
    Vice President
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Flagler Hospital, Inc.
  • Brian Kiekover
    Board Member
    Community Stakeholder
    Member’s Voting Power: 7.7%
  • Mason Long
    Board Member
    Member’s Voting Power: 7.6%
    ACO Participant
    ACO Participant Legal Business Name: Mason H. Long, M.D.,
  • Suhas Neerukonda
    Senior Medical Director
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Anastasia Medical Group, LLC
  • Bruce Paley
    Board Member
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Bruce Paley H Paley, PA
  • Dinesh Pubbi
    Board Member
    Member’s Voting Power: 7.70%
    ACO Participant Representative
    ACO Participant Legal Business Name: FIRST COAST HEART & VASCULAR CENTER, PA
  • Ann Marie Valenti
    Board Member
    Member’s Voting Power: 7.7%
    Medicare Beneficiary Representative
  • Jeffrey West
    Board Member
    Member’s Voting Power: 7.7%
    ACO Participant Representative
    ACO Participant Legal Business Name: Flagler Hospital, Inc.

Key ACO clinical and administrative leadership

  • ACO Executive: Ashfaq Kudia, MD
  • Medical Director: Suhas Neerukonda, MD
  • Compliance Officer: Robert Michalski
  • Quality Assurance/Improvement Officer: Huson Gilberstadt, MD

Associated committees

  • Executive Committee
    Dr. Ashfaq Kudia, Chair
  • Quality Improvement and Quality Assurance Committee
    Dr. Miguel A. Mas Jr., Chair
  • Compliance and Governance Committee
    Dr. Ashfaq Kudia, Chair
  • Audit, Finance, & Network Contracts Committee
    Kent Bailey, Chair
  • Medical Informatics and Technology Committee
    Dr. Suhas Neerukonda, Chair

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:

Third agreement period

  • Performance Year 2023, $3,685,876.34
  • Performance Year 2023, $1,730,623.32
  • Performance Year 2022, $1,643,157.24
  • Performance Year 2021, $1,867,823.80
  • Performance Year 2020, $2,133,190.78

Second agreement period

  • Performance Year 2019, $0
  • Performance Year 2018, $0
  • Performance Year 2017, $0

First agreement period

  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014,

Shared savings distribution

Third agreement period

  • Performance Year 2024
    • Proportion invested in infrastructure: 8%
    • Proportion invested in redesigned care processes/resources: 3%
    • Proportion of distribution to ACO participants: 89%
  • Performance Year 2023
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2022
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2021
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%
  • Performance Year 2020
    • Proportion invested in infrastructure: 19%
    • Proportion invested in redesigned care processes/resources: 19%
    • Proportion of distribution to ACO participants: 61%

Second agreement period

  • Performance Year 2019
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2018
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2017
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA

First agreement period

  • Performance Year 2016
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2015
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA
  • Performance Year 2014
    • Proportion invested in infrastructure: NA
    • Proportion invested in redesigned care processes/resources: NA
    • Proportion of distribution to ACO participants: NA

Quality performance results

Quality performance results are based on CMS Web Interface

2022 quality performance results

Measure # Measure Name Collection Type Rate ACOMean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 10.55 9.44
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 81.66 81.46
236 Controlling High Blood Pressure CMS Web Interface 70.00 79.49
318 Falls: Screening for Future Fall Risk CMS Web Interface 89.17 88.99
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 53.56 68.60
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 86.67 79.98
113 Colorectal Cancer Screening CMS Web Interface 69.54 77.81
112 Breast Cancer Screening CMS Web Interface 84.13 80.93
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 86.73 86.50
370 Depression Remission at Twelve Months CMS Web Interface 6.06 17.35
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1622 0.1517
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 33.64 37.00
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 79.41 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 92.57 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 91.77 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 76.44 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 63.31 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 64.47 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.24 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 84.43 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.06 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 23.83 26.98

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov