Have questions and want to learn more about Cleveland Clinic Florida Integrated Health, a designated Medicare Accountable Care Organization (ACO)? Watch this short video for the answers to many of your questions.
What's an ACO?
An ACO is a group of health care providers, including doctors, hospitals, and other medical professionals, who partner to provide coordinated, high-quality care to the Medicare patients they serve. Through coordinated care networks like ACOs, we focus on ensuring Medicare patients, especially the chronically ill, receive the right care at the right time by working together to avoid unnecessary duplication of services and prevent medical errors.
How ACOs work
Integrated Care: ACOs consist of a network of local health care providers that agree to work together to provide Medicare patients with high quality, coordinated care.
Focus On You: Your health care providers will be better able to keep focus on your care, listen and honor your choices, and keep you informed.
Improved Communication: Doctors and other providers within the ACO network will have access to your Medicare medical information. Ensuring the medical professionals providing your care are all looking at the same information will improve communication between health care providers while partnering with you in making health care decisions.
Less Paperwork: ACO network providers have access to a centralized electronic health record for patient information, which means you may spend less time filling out medical forms.
Fewer Tests: Because your doctors and hospitals will share information and coordinate your care, you’ll likely have fewer duplicate medical tests.
Flexible Care Network: One of the differences between an ACO and HMOs, managed care, or some insurance plans, is that an ACO can't tell you which health care providers to see and they can't change your Medicare benefits.
How ACOs share information
Cleveland Clinic Florida Integrated Health doctors will have access to your Medicare medical information and use it to help improve how they provide care. By accessing centralized patient data, health care providers will be reviewing the same information which may include your medical conditions, prescriptions, and visits to the doctor. Health care professionals will be working together to coordinate your care and provide the right care at the right time in the right setting. Doctors, hospitals, and other health care providers collaborate to authorize care, avoid duplicate medical services, reduce delays, and prevent errors. The privacy and security of your medical information is protected by federal law. You'll continue to get the same rights enjoyed by all people with Medicare.
Declining to share your health information
We value your privacy and understand how important it is to safeguard your information. While we believe that having access to your Medicare information is the way to provide the best care possible, you control how your personal information is used. To prevent Medicare from sharing your personal information with Cleveland Clinic Florida Integrated Health:
Call 1.800.MEDICARE (633.4227).
TTY users should call 1.877.486.2048.
Consent to change your personal health information preference
Call 1.800.MEDICARE (633.4227).
TTY users should call 1.877.486.2048.
Cleveland Clinic Florida Integrated Health contact information
Call Cleveland Clinic Florida Integrated Health at 772.781.2754.
Business hours are Monday – Friday 10 a.m. - 3 p.m.
Types of ACO Participants, or Combinations of Participants, That Formed the ACO
Hospital employing ACO Professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
Second Agreement Period
Performance Year 2023, $6,606,187.59
Performance Year 2022, $0
First Agreement Period
Performance Year 2021, $0
Performance Year 2020, $0
Performance Year 2019, $0
Performance Year 2018, $0
Shared Savings Distribution
Second Agreement Period
Performance Year 2023
Proportion invested in infrastructure: 10%
Proportion invested in redesigned care processes/resources: 15%
Proportion of distribution to ACO participants: 75%
Performance Year 2022
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
First Agreement Period
Performance Year 2021
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
Performance Year 2020
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
Performance Year 2019
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
Performance Year 2018
Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A
2023 Quality Performance Results
Quality performance results are based on CMS Web Interface Measure Set
Measure #
Measure Name
Collection Type
Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001
Diabetes: Hemoglobin A1c (HbA1c) Poor Control
Web Interface
6.72
9.84
Quality ID# 134
Preventative Care and Screening: Screening for Depression and Follow-up Plan
Web Interface
68.93
80.97
Quality ID# 236
Controlling High Blood Pressure
Web Interface
71.03
77.80
Quality ID# 318
Falls: Screening for Future Fall Risk
Web Interface
97.06
89.42
Quality ID# 110
Preventative Care and Screening: Influenza Immunization
Web Interface
77.71
70.76
Quality ID# 226
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
Web Interface
88.89
79.29
Quality ID# 113
Colorectal Cancer Screening
Web Interface
87.10
77.14
Quality ID# 112
Breast Cancer Screening
Web Interface
92.74
80.36
Quality ID# 438
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Web Interface
84.82
87.05
Quality ID# 370
Depression Remission at Twelve Months
Web Interface
3.23
16.58
Quality ID# 321
CAHPS for MIPS
Web Interface
3.48
6.25
Measure# 479
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups
Administrative Claims
0.1649
0.1553
Measure# 484
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions
Administrative Claims
44.39
35.39
CAHPS-1
Getting Timely Care, Appointments, and Information
CAHPS for MIPS Survey
73.97
83.68
CAHPS-2
How Well Providers Communicate
CAHPS for MIPS Survey
92.05
93.69
CAHPS-3
Patient’s Rating of Provider
CAHPS for MIPS Survey
89.36
92.14
CAHPS-4
Access to Specialists
CAHPS for MIPS Survey
68.60
75.97
CAHPS-5
Health Promotion and Education
CAHPS for MIPS Survey
60.42
63.93
CAHPS-6
Shared Decision Making
CAHPS for MIPS Survey
60.33
61.60
CAHPS-7
Health Status and Functional Status
CAHPS for MIPS Survey
76.71
74.12
CAHPS-8
Care Coordination
CAHPS for MIPS Survey
82.82
85.77
CAHPS-9
Courteous and Helpful Office Staff
CAHPS for MIPS Survey
89.66
92.31
CAHPS-11
Stewardship of Patient Resources
CAHPS for MIPS Survey
27.06
26.69
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Public Disclosure of Arrangements for MSSP Waivers
The Board of Managers (“Board”) of Treasure Coast Integrated Healthcare, LLC (the “ACO”) has duly approved the following arrangements and has determined that such arrangements are reasonably related to the purposes of the Medicare Shared Savings Program (“MSSP”). These arrangements are described in more detail below in order to seek protection under the waivers of federal fraud and abuse laws for MSSP participants set forth by the Centers for Medicare and Medicaid Services (“CMS”) and the Office of Inspector General of the Department of Health and Human Services.
Arrangement
Dates
Description*
ACO Start-Up Costs
January 14, 2017 through December 30, 2017
Martin Memorial Medical Center, Inc., the majority Member of the ACO entity and an ACO participant, and its parent company, Martin Memorial Health Systems, Inc. d/b/a Martin Health System (collectively, “Martin”), have paid various start-up costs necessary for the development of the financial, technological and governance structure of the ACO, the recruitment of ACO participants, and the submission of the ACO’s initial MSSP application. The start-up costs include expenses of several strategic planning meetings attended by Martin personnel, potential ACO participants, consultants, and outside legal counsel; expenses of recruitment meetings for potential ACO participants; salary and benefits of the Executive Director of the ACO; compensation of consultants and outside legal counsel; and costs of other administrative services and supplies for the ACO, including website development, marketing, accounting services, and technology.
Administrative Support
January 1, 2018 through present
Martin provides administrative support to the ACO by paying the salary and benefits of the ACO’s Executive Director, who is employed by Martin but loaned full-time to the ACO and is responsible for the day-to-day operations of the ACO. Martin also provides use of space which is owned or leased by Martin to the ACO for its activities.
Care Management Support
anuary 1, 2018 through present
April 12, 2018 through present
Martin pays the salary and benefits of schedulers and healthcare navigators who are employees of Martin but are loaned to the ACO on a full-time or part-time basis. The ACO uses the schedulers and healthcare navigators to provide scheduling and care management support to patients of ACO participants. All ACO participants are eligible for this support.
Martin pays for the costs associated with expanding care management support to develop care utilization management including a chronic disease management program for ACO at-risk lives.
Credentialing Support
July 11, 2017 through present
Minimal credentialing support is provided by Martin to the ACO at this time; Martin’s credentialing process is available to the ACO when necessary to review the qualifications of prospective ACO Members.
Electronic Medical Records Support
November 30, 2017 through present
While no electronic medical records support is provided at this time, Martin is interested in pursuing options in this area and supports and pays for the ACO’s referral management technology platform (and pays the salaries of relevant personnel and covers the operational costs) in the interest of streamlining, tracking, and improving the referral management process in order to better ensure access to care providers and to provide a mechanism for identifying opportunities for quality improvement.
Hospital Quality and Efficiency Program
October 1, 2018 – September 30, 2019
Martin has partnered with TCIH to align efforts in improving quality and reducing costs in the care pathway for all patients undergoing interventional cardiology procedures in the MHS Catheterization Lab. The HQEP’s focus is to ensure that patients are receiving evidence-based care while minimizing cost and unnecessary time in an inpatient setting, when clinically appropriate.
Transitional Care Program
November 30, 2017 through present
Martin is supporting and paying the salaries of relevant personnel and covering the operational costs associated with the ACO’s Transitional Care Program pilot, which has expanded the ACO’s organizational infrastructure and care coordination and quality improvement mechanisms, working to help reduce readmissions, improve access to Transitional Care Visits, and decrease costs for patients.
Management Services Agreement
October 1, 2017 through present
Martin provides management services including but not limited to: employing or engaging an executive director and additional non-clinical administrators or managers; assisting in the supervision of and human resource management for TCIH personnel; providing payroll, accounting, legal and marketing services and support to TCIH; and furnishing office space for Personnel, including necessary furniture, equipment, utilities, supplies and maintenance services.
