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Paradigm ACO, LLC

ACO Details

ACO Service Area(s):  FL 

Paradigm ACO, LLC

1580 Santa Barbara BlvdThe VillagesFlorida 32159 

Executive Contact

Seema Khanna
Request Contact Details

Public Contact

Ravi Gupta
(352) 455-4588
mfpc2@yahoo.com
Overview

Paradigm ACO, LLC was started in January 2013. In its second year, this organization spent $9,175 on average for each of its 5,131 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $10,564 per beneficiary, a difference of $1,390. The ACO successfully reported, having earned its participants $3,156,518 of the $7,131,990 saved for Medicare.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$3,156,518

Cost Reduction

13.2%

Quality Points

46.95 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

70-80th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

80-90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

80-90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

40-50th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

40-50th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

60-70th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

70-80th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

50-60th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

Above 90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

Above 90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

70-80th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

60-70th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

70-80th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

Above 90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

70-80th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

70-80th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

80-90th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

Above 90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

Above 90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

Above 90th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

80-90th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

70-80th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

Above 90th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

Above 90th
ACO Statistics
Participants
Dinesh Khanna M D P A
Health First Internal Medicine Associates llc
Mid Florida Primary Care P A
Wellness on Wheels Inc