Central Florida Health
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About UF Health Central Florida

Advisory Board

  • Roger Beyers, Chairperson
  • Lindsey Blaise, Vice Chairperson
  • George Kainz, MD, Secretary
  • Gregory Lewis, Treasurer
  • Manuel Alvarado, MD
  • Dwarak Banala, MD
  • Christopher Bridges
  • Shahbaz Cheema, MD
  • Richard Cole, Jr.
  • Russell D'Emidio
  • George McCabe
  • Marlene O'Toole
  • David Sustarsic, MD
  • Amanda Wettstein
  • Robert Williams, Esq.
  • Lynne Winker

Medical staff officers at UF Health Leesburg Hospital

  • Navin Reddy, MD, President
  • Celia Nelson, MD, Vice President

Medical staff officers at UF Health The Villages® Hospital

  • Sandeep Thaper, MD, President
  • Jeremy Spry, DO, Vice President

Executive Team

  • Don Henderson, FACHE Chief Executive Officer
  • Diane Harden, CPA Senior Vice President and Chief Financial Officer
  • Phyllis Baum, RN, MBA Vice President and Chief Quality Officer
  • Phil Braun, JD Vice President and Chief Counsel
  • Alex Chang, FACHE Vice President of Support Services
  • Bill Pfingsten, FACHE Vice President of Ambulatory Services
  • Amie Richason Vice President of Human Resources
  • Dave Steele Vice President and Chief Information Officer
  • Lorraine Brown, MSN, RN Vice President, Chief Clinical Officer and Site Administrator, UF Health The Villages® Hospital
  • Joshua Fleming, RN, BSN, MHA Vice President, Chief Clinical Officer and Site Administrator, UF Health Leesburg Hospital

About Us

UF Health Central Florida, formerly known as Central Florida Health and acquired by University of Florida Health in January 2020, is an award-winning, locally owned and governed not-for-profit health care system and the largest, most comprehensive provider of health care services in the region.

We care for patients in Lake, Sumter, and Marion counties through inpatient acute hospital services at UF Health The Villages® Hospital and UF Health Leesburg Hospital, inpatient rehabilitation services at UF Health The Villages® Rehabilitation Hospital, adult inpatient psychiatric services at the UF Health Leesburg Hospital Senior Behavioral Health Center and diagnostic laboratory services at several locations.

As a premier health care provider, UF Health Central Florida takes pride in providing progressive, innovative technology, along with building strong relationships with patients, families, physicians and residents of the communities we serve.

Employment

 

Current employees

Other UF Health positions in our area

External applicants

Physician opportunities

UF Health Central Florida, formerly known as Central Florida Health and acquired by University of Florida Health in January 2020, is an award-winning, locally owned and governed not-for-profit health care system and the largest, most comprehensive provider of health care services in the region. We care for patients in Lake, Sumter, and Marion counties through inpatient acute hospital services at UF Health The Villages® Hospital and UF Health Leesburg Hospital, inpatient rehabilitation services at UF Health The Villages® Rehabilitation Hospital, adult inpatient psychiatric services at the UF Health Leesburg Hospital Senior Behavioral Health Center and diagnostic laboratory services at several locations.

Care Delivery Alliance

Click here for a list of Care Delivery Alliance Providers.

Care Delivery Alliance (CDA) is a physician hospital organization (PHO) based in Lake County, Florida, built on a strategy that supports an independent rather than employed physician alignment and engagement model. Within CDA, physician participants maintain their individual practices in accordance with best practices. CDA represents the 1st phase of an evolutionary transition to a clinically integrated network, which gives independent practitioners the added advantage of partnering with other physicians and ancillary health providers and the local health system to improve quality and access for their patients, while better managing the cost associated with delivering that care.

What is a PHO?

A PHO is a vehicle that enables hospitals and physicians to work cooperatively toward accomplishing several objectives. Primary purposes for forming a PHO are developing improved methods of healthcare delivery; overseeing integration of physicians and hospitals into health delivery networks; assisting in voluntary group formation; and collecting, analyzing and disseminating information. Secondary purposes include contracting with managed care organizations with joint risk sharing, developing standards of care, and building trust between hospitals and independent physicians. PHOs are legal entities generally formed by physicians and 1 or more hospitals.

What are the advantages of a PHO?

  • Provides an organized approach for physicians and hospitals to work together on managed care issues, such as utilization management and quality improvement.
  • Serves as a clearinghouse for certain administrative duties, thus reducing the burden on individual physicians and hospital members.
  • Collaborates with managed care companies.
  • Establishes reimbursement and risk-sharing approaches that align incentives among all physicians.
  • Supports independent physicians and their practices as they face the new challenges of healthcare reform.

Why should I join Care Delivery Alliance?

Because CDA offers a comprehensive network of providers who are collaborating in managing patient care and focused on quality improvement, it can often develop more attractive agreements with managed care plans than individual providers can provide. As membership grows, the large provider network of physicians and hospitals can offer health plans and other payers a significant partner to work with on innovative patient care initiatives. CDA can provide significantly greater value to the health plans than individual physician practices. As a result, payers are willing to offer additional performance incentives for integrated groups of providers who are committed to collaborating to control costs, enhance quality and improve patient satisfaction.

CDA will also offer a growing menu of Practice Management Support Offerings, including various administrative and technology solutions that may be beyond the resources available to individual physicians.

Overall functions of CDA include:

  • Maintain and administer a comprehensive provider network.
  • Provide an ongoing managed care strategy.
  • Create/implement a clinical integration strategy.
  • Provide general support to community practice managers.
  • Provide a general communications function for the physician community.
  • Develop and implement community and employer outreach activities.
  • Develop a portfolio of optional practice management services offerings.

What is a clinically integrated network?

Both physicians and hospitals recognize the importance of developing some form of collaborative arrangement as the healthcare system moves toward fully integrated networks of service providers. Physician-hospital alignment and clinical integration that is designed to maximize efficiencies and minimize waste and duplication will become paramount in the near future. Failure to act now will jeopardize our ability to compete with other integrated health systems.

What is clinical integration?

The Federal Trade Commission and the Department of Justice Antitrust Division defined physician clinical integration in their 1996 Statements of Antitrust Enforcement in Health Care as "an active and ongoing program to evaluate and modify practice patterns by the network's physician participants and create a high degree of interdependence and cooperation among the physicians to control costs and ensure quality."

Broadly speaking, an FTC-accepted clinical integration program features (1) collaboration and interdependence among the participating physicians that (2) result in significant quality, utilization and cost improvements in the delivery of their services and that (3) make it "reasonably necessary" for the program's success of efficient operation for the participants to jointly negotiate prices.

What does a clinically integrated network entail?

Although there is no standardized model, the components most clinically integrated networks incorporate, based on FTC guidance, are:

  • Requirements that physicians invest time and effort in the development, planning and ongoing operation of the clinical integration program.
  • Inclusion of physicians, based on their interest in providing high-quality, efficient care and their willingness to participate in and abide by the policies of the CI program.
  • Development by the physicians of practice guidelines sufficient to (1) improve quality and efficiency, (2) cover the majority of medical specialties and (3) cover diagnoses representing a high percentage of the total medical costs of the network's services.
  • Dissemination of the guidelines to physicians, and agreement among the physicians to apply the guidelines to the clinical integration program's patients.
  • Development by the participating physicians, and adoption by the group, of quality, efficiency, utilization, and cost goals or benchmarks reflecting improvement by network physicians over their current performance.
  • Development and implementation of a formal process by which the group will obtain information regarding the physicians' compliance with the guidelines and a formal program through which physicians review and assess the aggregate group and individual physician performance in relation to the group's benchmarks.
  • Development and implementation of a formal program by physicians for identifying, and providing support and corrective action for, individual participants who fail to apply the guidelines or otherwise fail to achieve the group's benchmarks.
  • Development and implementation of a system of financial rewards, based on group and individual performance, to incentivize physicians to improve their performance.
  • A process for ensuring that referrals remain within the network of clinically integrated providers to the maximum extent possible.

Conduct to avoid:

  • Improper sharing of competitively sensitive information, regardless of shares or other indicia of market power. Significant competitive concerns can arise when PHO/CIN operations lead to price-fixing or other collusion among participants in their sale of competing services outside the network. For example, improper exchanges of prices or other competitively sensitive information among competing participants could facilitate collusion and reduce competition in the provision of services outside the PHO, leading to increased prices or reduced quality or availability of healthcare services.
  • Refrain from, and implement appropriate firewalls or other safeguards against, conduct that may facilitate collusion among participants in the sale of competing services outside the network.

Membership process

Medical staff members are currently being recruited to join Care Delivery Alliance. Signing up is easy; merely complete and sign the agreement and provide an annual fee of $500. You will then have access to all of the advantages of being a CDA member.

Download the Master Membership Agreement.

Contact information

To learn more about CFA, physician hospital organizations and clinical integration, or to pursue membership, please email cwood@centflhealth.org

Employees

Finding an In-Network Provider for your health plans

Attention team members with UF Health Central Florida insurance:  Please use the Blue Cross Blue Shield (BCBS) network directory at MyHealthToolkit to identify which physicians are classified in the “BlueOptions” network using the app or Google Chrome search engine (other search engines may not work for this site). Enter the letters “KXK”, which can be found on your BCBS membership card and hit “continue” to find a doctor in network. 

Using a Blue Options provider ensures that you will receive the highest level of insurance coverage for your visit and services. However, to receive the highest level of coverage for any procedure (i.e. lab work, diagnostic imaging, etc.) or hospitalization/inpatient stay, you must use a UF Health Central Florida facility.

  • If you need to have a procedure done elsewhere (including in a doctor’s office), you must complete the Request for Pre-Approval waiver and receive approval on the waiver BEFORE receiving any service or procedure. Failure to complete and receive approval on the waiver before the procedure will result in coverage dropping to Tier 2 or Tier 3 levels, making your out-of-pocket costs higher. 

To ensure that the physician you choose on the BlueOptions network has privileges with a UF Health Central Florida facility, when on the network directory, click “Hospital Affiliations” and select the boxes next to UF Health Leesburg Hospital or UF Health The Villages® Hospital. That selection will filter the list by only in-network doctors who have privileges in our UF Health Central Florida facilities. 

UF Health Central Florida also updates our own Online Provider Directory regularly to show all physicians with hospital privileges. Having privileges with a UF Health Central Florida facility does not ensure participation in the BCBS network. You should cross-verify with the BlueOptions network directory.

If your doctor wants to do a lab, diagnostic imaging, or other ancillary procedure or service in his/her office during your visit, please remind him/her that in order to minimize your out-of-pocket expense, you will need to get those procedures or services done at a UF Health Central Florida facility when the service/procedure is available there. If the procedure or service is not available at a UF Health Central Florida facility, then you will need to complete the Request for Pre-Approval waiver and receive approval on the waiver before the procedure or service is performed in order to get the service or procedure paid at a Tier 1 level.

PLEASE NOTE:

Behavioral Health

Jessica Peterson, DO; Juan Rios, MD; and Shawn McNichol, PA are members of the UF Health Central Florida network, but are not listed on the BlueOptions network listings. Please be assured that all three of the above named practitioners will be covered at the in-network Tier 1 rates.

Dental

UF Health Central Florida dental insurance is provided by MetLife. Click here to find a list of MetLife in-network dentists. Select “Find a Dentist” and then “PDP Plus.” The site will direct you to enter your zip code and will give you a list of the nearest providers.  

Vision

UF Health Central Florida vision insurance is provided by Humana and utilizes the EyeMed network. Go to the Humana Vision Provider website and type in your zip code to search.   

Pharmacy

UF Health Central Florida provides pharmacy benefits through Magellan Rx. The retail pharmacy at UF Health Leesburg Hospital is part of the network and will offer the best prices for team members and dependents. The retail pharmacy can be reached at 352.323.5384 or you can visit this helpful Magellan Pharmacy Network page to find other in-network pharmacies.

 

If you have questions regarding your health benefits, call our Human Resources Department:

Last names A-F, call Donelle Franklin at 352.323.5574

Last names G-O, call Maranda Strickland at 352.323.4147

Last names P-Z, call Jasmine Nieves at 352.323.4143