Orange Accountable Care Organization, LLC

ACO Name and Location

Orange Accountable Care Organization LLC

Previous Names: N/A

14750 NW 77th Ct

Suite 308

Miami Lakes, FL 33016

ACO Primary Contact

Primary Contact Name Lissette Exposito RN, BSN, MHSA, Founder, President and CEO
Primary Contact Phone Number (786) 363-8500
Primary Contact Email Address Lissette.Exposito@orangecaregroup.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture
Anna J. Lavotshkin, M.D., P.C. N
Anna Lavotshkin N
AP HEALTH, LLC N
BERGEN MEDICAL CARE LTD N
Bisan Medical, Inc. N
Brendan P Sullivan MD FACC LLC N
Brendan Sullivan N
COASTAL FAMILY PRACTICE LLC N
Englewood Family Health Center, PA N
Hector Leon-Wong N
INTERNAL MEDICINE EMILIA MURRAY MD PA N
INTERNAL MEDICINE, P.A. N
James Abraham N
KARTSONIS FAMILY MEDICINE PLLC N
Kavita Rao N
Lakewood Medical Associates N
MARLBORO MEDICAL CENTER LLC N
MICAH M MAY MD INC N
MIGUEL J TEPEDINO MD PA N
Narendra Gupta N
NEUROTECH INC N
OPTIMUM PRI-MED CARE PA N
Piscataway Healthcare PC N
Premier Healthcare Inc N
RONALD G THOMAS MD PA N
Samuel Preschel N
SOUTHERN INTERNAL MEDICINE PLLC N
ST AUGUSTINE PRIMARY CARE P L N
Vijaya Cherukuri N
Yeow C Tong MD LLC N
Young Jo 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
Exposito Lissette President, CEO, & Board Chair 24% Board Chair and Voting Member
Raymaker, MD Brian Board Member 12.5% ACO Participant & Voting Member ST AUGUSTINE PRIMARY CARE P L
Umer, MD Muhammad Board Member 12.5% ACO Participant & Voting Member INTERNAL MEDICINE, P.A.
Umer, MD Sarwat Board Member 12.5% ACO Participant & Voting Member INTERNAL MEDICINE, P.A.
Saedeldine, MD Imad Board Member 12.5% ACO Participant & Voting Member Bisan Medical Inc.
Strauss, MD Guy Board Member 12.5% ACO Participant & Voting Member SOUTHERN INTERNAL MEDICINE PLLC
Tepedino, MD Miguel Board Member 12.5% ACO Participant & Voting Member MIGUEL J TEPEDINO MD PA
Milanick Alexander Board Member 1% ACO Patient and Medicare Beneficiary Representative

 

Key ACO clinical and administrative leadership:

  • ACO Executive: Lissette Exposito
  • Medical Director: Brian Raymaker, MD
  • Compliance Officer: Marc Troisi
  • Quality Assurance/Improvement Officer: Pablo Quintela, MD

 

 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Quality and Informatics Pablo Quintela, MD, Chair
Patient Experience Raphael Ruiz, Chair
Finance and Contracting Frank Exposito, Co-Chair

Pablo Quintela, MD, Co-Chair

 

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

 

 

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2020, $6,036,533
    • Performance Year 2019, $0
    • Performance Year 2018, $0

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2019
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2018
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%

 

Quality Performance Results

2020 Quality Performance Results:

 

ACO # Measure Name Rate ACO Mean
ACO-8 [1] Risk Standardized, All Condition Readmission 15.42 15.38
ACO-38 [1,2] Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions 41.95 51.34
ACO-43 [3] Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 0.71 1.69
ACO-13 Falls: Screening for Future Fall Risk 90.91 90.73
ACO-14 Preventive Care and Screening: Influenza Immunization 91.03 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.00 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 79.78 71.46
ACO-19 Colorectal Cancer Screening 81.67 72.59
ACO-20 Breast Cancer Screening 80.67 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.71 83.37
ACO-40 Depression Remission at Twelve Months 19.51 13.99
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 11.72 14.70
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 84.19 72.87

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

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