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, President & CEO
Primary Contact Phone Number 786.363.8500
Primary Contact Email Address Lisstte.Exposito@orangecaregroup.com

 

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Alex R Pavon MD PC N
Anna J. Lavotshkin, M.D., P.C. N
AP HEALTH, LLC N
ARTURO HERNANDEZ, MD, PA N
Barkat Jaferi N
Beatrice Onyeador N
BERGEN MEDICAL CARE LTD N
Bisan Medical, Inc. N
Brendan P Sullivan MD FACC LLC N
COASTAL FAMILY PRACTICE LLC N
Dean A. Bramlet MD PA N
Englewood Family Health Center, PA N
EXPRESS FAMILY CARE N
FIRST HARBOUR MEDICAL CENTERS LLC N
Fortunata Tieng N
G & S Medical Associates, LLC N
Gary Klingsberg N
Gulf Coast Internist, LLC N
Hector Leon-Wong N
INTERNAL MEDICINE, P.A. N
James Abraham N
KARTSONIS FAMILY MEDICINE PLLC N
Kavita Rao N
Lakewood Medical Associates N
Mark Nowacki N
Marlboro Medical Center LLC N
Med Solutions, LLC N
MICAH M MAY MD INC N
Mid Florida Adult Medicine LLC N
MIGUEL J TEPEDINO MD PA N
Mukeshbhai Patel N
Narendra Gupta N
NEUROTECH INC N
Optimum Pri Med Care N
Orlando Family Practice Care N
Pasteur Medical Group N
Piscataway Healthcare PC N
Premier Healthcare Inc N
PREMIER SOUTH MEDICAL GROUP PC N
PRIMARY CARE PHYSICIANS OF HOLLYWOOD PL N
RONALD G THOMAS MD PA N
Ruben Perez N
Samuel Preschel N
SHAMAL D NADKARNI M D P A N
SOUTHERN INTERNAL MEDICINE PLLC N
ST AUGUSTINE PRIMARY CARE P L N
Supam LLC N
THERESA KELLER GOEBEL DO PA N
Vijaya Cherukuri N
Yeow C Tong MD LLC N
Young Jo N
Zoila Jorro N

 

ACO governing body:

Member Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Exposito Lissette President, CEO, & Board Chair 19% Board Chair and Voting Member
Hassanien, MD Gammal Board Member 20% ACO Participant & Voting Member G & S Medical Associates, LLC
Chatterjee, MD Deelip Board Member 20% ACO Participant & Voting Member Med Solutions LLC
Saedeldine, MD Imad Board Member 20% ACO Participant & Voting Member Bisan Medical Inc.
Umer, MD Muhammad Board Member 20% ACO Participant & Voting Member INTERNAL MEDICINE, P.A.

 

Represe Naranja Board Member 1% ACO Patient and Medicare Beneficiary Representative

 

Key ACO clinical and administrative leadership:

Lissette Exposito ACO Executive
Pablo Quintela Medical Director
Marc Troisi Compliance Officer
Ana Rodriguez Quality Assurance/Improvement Officer

 

 

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 2018, $0

 

Shared Savings Distribution

  • First Agreement Period
    • 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

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.00 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 94.15 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 91.53 92.45
ACO-4 CAHPS: Access to Specialists 77.96 81.50
ACO-5 CAHPS: Health Promotion and Education 63.58 59.26
ACO-6 CAHPS: Shared Decision Making 63.79 61.94
ACO-7 CAHPS: Health Status/Functional Status 70.04 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 29.34 26.26
ACO-8 Risk Standardized, All Condition Readmission 15.41 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.26 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 43.34 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 91.04 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 70.79 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 2.24 1.98
ACO-11 Use of Certified EHR Technology 90.91 98.20
ACO-12 Medication Reconciliation Post-Discharge 88.49 85.91
ACO-13 Falls: Screening for Future Fall Risk 75.86 79.73
ACO-44 Use of Imaging Studies for Low Back Pain 71.43 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 52.48 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 50.00 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 80.77 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77.78 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 57.74 66.74
ACO-19 Colorectal Cancer Screening 43.45 68.27
ACO-20 Breast Cancer Screening 51.37 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 79.52 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 25.57 15.51
ACO-41 Diabetes: Eye Exam 28.24 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.40 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet 83.56 88.92

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

Note: In the Quality Performance Results file(s) above, search for “Orange Accountable Care Organization LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3557 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

 

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