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.

• For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

 

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.