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.