Total Care ACO, LLC d/b/a Orange Accountable Care of New York

ACO Name and Location

Orange Accountable Care of New York

Previous Names: Total Care ACO, LLC

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
Aaron Greenberg N
Alan Levenson N
ALAN NISSENBAUM MD N
Aline Benjamin MD N
American Medical Diagnostics PLLC N
Anthony Bertelle MD PC N
Ariel Medina N
Arkadiy Izrailov N
Benjamin Lifshitz N
BENJAMIN LIFSHITZ MD N
Bernard Rimler N
BERNARD RIMLER MD N
C B Reddy PC N
C&Y Medical PC N
Catalina Rosca-Sipot N
Chenna Reddy N
Cortes Medical Care P.C. N
David Hersh N
David Inslicht N
David Ziemba N
DEBORAH RIMLER MD N
Elliot Lederman N
EMANUEL SCHIOWITZ DO PC N
EUGENE GIBILARO MD N
Ezra Israel N
GEORGE MOSKOWITZ MD PC N
GERALD VALME MD PC N
HARRY BERKOWITZ N
Harry Shapiro, Md Alan P Goldman, Md Steven C Tawil, Md, Pc N
Heart Health of the South Shore PC N
Howard Rosenfeld MD N
I & R Medical, Pc N
Ira Hollander N
Ira M. Steinmetz, M.D., P.C. N
Ira Steinmetz N
JASTY & MANVAR PC N
JONATHAN S LEIBOWITZ MD PC N
Joseph Slomowits, MD N
Lance Austein N
Larry Neuman N
Marcel Pintea, MD N
MEDICAL CARE PLLC N
Michael Fuchs N
Michael Josovitz, MD N
Mitchell E Lipton MD PC N
MODERN MEDICAL PLLC N
Monogram Medical PC N
MOSHE KATZENELENBOGEN N
Murray Werzberger N
Nabat Medical PC N
Naushin Siddiqui Physician Pc N
Ocean Parkway Family Practice Associates PC N
Pintea Cardio-Vascular Medicine P.C. N
Rahel Elias N
Rimma Gelbert Medical Pc N
ROBERT HUSNEY M.D.,P.C. N
Robert Moskowitz N
SAIMAMBA VEERAMACHANENI N
SAMSON MEDICAL PC N
Tarek Hegazi N
WALFORD B. LINDO, M.D.PC 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  
Rimler, MD Deborah Board Member 12.5% ACO Participant and Voting Member Deborah Rimler MD
Greenberg, MD Aaron Board Member 12.5% ACO Participant and Voting Member Aaron Saul Greenberg MD
Moskowitz, MD George Board Member 12.5% ACO Participant and Voting Member George Moskowitz MD PC
Steinmetz, MD Ira Board Member 12.5% ACO Participant and Voting Member Ira Steinmetz MD PC
Gibilaro, MD Eugene Board Member 12.5% ACO Participant and Voting Member Eugene Gibilaro MD
Schiowitz, MD Avi Board Member 12.5% ACO Participant and Voting Member Emanuel Schiowitz DO PC
DelValle Elizabeth Board Member 1% ACO Patient and Medicare Beneficiary Representative


Key ACO clinical and administrative leadership:
 

  • ACO Executive: Lissette Exposito
  • Medical Director: Jonathan Leibowitz
  • Compliance Officer: Marc Troisi
  • Quality Assurance/Improvement Officer: Ana Rodriguez

 

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:

  • Second Agreement Period
    • Performance Year 2019, $4,905,346
    • Performance Year 2018, $6,935,575
  • First Agreement Period
    • Performance Year 2017, $2,804,738
    • Performance Year 2016, $3,242,894
    • Performance Year 2015, $3,304,770

Shared Savings Distribution:

  • Second Agreement Period
    • 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%
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2016
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2015
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 60%

 

Quality Performance Results

2019 Quality Performance Results:

ACO # Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 91.49 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 94.83 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 93.84 92.69
ACO-4 CAHPS: Access to Specialists 83.12 81.54
ACO-5 CAHPS: Health Promotion and Education 51.50 60.44
ACO-6 CAHPS: Shared Decision Making 60.29 62.78
ACO-7 CAHPS: Health Status/Functional Status 68.23 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 25.60 26.17
ACO-45 CAHPS: Courteous and Helpful Office Staff 92.34 92.84
ACO-46 CAHPS: Care Coordination 85.96 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.83 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 48.32 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.29 1.87
ACO-13 Falls: Screening for Future Fall Risk 92.11 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 88.37 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.15 78.04
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 87.55 70.40
ACO-19 Colorectal Cancer Screening 80.32 70.76
ACO-20 Breast Cancer Screening 80.17 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.46 82.17
ACO-40 Depression Remission at Twelve Months 83.72 13.58
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 9.57 13.88
ACO-28 Controlling High Blood Pressure 84.07 75.04

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

 

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