Orange Accountable Care of South Florida, LLC

ACO Name and Location

Orange Accountable Care of South Florida, LLC
Previous Names: N/A
14750 NW 77th Court, 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)
Miami Center For Advanced Cardiology Llc N
Oliver Dipietro N
SOUTH FLORIDA MULTISPECIALTY ASSOCIATES LLC N
Cleopatra Gordon Pusey MD N
Michael Morrison N
Craig Silver N
Peter Simek N
Pedro Bosch N
Alejandro Cordero N
Gabriel Deschamps N
ANDRES TAMAYO N
Farid Marquez, M.D., P.A. N
Jason Goldman N
Romeo Rojas N
Patricia Bravo N
Martin Dayton N
Jorge A Gonzalez DO PA N
Vasanthi Chandrasekaran N
Vincent Chin N
GABRIEL M. DESCHAMPS, M D P A. N
Amit Upadhiaya, D.O., P.A. N
My Personal MD LLC N
AA Cordero MD PA N
Ambert Medical Care Center Corp N
Teresa C Iribarren M.D. P.A. N
Morrison Medical Associates, P.A. N
Center For Advanced Medical Care LLC N
A Ruben Caride MD PA N
Basilio Garcia-Selleck N
South Florida Internists Group Pa N
Norberto Pedroso MD PA N
Teresa Iribarren N
Pinnacle Health Care System N
Soffer Heart Insitute Pa N
Pedro Alvarez N
Otto Secada N
Amit Upadhiaya N
Pedro Diaz N
Avelino Caride N
Hallegere Murthy N
Jorge Gonzalez N
Armando Roca N
Abdul-Rahman Jaraki N
Cleopatra Gordon Pusey md, PA N
PALM BEACH WELLNESS LLC N
Susan Lurie MD N
Plantation Medical Clinic N
Jason M Goldman MD PA N
Lourdes Nunez MD N
CLAUDIA V. PERDEI MD, P.A. N
Susan Lurie MD PA N
OPTIMAL HEALTH CHOICE LLC N
SERVIMED MIAMI PA N
Mary Cross N
Patricia Bravo Md Pa N
Lakeside Medical And Aesthetic Centre Lc. N
Jose Gonzalez N
Fernando Bolufer N
Rashmi Murthy N
PHYSICIANS GROUP OF SOUTH FLORIDA PA N
Martin Dayton D.O., P.A. N
South Florida Medical Clinics Association Inc N
Cardiology Consultants of West Broward N
Michael Gilinsky N
Hallegere Murthy MD PA N
Manuel Garcia-Frangie MD N
Medical Associates of Tamarac PA N
LEVINSON AND CARDENAS, PA N
Augusto Hoyle N
Emmanuel Orelus N
Fawaz Alfarra N
Romeo E Rojas PA N
Synergie Medical Group LLC N
Mary A Cross MD N
Sussman & Staller MD PA N
LARRY LEVINSON DO PA N
Vincent C. Chin, M.D., P.A. N
Pedro Orlando Diaz MD PA N
OTTO L SECADA MD PA N
Pedro Publio Bosch, M.D. P.A. N
Stella Maris Healthcare Corporation N
JEFFREY L PRESSER MD PA N
Jaraki Medical Care PA N
Qualcare Medical Group, Inc. N
LAWRENCE A BERGER MD PA N
Fawaz Alfarra MD PA N
BASILIO GARCIA-SELLEK D O P A N
Margate Family Medical Center Inc N
ROBERTO URQUIZA M D P A N
Pedro G. Alvarez, D.O., P.A. N
Innovative Care, Inc. N
Augusto E Hoyle MD N
Manuel Garcia-Frangie MD PA N
MARLENE CORDOVA N
Lourdes Nunez MD PA N
MICHAEL M ZUKOWSKY MDPA N
GERARDO QUINONEZ, M.D., P.A. N
ILLUMINA MEDICAL CENTERS LLC N
Advanced Medical Care Associates Pa 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 9.9% Board Chair and Voting Member  
Cabral, MD Amadeo SVP, CSO & Board Member 9.9% Voting Member  
Garcia-Frangie, MD Manuel Board Member 9.9% ACO Participant & Voting Member Manuel Garcia-Frangie MD PA
Silver, MD Craig Board Member 9.9% ACO Participant & Voting Member Center For Advanced Medical Care LLC
Nader, MD Ralph Board Member 9.9% ACO Participant & Voting Member Miami Center for Advanced Cardiology
Desir, MD Ranley Board Member 9.9% ACO Participant & Voting Member Miami Center for Advanced Cardiology
Caride, MD Avelino Ruben Board Member 9.9% ACO Participant & Voting Member A Ruben Caride MD PA
Del Valle, MD Felipe Board Member 9.9% ACO Participant & Voting Member Felipe Antonio Del Valle Md Pa
Haffizulla, MD Jason Board Member 9.9% ACO Participant & Voting Member Medical Associates of Tamarac PA
Breton, MD Cristian Board Member 9.9% ACO Participant & Voting Member Cristian Breton MD PA
Reyes Juan 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

  • Second Agreement Period
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $13,033,788
    • Performance Year 2015, $13,442,691
    • Performance Year 2014, $0

 

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • 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%
    • Performance Year 2014
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

 

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 81.51 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 93.93 93.13
ACO-3 CAHPS: Patients’ Rating of Provider 93.44 92.31
ACO-4 CAHPS: Access to Specialists 84.02 83.32
ACO-5 CAHPS: Health Promotion and Education 65.32 62.30
ACO-6 CAHPS: Shared Decision Making 76.47 75.85
ACO-7 CAHPS: Health Status/Functional Status 68.67 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 27.50 25.68
ACO-8 Risk Standardized, All Condition Readmission 15.74 15.01
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 19.48 18.46
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 88.20 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 67.46 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.76 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 82.35 75.32
ACO-13 Falls: Screening for Future Fall Risk 73.86 74.38
ACO-44 Imaging Studies for Low Back Pain 74.58 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 56.70 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 49.83 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 82.28 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.23 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 66.67 61.98
ACO-19 Colorectal Cancer Screening 50.54 64.58
ACO-20 Breast Cancer Screening 69.50 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 77.15 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 23.68 16.74
ACO-41 Diabetes: Eye Exam 47.66 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.49 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 76.68 86.86

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error.

 

Note: In the Quality Performance Results file(s) above, search for “Orange Accountable Care of South Florida, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A78902 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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