Orange Accountable Care of South Florida, LLC

ACO Name and Location

Orange Accountable Care of South Florida, LLC
14750 NW 77th Court, 308
Miami Lakes, Florida 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
Cardiac Arrhythmia Specialists Pc N
Marcio Ferez MD N
Oliver Dipietro N
Cleopatra Gordon Pusey MD N
Neil Schneider MD N
Michael Morrison N
Gary Klingsberg N
Joseph Schuster N
E Taclob N
Maxine Hamilton N
Craig Silver N
Pedro Bosch N
Alejandro Cordero N
Samuel Preschel N
Gabriel Deschamps N
Andrea Schein N
Pudchong Srisethnil, MD N
Farid Marquez, M.D., P.A. N
Soroush Aghigh N
Mary Scanlon N
Lowell Taclob N
Romeo Rojas N
Patricia Bravo N
Patricia Wade-Gibbs N
Elhamy Shaker N
Alex Pavon N
Patricia Tanya Wade MD LLC N
Atul Prakash N
Shikha Majumdar N
Maria Ramos N
Safwat Shaker N
Anna Lavotshkin N
Bruce Berberian N
Antonio Pena N
Deelip Chatterjee N
Jorge A Gonzalez DO PA N
Rodolfo Chirinos N
Michael Feldman DO N
Vincent Chin N
Micah May N
David Simon DO N
Sessine Najjar MD LLC N
GABRIEL M. DESCHAMPS, M D P A. N
Shikha Majumdar, MD, LLC N
Yasser Asmar MD PA N
Francelot Moise, M.D., P.A. N
Bisan Medical, Inc. N
Robert Salazar ARNP Inc. N
Elite Medical Alliance Inc. N
My Personal MD LLC N
AA Cordero MD PA N
Alex R Pavon MD PC N
Micah M. May M.D. Inc. N
Gus Armenakis MD, PA N
Fabian A. Lopez MD PA N
Marichal & Prieto MD PA N
Morrison Medical Associates, P.A. N
Nova Cat Incorporation N
Francis N. Crespo MD PA N
Center For Advanced Medical Care LLC N
Elhamy Shaker N
Ivan Espaillat MD N
Pudchong Srisethnil, M.D., P.A. N
Bruce M. Berberian, M.D., P.A. N
Fortunata Tieng N
Anna J. Lavotshkin, M.D., P.C. N
Internal Medicine, P.A. N
Safwat Shaker MD PC N
Med Solutions, LLC N
Amana Medical Group, Inc. N
Maria Ann Ramos, MD, PA N
Ivan Espaillat MD PA N
Yousef Zibdie N
Waddah Allaf MD N
A Ruben Caride MD PA N
Oscar Mendez MD PA N
G & S Medical Associates, LLC N
Daniel Norberg N
Hospitalist Specialist Of South Florida Pllc N
South Florida Internists Group Pa N
Englewood Family Health Center, PA N
Juan del Rio MD N
Broward, Medical Associates Of South Florida N
Pinnacle Health Care System N
Soffer Heart Insitute Pa N
Moya-Prida Md N
Maria Garcia Rivera N
Innovative Care II, LLC N
Manuel Suarez-Barcelo MD N
Bernard Weinbach MD N
Avelino Caride N
Jorge Gonzalez N
Armando Roca N
Volrick Morrison N
Gerardo Franco N
Bergen Medical Care LTD N
Preferred Family Care Inc. N
GMED HEALTHCARE PC N
Pines Care Medical Center, LLC N
Mirel Sanchez MD PA N
Cleopatra Gordon Pusey md, PA N
Hector DiCarlo MD N
Primehealth Physicians, LLC N
Susan Lurie MD N
Gordon Grenn DO N
Maxim Chumak N
Lourdes Nunez MD N
Ccg Of South Florida Llc N
Adult & Geriatric Center Of South Florida, Llc N
Susan Lurie MD PA N
Atlantic South Medical Group, Incorporated N
Medical Center of Homestead PA N
United Medical Specialties Inc. N
Servimed Miami P.A. N
Cardiovascular Preventative Care, LLC N
Lakewood Medical Associates N
Dr Jose Jesus Sanchez MD PA N
Hector L. Di Carlo M.D. PA N
Menthor Medical Holdings LLC N
Gerardo J Franco DO PA N
Patricia Bravo Md Pa N
Lakeside Medical And Aesthetic Centre Lc. N
VitalMD Group Holding LLC N
Arman Abovyan N
Nidal Radwan MD N
Fabian Lopez N
Armando De Feria N
Francis Crespo N
Patrick Romeus N
Francelot Moise, M.D., P.A. N
Mirel Sanchez MD N
Neil S. Schneider MD PA N
Joaquin Mendez MD N
Gordon Grenn D.O., P.A. N
South Florida Medical Clinics Association Inc N
Jose Sanchez Chavez N
Yasser Asmar MD N
Marcio C Ferez MD PA N
Rodolfo A. Chirinos, M.D., P.A. N
Donovan Taylor N
Michael Gilinsky N
Manuel Garcia-Frangie MD N
David Simon DO N
South Broward Nephrology & Hypertension Associates P.A. N
Robert Salazar N
Oscar Mendez MD PA N
Mara Rodriguez N
Hamid Keshvari-Rasti N
Juan Londono N
Romeo E Rojas PA N
Cristian Breton M.D., P.A. N
Bernard Weinbach MD PA N
Michael D. Feldman DO PA N
Vincent C. Chin, M.D., P.A. N
Florida Institute of Health, Ltd., L.L.L.P. N
Fraga Medical Center, Inc. N
Pedro Publio Bosch, M.D. P.A. N
Farid Marquez, M.D., P.A. N
Roberto A. Llantada MD PA N
Stella Maris Healthcare Corporation N
Maxine E Hamilton MD PA N
Juan R Del Rio Md Pa N
Tamer Gozleveli, D.O., P.A. N
Donovan D Taylor Md Pa N
Qualcare Medical Group, Inc. N
Armando A. De Feria, M.D., P.A N
Nidal Radwan MD PA N
Gonzalez & Perez, M.D., P.A. N
Morris Sklaver Mestre And Perez Md Pa N
Waddah Allaf MD PA N
Innovative Care, Inc. N
Antonio A Pena Pa N
Joaquin Mendez MD PA N
Partners of Internal Medicine PA N
Felipe Antonio Del Valle Md Pa N
Manuel Garcia-Frangie MD PA N
Cardiology on Call, P.A. N
Lourdes Nunez MD PA N
Carlos Riveros N
Advanced Medical Care Associates Pa N

ACO governing body:

Member Member’s Voting Power Membership Type ACO Participant TIN 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, MD Medical Director
Marc Troisi Compliance Officer
Ana Rodriguez, CPC 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 2016, $13,033,788
    • Performance Year 2015, $13,442,691
    • Performance Year 2014, $0

 

Shared Savings Distribution

  • 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

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.08 80.51
ACO-2 CAHPS: How Well Your Providers Communicate 94.01 93.01
ACO-3 CAHPS: Patients’ Rating of Provider 94.29 92.25
ACO-4 CAHPS: Access to Specialists 79.71 83.49
ACO-5 CAHPS: Health Promotion and Education 65.34 60.32
ACO-6 CAHPS: Shared Decision Making 77.38 75.40
ACO-7 CAHPS: Health Status/Functional Status 73.50 72.30
ACO-34 CAHPS: Stewardship of Patient Resources 30.06 26.97
ACO-8 Risk Standardized, All Condition Readmission 15.95 14.70
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 21.21 18.17
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 58.88 53.20
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 79.18 75.23
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 64.39 59.81
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 14.28 9.27
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 15.90 14.53
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 52.38 82.72
ACO-39 Documentation of Current Medications in the Medical Record 36.02 87.54
ACO-13 Falls: Screening for Future Fall Risk 70.05 64.04
ACO-14 Preventive Care and Screening: Influenza Immunization 58.81 68.32
ACO-15 Pneumonia Vaccination Status for Older Adults 65.85 69.21
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 72.74 74.45
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90.73 90.98
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 60.84 53.63
ACO-19 Colorectal Cancer Screening 70.10 61.52
ACO-20 Breast Cancer Screening 77.55 67.61
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 71.59 76.79
ACO-42 Statin therapy for the Prevention and Treatment of Cardiovascular Disease 71.87 77.72
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 16.36 18.24
ACO-41 Diabetes: Eye Exam 65.60 44.94
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 71.50 70.69
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 73.51 85.05
ACO-31 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 92.37 88.67
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 80.41 79.67

 

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

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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