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)
Bruce Wishnov DO PA N
Miami Center For Advanced Cardiology Llc N
Justin Polga MD N
Marcio Ferez MD N
Oliver Dipietro N
Cleopatra Gordon Pusey MD N
Neil Schneider MD N
Michael Morrison N
Joesph Thevenin N
Manuel Gonzalez N
Chandrakant Shah MD PA N
Craig Silver N
Peter Simek N
Pedro Bosch N
Alvin Gutierrez N
Alejandro Cordero N
Robert Jaeger N
Gabriel Deschamps N
Andrea Schein N
Farid Marquez, M.D., P.A. N
Mary Scanlon N
Jason Goldman N
Todd Kazdan N
Romeo Rojas N
Patricia Bravo N
Martin Dayton N
Maria Ramos N
Felix Gonzalez N
Bruce Berberian N
Antonio Pena N
Jorge A Gonzalez DO PA N
Rodolfo Chirinos N
Vasanthi Chandrasekaran N
Michael Feldman DO N
Vincent Chin N
Micah May N
David Simon DO N
Bruce Wishnov N
Sessine Najjar MD LLC N
GABRIEL M. DESCHAMPS, M D P A. N
Internal Medicine Associates Of Fl N
Amit Upadhiaya, D.O., P.A. N
Yasser Asmar MD PA N
Francelot Moise, M.D., P.A. N
Robert Salazar ARNP Inc. N
My Personal MD LLC N
AA Cordero MD PA N
Ambert Medical Care Center Corp N
Gus Armenakis MD, PA N
Teresa C Iribarren M.D. P.A. N
TA Medical Group Inc 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
Ivan Espaillat MD N
Philip Oranburg N
Bruce M. Berberian, M.D., P.A. N
Maria Ann Ramos, MD, PA N
Family Medicine and Healthcare, P.A. N
Ivan Espaillat MD PA N
Waddah Allaf MD N
A Ruben Caride MD PA N
All Future Medical Center Inc N
AIM Healthcare LLC N
Oscar Mendez MD PA N
Heartwell LLP N
Daniel Norberg N
Aaron Tuckler N
Basilio Garcia-Selleck N
South Florida Internists Group Pa N
Norberto Pedroso MD PA N
Juan del Rio MD N
Teresa Iribarren N
Broward, Medical Associates Of South Florida N
Pinnacle Health Care System N
Hector Delgado N
Soffer Heart Insitute Pa N
William Cheatham N
Moya-Prida Md N
Pedro Alvarez N
Maria Garcia Rivera N
Innovative Care II, LLC N
Otto Secada N
Manuel Suarez-Barcelo MD N
Amit Upadhiaya N
Bernard Weinbach MD N
Pedro Diaz N
Avelino Caride N
Hallegere Murthy N
Jorge Gonzalez N
Armando Roca N
Volrick Morrison N
Gerardo Franco N
Abdul-Rahman Jaraki N
Community Health Center Of Miami, Llc N
Personal Care Medical Group LLC N
Pines Care Medical Center, LLC N
Mirel Sanchez MD PA N
Cleopatra Gordon Pusey md, PA N
Susan Lurie MD N
Manuel D Gonzalez MD PA N
Gordon Grenn DO N
Maxim Chumak N
Plantation Medical Clinic N
Valerie Solomon N
Jason M Goldman MD PA N
Lourdes Nunez MD N
Center for Advanced Cardiovascular Medicine, P.L.L.C. N
Robert M Jaeger D.O., P.A. N
Ccg Of South Florida Llc N
Adult & Geriatric Center Of South Florida, Llc N
Aaron Bernard Tuckler MD PA N
Arman Abovyan MD 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
Florida Doctors Group Corp N
Cardiovascular Preventative Care, LLC N
L.O.T. Health Services, Inc N
Menthor Medical Holdings LLC N
Mary Cross N
Gerardo J Franco DO PA N
Patricia Bravo Md Pa N
Lakeside Medical And Aesthetic Centre Lc. N
Arman Abovyan N
Nidal Radwan MD N
Brigitte A. Semexant D.O. P.A. N
Jose Gonzalez N
Salah Amer N
Firaz R. Hosein, DO N
Ivan Rodriguez N
Francis Crespo N
Jose Baca N
Brigitte Semexant N
Fernando Bolufer N
Mirel Sanchez MD N
Rashmi Murthy N
Neil S. Schneider MD PA N
Martin Dayton D.O., P.A. N
Moises J. Katz, M.D., F.A.C.C., P.A. N
Gordon Grenn D.O., P.A. N
South Florida Medical Clinics Association Inc N
Cardiology Consultants of West Broward N
Yasser Asmar MD N
Marcio C Ferez MD PA N
Joseph L Morse Geriatric Center N
Teresa Alfonso N
Rodolfo A. Chirinos, M.D., P.A. N
Donovan Taylor N
Michael Gilinsky N
Hallegere Murthy MD PA N
Manuel Garcia-Frangie MD N
Medical Associates of Tamarac PA N
Philip Reid Oranburg MD PA N
South Broward Nephrology & Hypertension Associates P.A. N
Levinson and Cardenas, PA N
Margarita Landron-Garcia N
Robert Salazar N
Mara Rodriguez N
Carlos Vallejo N
Firaz Hosein N
Augusto Hoyle N
Moise Anglade N
Juan Londono N
Emmanuel Orelus N
Nilda Ginarte N
Fawaz Alfarra N
Romeo E Rojas PA N
Synergie Medical Group LLC N
Mary A Cross MD N
Sussman & Staller MD 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
Pedro Orlando Diaz MD PA N
Florida Institute of Health, Ltd., L.L.L.P. N
Pedro Publio Bosch, M.D. P.A. N
Bob M Gajraj Md Pa N
Central Palm Beach Physicians & Urgent Care, Inc. N
Roberto A. Llantada MD PA N
Stella Maris Healthcare Corporation N
Jose F. Baca, MD., Inc N
Salah Amer, MD PA N
Juan R Del Rio Md Pa N
Tamer Gozleveli, D.O., P.A. N
Donovan D Taylor Md Pa N
Jaraki Medical Care PA N
Qualcare Medical Group, Inc. N
E. Gorin & E. Hanabergh, MD, PA N
Fawaz Alfarra MD PA N
Armando A. De Feria, M.D., P.A N
Joseph Thevenin Jr. MD N
Nidal Radwan MD PA N
Carlos F Vallejo Md Pa N
Hector M Delgado DO PA N
The Tradition of the Palm Beaches, Inc. N
Gonzalez & Perez, M.D., P.A. N
Margate Family Medical Center Inc N
Morris Sklaver Mestre And Perez Md Pa N
Waddah Allaf MD PA N
Alhambra Medical Group Inc N
Pedro G. Alvarez, D.O., P.A. N
Innovative Care, Inc. N
Augusto E Hoyle MD N
Antonio A Pena Pa N
Ivan D Rodriguez DO PA N
Partners of Internal Medicine PA N
Felipe Antonio Del Valle Md Pa N
Manuel Garcia-Frangie MD PA N
Internal Medicine Associates, P.A. N
Cardiology on Call, P.A. N
Lourdes Nunez MD PA N
Todd Kazdan, D.O. P.A. N
Danet Pico-Larralde MD PA N
Carlos Riveros N
Nilda M Ginarte MD PA N
Polga Medical Group P A 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:

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals
  • Networks of individual practices of ACO professionals
  • Rural Health Clinic (RHC)

 

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-36 All-Cause Unplanned Admissions for Patients with Diabetes 62.71 53.95
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.

 

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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