South Florida Enhanced Track

ACO Name and Location

Orange Accountable Care Organization of South Florida LLC
Previous Names: N/A
14750 NW 77th Court
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 BERNARD TUCKLER MD PA	N
ADVANCED MEDICAL CARE ASSOCIATES PA	N
Ageless Medicine Associates Inc.	N
ANA ELOSEGUI	N
ANDREA SCHEIN	N
ANTONIO A PENA MD PA	N
Aurelio Torres PA	N
BASILIO GARCIA-SELLEK D O P A	N
BERNARD WEINBACH MD PA	N
BERNHARD BRIJBAG, D.O., P.A	N
Bobecorp, Inc.	N
BROWARD MEDICAL ASSOCIATES OF SOUTH FLORIDA	N
BRUCE WISHNOV DO PA	N
CARDIOLOGY CONSULTANTS OF WEST BROWARD,PA	N
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE, INC.	N
CHANDRAKANT SHAH MD PA	N
Charles Yanes, M.D., P.A.	N
Comprehensive Healthcare Of Miami	N
Comprehensive Primary Care	N
CRISTIAN BRETON M.D., P.A.	N
DAVID SIMON	N
EAST SIDE MEDICAL CENTER OF SOUTH FLORIDA, LLC	N
FARID MARQUEZ MD PA	N
FELIPE ANTONIO DEL VALLE MD PA	N
GABRIEL M DESCHAMPS MD PA	N
GERARDO J FRANCO DO PA	N
GERARDO QUINONEZ, M.D., P.A.	N
GILBERT MEDICAL GROUP INC	N
GONZALEZ & PEREZ MD PA	N
GORDON GRENN D.O., P.A.	N
GUS ARMENAKIS MD PA	N
HALLEGERE MURTHY MD PA	N
HECTOR M DELGADO D O P A	N
INTERNAL MEDICINE ASSOCIATES OF FL	N
IVAN ESPAILLAT MD PA	N
JEFFREY L PRESSER MD PA	N
JORGE A GONZALEZ DO PA	N
JOSE F BACA MD INC	N
JOSE GONZALEZ	N
LAKESIDE MEDICAL AND AESTHETIC CENTRE LC	N
LAKESIDE MEDICAL LLC	N
LARRY LEVINSON DO PA	N
LAWRENCE A BERGER MD PA	N
LEVINSON AND CARDENAS, PA	N
Luis A Velazquez MD PA	N
Luis R. Padron MD PA	N
MARGATE FAMILY MEDICAL CENTER INC	N
MARIA GARCIA RIVERA	N
MARICHAL & PRIETO MD PA	N
Mario A. Almeida MD, PA	N
MARLENE TAGES CORDOVA	N
MARLENNY FELIZ, MD;PA	N
MARTIN DAYTON DO PA	N
MARY A. CROSS, M.D., PA	N
MEDICAL ASSOCIATES OF TAMARAC PA	N
MIAMI CENTER FOR ADVANCED CARDIOLOGY LLC	N
MICHAEL D FELDMAN DO PA	N
MICHAEL J BRAUN MD LLC	N
Milton A. Jimenez MD PA	N
MORRISON MEDICAL ASSOCIATES PA	N
MY PERSONAL MD, LLC	N
NEIL S. SCHNEIDER, M.D., P.A.	N
NOVA CAT INCORPORATION	N
OPTIMAL HEALTH CHOICE LLC	N
OSCAR MENDEZ MD PA	N
OTTO L SECADA MD PA	N
PALM BEACH WELLNESS LLC	N
PATRICIA BRAVO MD PA	N
PEDRO G. ALVAREZ, D.O., P.A.	N
PEDRO ORLANDO DIAZ MD PA	N
PHILIP REID ORANBURG MD PA	N
PHYSICIANS GROUP OF SOUTH FLORIDA PA	N
PINNACLE HEALTHCARE SYSTEM	N
PLANTATION MEDICAL CLINIC PA	N
QUALCARE MEDICAL GROUP INC	N
RICARDO O. CALONGE, M.D., P.A.	N
RIGOBERTO GONZALEZ MD PA	N
ROBERTO B LLANTADA MD PA	N
ROBERTO URQUIZA M D P A	N
ROMEO E ROJAS MD PA	N
SERVIMED MIAMI PA	N
SOFFER HEART INSTITUTE PA	N
SOHAIL DELFANI MD P.A.	N
SOUTH FLORIDA INTERNISTS GROUP PA	N
SOUTH FLORIDA MEDICAL CLINICS ASSOCIATION INC	N
SUSAN LURIE MD PA	N
SUSSMAN & STALLER MD PA	N
SYNERGIE MEDICAL GROUP LLC	N
TERESA C IRIBARREN MD PA	N
The Centre for Internal Medicine P.A.	N
TODD KAZDAN, D.O., P.A	N
VINCENT C CHIN M.D., P.A.	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	9%	Board Chair and Voting Member
Cabral, MD	Amadeo	CSO & Board Member	0%	Board Advisor
Quintela, MD	Pablo	CMIO & Board Member	0%	Board Advisor
Fernandez, MD	Antonio	Board Member	9%	ACO Participant & Voting Member	Comprehensive Primary Care
Pancorbo, MD	Dario	Board Member	9%	ACO Participant & Voting Member	Comprehensive Healthcare Of Miami
Calonge, MD	Ricardo	Board Member	9%	ACO Participant & Voting Member	Ricardo O. Calonge MD PA
Jimenez, MD	Milton	Medical Director & Board Member	9%	ACO Participant & Voting Member	Milton A. Jimenez MD PA
Yanes, MD	Charles	Board Member	9%	ACO Participant & Voting Member	Charles Yanes, M.D., P.A.
Gilbert, MD	Marlon	Board Member	9%	ACO Participant & Voting Member	Gilbert Medical Group Inc.
Kazdan, MD	Todd	Board Member	9%	ACO Participant & Voting Member	Todd Kazdan DO PA
Cohen, MD	Jane	Board Member	9%	ACO Participant & Voting Member	Physicians Group of South Florida
Haffizulla, MD	Jason	Board Member	9%	ACO Participant & Voting Member	Medical Associates of Tamarac
Alonso, MD	Esther	Board Member	9%	ACO Participant & Voting Member	The Centre for Internal Medicine
Oliver	Mara	Board Member	1%	ACO Patient and Medicare Beneficiary Representative

 

Key ACO clinical and administrative leadership:

• ACO Executive: Lissette Exposito
• Medical Director: Pablo Quintela
• 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:

• First Agreement Period
  • Performance Year 2019, $6,692,187
  • Performance Year 2018, $3,172,313
  • Performance Year 2017, $2,643,135

Shared Savings Distribution:

• First 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%
  • Performance Year 2017
    • 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	82.13	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	94.72	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	93.69	92.69
ACO-4	CAHPS: Access to Specialists	79.39	81.54
ACO-5	CAHPS: Health Promotion and Education	61.32	60.44
ACO-6	CAHPS: Shared Decision Making	66.50	62.78
ACO-7	CAHPS: Health Status/Functional Status	70.99	73.79
ACO-34	CAHPS: Stewardship of Patient Resources	21.15	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	89.54	92.84
ACO-46	CAHPS: Care Coordination	86.60	86.89
ACO-8	Risk Standardized, All Condition Readmission	15.38	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	51.34	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))	1.69	1.87
ACO-13	Falls: Screening for Future Fall Risk	90.73	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	87.44	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	92.59	78.04
ACO-18	Preventive Care and Screening: Screening for Depression and Follow-up Plan	81.88	70.40
ACO-19	Colorectal Cancer Screening	82.47	70.76
ACO-20	Breast Cancer Screening	82.73	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	89.55	82.17
ACO-40	Depression Remission at Twelve Months	39.13	13.58
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	9.27	13.88
ACO-28	Controlling High Blood Pressure	83.44	75.04

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

 

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.