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 and President |
Primary Contact Phone Number | (786) 363-8500 |
Primary Contact Email Address | Lissette.Exposito@orangecaregroup.com |
Organizational Information
ACO Participants:
ACO Participant | Joint Venture? |
BROWARD MEDICAL ASSOCIATES OF SOUTH FLORIDA | N |
CHANDRAKANT SHAH MD PA | N |
Charles Yanes, M.D., P.A. | N |
EAST FLORIDA PREMIUM MEDICAL CARE LLC | N |
GERARDO QUINONEZ, M.D., P.A. | N |
GUS ARMENAKIS MD PA | N |
HECTOR M DELGADO D O P A | N |
IVAN ESPAILLAT MD PA | N |
JOSE GONZALEZ | N |
LEVINSON AND CARDENAS, PA | N |
MARTIN DAYTON DO PA | N |
Milton A. Jimenez MD PA | N |
PATRICIA BRAVO MD PA | N |
PEDRO G. ALVAREZ, D.O., P.A. | N |
QUALCARE MEDICAL GROUP INC | N |
ROBERTO URQUIZA M D P A | N |
ROMEO E ROJAS MD PA | N |
SOUTH FLORIDA INTERNISTS GROUP PA | N |
SUSSMAN & STALLER MD PA | N |
ACO Governing Body:
Member
First Name |
Member
Last Name |
Member
Title/Position |
Member’s Voting Power (Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name, if applicable |
Exposito | Lissette | President, CEO & Board Chair | 24% | Board Chair and Voting Member | |
Quintela, MD | Pablo | CMIO & Board Member | 0% | Board Advisor | |
Jimenez, MD | Milton | Medical Director & Board Member | 25% | ACO Participant & Voting Member | Milton A. Jimenez MD PA |
Armenakis, MD | Gus | Board Member | 25% | ACO Participant & Voting Member | GUS ARMENAKIS MD PA |
Alvarez, DO | Pedro | Board Member | 25% | ACO Participant & Voting Member | PEDRO G. ALVAREZ, D.O., P.A. |
Oliver | Mara | Board Member | 1% | ACO Patient and Medicare Beneficiary Representative |
Key ACO Clinical and Administrative Leadership:
- ACO Executive: Lissette Exposito
- Medical Director: Milton Jimenez
- Compliance Officer: Marc Troisi
- Quality Assurance/Improvement Officer: Michael Labinski
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 2021, $13,112,590
- First Agreement Period
- Performance Year 2020, $16,161,631
- Performance Year 2019, $6,692,187
- Performance Year 2018, $3,172,313
- Performance Year 2017, $2,643,135
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2021
- 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 2020
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 20%
- Proportion of distribution to ACO participants: 60%
- 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%
- Performance Year 2020
- Performance Year 2021
Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
Measure # | Measure Name | Rate | ACO Mean |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 10.75 | 12.46 |
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 80.89 | 74.38 |
236 | Controlling High Blood Pressure | 84.32 | 74.87 |
318 | Falls: Screening for Future Fall Risk | 91.55 | 87.03 |
110 | Preventative Care and Screening: Influenza Immunization | 83.92 | 80.52 |
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94.74 | 80.97 |
113 | Colorectal Cancer Screening | 91.19 | 73.63 |
112 | Breast Cancer Screening | 83.57 | 75.11 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 85.23 | 84.24 |
370 | Depression Remission at Twelve Months | 12.50 | 15.50 |
321 | CAHPS for MIPS3 | N/A | N/A |
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | 0.1645 | 0.1540 |
MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | 30.49 | 33.99 |
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.
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