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) 3638500
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
Associates in Family Practice of Broward, LLC N
AUGUSTO E HOYLE 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
JARAKI MEDICAL CARE 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
MICHAEL M ZUKOWSKY MDPA N
Milton A. Jimenez MD PA N
MIREL SANCHEZ, M.D., P.A. N
MORRISON MEDICAL ASSOCIATES PA N
MY PERSONAL MD, LLC N
NEIL S. SCHNEIDER, M.D., P.A. N
NORBERTO PEDROSO MD PA 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
STELLA MARIS HEALTHCARE CORPORATION 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.

Didn’t find what you’re looking for?
Contact Us with questions, comments, and requests.