top of page

ACO Reporting

ACO Public Reporting (REACH)

ACO Name and Location

Genuine Health Direct

806 South Douglas Road, Suite 700
Coral Gables, FL 33134

​

ACO Primary Contact

Stephany Nino

(786) 878-5505

snino@genuinehealthgroup.com​

Organizational Information

​

2026 ACO Participants & Preferred Providers:

ADENIYI BABALOLA

ADNAN SAMMOUR

ADOLFO MARTINEZ

AGATHE FRANCK

ALANA HOFFMAN

ALBERT HUMPHREY

ALEJANDRO ROCA

ALEX COHEN

ALEXANDER PLANA

ALISON GLASSMAN

ALLISON THOMAS

AMEETA KUMAR

AMELIA BELL-HAWKINS

AMIEL LEVIN

AMIEL LEVIN MD PA

AMY IANNONE

ANDREA MCINTOSH

ANGELA ROBISON

ANITA PUNJABI BAJPAI

ANTONIO MORA

ANTONIO MORA MD PA

AREADNE SOLER

ARIANE CLERVEAU BEAUBOEUF

ARMANDO A. FERNANDEZ MD PA

ARMANDO FERNANDEZ

ARTURO MARTINEZ ALFONSO

ASSOCIATED FAMILY PHYSICIANS OF BOCA RATON

AUDREY ROBERSON

BARBARA ANN SCHERER MD PA

BARBARA M MUINA MD PA

BARBARA MARTINEZ ESCOBAR

BARBARA MUINA

BARBARA SCHERER

BERNHARD BRIJBAG

BERNHARD BRIJBAG DO PA

BIRJIS ALAM

BIRJIS K ALAM MD PA

BRYAN LUBANSKY

CABRERA MEDICAL SERVICES INC

CARLOS DELGADO

CARLOS DELGADO MD PA

CARLOS DOMINGUEZ

CARLOS L DOMINGUEZ MD PA

CARLOS RIVEROS

CAROLINA RAUDEZ

CECILIA PERNAS

CENTRAL FLORIDA MEDICAL ASSOCIATES INC

CHARLES YANES

CHARLES YANES MD PA

CHEYANNE DAY

CHRISTIAN REYNES

CHRISTINA HILL

CHRISTOPHER CORRIVEAU

CINDY MARIKA

CINDY MARIKA DO PA

CLINICA HISPANA II PA

COLLIER HEALTH SERVICES INC

COLONY INTERNAL MEDICINE ASSOCIATES PA

CR MEDICAL GROUP INC

CRISANTO DELGADO

CRISBEL ROSABAL PERNAS

DAVID MORRIS

DAVID SALTZMAN

DE VALLE & ASSOCIATES PHYSICIANS PLLC

DEBRA FRIEDRICH

DEERFIELD BEACH MEDICAL CLINIC PA

DINA BIELSKI

DIONNE YAMOUT

DIPESH DERAY

DIVIJANI PUTTAGUNTA

DOCTORS HEALTH GROUP OF SOUTH FLORIDA INC

DR FRANK J ARANDA LLC

DR JORGE TRAVIESO MD PA

DR WENTWORTH JARRETT PA

DR. BARBARA MARTINEZ MD PA

EDUARDO A. REYES MD PA

EDUARDO MENDEZ

EDUARDO REYES

EMERALD HILLS MEDICAL CENTER INC

ENRIQUE C FERNANDEZ MD PA

ENRIQUE CIKLIK

ENRIQUE FERNANDEZ

ERICA O DONNELL

ERIK OCON

FABIAN RODRIGUEZ

FARAH HORTA BONNIN

FELIX E GUZMAN MD PA

FELIX GUZMAN

FLORIDA HEALTH CARE OF BREVARD

FLORIDA PRIMARY CARE PARTNERS LLC

FRANK ARANDA

FRANK OLIVER

GENARO MARCIAL NIEVES

GEORGIA VARNER

GILBERT FAMILY PRACTICE PLLC

GILBERT LEUNG

GILBERT LEUNG MD PA

GLADYS NOGUEIRAS

GOPI BHAKTA

GREGORY SINGLETON

​

HAMMOCK MEDICAL CENTER INC

HARVEY KLEINER

HARVEY S. KLEINER DO PA

HIN CHRISTINE LEE

ICIE MULLIS

ILEANA CALDERON CESTERO

INTEGRATIVE PRIMARY CARE OF EL PASO PLLC

ISRAEL CABRERA

JACKIE SNELL

JACQUELINE PORRAS

JAIME ARANGO CIFUENTES

JANETH SAWH

JAY JONES

JEAN-BAPTISTE PIERRE

JEAN-JOSEPH RENDEL

JEANNETTE DE LA TORRE

JEFFREY A LOMAN MD PA

JEFFREY GOUDREAU

JEFFREY LOMAN

JENNIFER HONG

JERRY LEVENTHAL

JESSIE RICHEME

JF PRIMARY CARE MD PA

JOEL ISOM

JOHN BANCROFT HYLTON MD PA

JOHN HYLTON

JOHN MATTEI

JOHN YEE

JORGE BARCENAS

JORGE FLEITES

JORGE M BARCENAS MD PA

JORGE PEREIRA

JORGE PEREZ

JORGE TRAVIESO

JOSE A COBIELLA MD PA

JOSE COBIELLA

JOSE GUERRERO

JOSE HERNANDEZ

JOSE M TORRES AND ASSOCIATES MD PA

JOSE TORRES

JOSEPH MASCENIK

JOY HUNTLEY

JUAN CAMAYD

JUAN OROZCO

JUAN PEREZ-ESPINOSA

JUDITH RAUSCH

JULIAN JOHNSON

JULIAN MARQUEZ

JULIAN MARQUEZ MD PA

JULIO ROSALES

JUVENAL E MARTINEZ MD PA

JUVENAL MARTINEZ

KENNETH MIDONECK

KERRI ADAMY

KIRSHLINE FLEURISTAL

LAURA SEVERYN

LAWRENCE EGGER

LAZARA HURTADO INFANTE

LENNI FUGAZY

LISA BLACK

LORI EDUARTEZ

LOUIS GILBERT

LUDMILLA GABRIEL

LUZ LUQUE

MANATEE MEDICAL SPECIALISTS LLC

MANUEL GONZALEZ

MANUEL GONZALEZ MD PA

MANUEL PEREZ-ESPINOSA MD PA

MARCO A NOVA MD PA

MARCO NOVA

MARCOS ZARAGOZA

MARIA AGUIRRE

MARIA BUSTAMANTE

MARIA MUSTELIER

MARIE JOSEPH

MARLENE GONZALEZ

MARY ANN RAUSCH

MD HEALTHCARE BOCA RATON LLC

MEDICAL GROUP AT SOUTH MIAMI INC

MEDICAL SPECIALISTS ASSOCIATED

MELISSA SANTANA

MERCEDES J VAZQUEZ MD PA

MERCEDES VAZQUEZ

MICHELLE WILSON

MIGUEL APONTE

MIHIR FALDU

MOISES ISSA

MONICA DE LA TORRE

MT WEST HEALTH CENTER PA

NAM NGUYEN

NANCY BOULOUTE

NASREEN GHAZI

NATASHA WILLIAMSON

NEIGHBORMD OF ATLANTA LLC

NEIGHBORMD OF NEWNAN LLC

NEIGHBORMD OF SOUTH ATLANTA LLC

NEIL FURMAN

NEST MEDICAL CENTER PA

NESTOR GUATY

NIXCELA ARES-VALDES

OCEANNA WHITE

ODALYS PENA

ORMOND INTERNAL MEDICINE LLC

OSCAR DE VALLE

OSWALDO SANDOVAL

OWEN BARRUW

PADMINIE SINGH

PATRICIA VANDIEPEN

PAUL M. SCHWARTZ MD PA

PAUL SCHWARTZ

PAULA BEDO

PEDRO CASTELLANOS

PHILLIP DAVIS

PHILLIP G DAVIS MD PA

PRIMARY MEDICAL PHYSICIANS LLC

PRISCILLA LUONG

RADHIKA BAWA

RADHIKA PHADKE

RAFAEL HERNANDEZ LORA

RAFAEL MESTRE

RALPH MARTIN

RAMON BERENGUER

RAMON LEON

RAMON LEON MD LLC

RAUSCH FAMILY PRACTICE

REINIER RAMIREZ

REMI DIEUJUSTE

RENATO SEGURA

REX MOSS

RICARDO DOMINGUEZ

RICARDO DOMINGUEZ MD PA

RICARDO MARTINEZ

RIZWANA SHAIKH

ROBERTO URQUIZA

ROBERTO URQUIZA MD PA

ROLANDO PADRO

ROSA ESPINOSA

ROSEMARIE GORIS-HERNANDEZ

ROY BASSETT

ROYAL CARE MEDICAL CENTER INC

RUTH CATIGNAS

RYLAN MCQUADE

SABIA ST FLEUR

SAMANTHA BURSTELL

SAMIR DAWOD RAJIHA

SERGIO GARCIA

SG PRIMARY CARE MD LLC

SHARON MACROHON-SABAITUE

SHAZIA AHMED

SHENASI ARANDA

SHEREN LEUNG

SHIVANAND PERSAD

SIMON WONG

SIRAHAYDEE PENA-ALCANTARA

SLAVISA MARKOVIC

SOFFER HEART INSTITUTE PA

SOLOMON TAFARI

SONIA RAAB

STAMATINA ADAMS

STEPHEN GIST

STEVEN NEWMAN

SUNSHINE FAMILY HEALTHCARE LLC

SURJIT ATHWAL JOHAL

SUSAN FESMIRE

SUSAN RASHID

SYED AHMED

TANMAY PATEL

THE PRACTICE

TIMBERLY GILFORD

TOTAL MD CARE CORP

TOYA ALDER

TRICORD MEDICAL GROUP INC

UNIPLUS HEALTH LLC

UNITED MEDICAL SPECIALTIES INC

USHA SETH

VANGUARD MEDICAL GROUP LLC

VERONICA STUKES

VICENTE F. FRANCO MD PA

VICENTE FRANCO

VICTOR MARTINEZ

VICTOR STEWART

VICTOR VILLALOBOS

VIERGELA JOSEPH

VOLUSIA MEDICAL CENTER LLC

VRAJ MEDICAL LLC

WAEL ALOKEH

WELL-BEING MEDICAL CENTER PLLC

WELLCARE MEDICAL CLINIC LLC

WEN-LING LIN

WENTWORTH JARRETT

WILLIAM CRIGLER

WILLIAM PENA

XUN ZHAO

YAEL MYERS

YAMILET ALBERTO MOYA

YARANY PEREZ IBANEZ

YORDY BRITO AGUILA

ZVI GROSS

Woundcare

WT HEALTH OF FLORIDA LLC

WT HEALTH OF TEXAS LLC

AHKIRA MCPHERSON

AKEMI CASTILLO

ALEXANDRA PEACH

ALEXANDRE MENDES

ALISON RICKARD

AMANDA THOMPSON

ANDREW REID

ANGEL VALLADARES

ANILSY PANDO

ANNA CALLAHAN

ASDRUBAL SALINAS

AZALI HARRIS

CALLISTA DAVIS-OSUAGWU

CARMEN FRAMIL

CAROL ANDERSON

CATHI MOORE

CECELIA VIRGIL

CHINWE ANAGBOGU

CHRISTINA HOUSTON

CIRILO PEREZ PEREZ

CLAUDIA FERNANDEZ DE LARA

DANAYS ARCIA FUENTES

DANIELA JOSEPH

DEANNA LEACH

DIANA SANDERS

DULEISI ALVAREZ RAMOS​

DWAYNE DUNKERSON

EDWARD DIAZ

FANIE PIERRE

FARIDA VILDANOVA

GAMALIER ROLON

GLENDA DIAZ

HECTOR CABRERA

HEIDI COOK

HERIBERTO LOPEZ

IFECHUKWUDENY OKWUOYIBO

JACINTHA NNADI

JANICE JACKSON

JEONG YEON PARK

JESSICA CHUY

JOHNNIE BYRD

JONATHAN CHENG

KENDRA BOSWELL

KIMBERLY TEZENO

LAUREN KARGER

LISA JOHNSON-LOSINSKI

LISA STEWART

LISA TOWNSEND

LORENA ALVAREZ SUAREZ

MADAY SUAREZ

MARIE DESIREE LACANDOLA

MARJORIE PARAISON-DORELIEN

MARLON BARCELO

MARY ANNE STEVENS

MAYELIN DIAZ CUBA

MEEKAYLE MCNEAL

MERY MELO

MILES MON

MINGHSUN LIU

MOLLY JIMENEZ

MORAIMA RODRIGUEZ

NICOLE BROWN

OLGA TRINIDAD

PENNELOPE DYALS

PLANISE JEAN LOUIS

RACHAEL PROVEAUX

RACHEAL ISIGUZO

RITA MIRANDA

ROSALEE STEWART

SHANE BENNETT

SHEILA MARIE INSO

SHERLIE CHERRELUS

STEPHANIE LEBRON FIGUEROA

TANIA GOMEZ MONTANO

TODD CORDEN

TRACIE BARBER

VERONICA LONDONO ARIAS

VIVIAN VIALAT SOTO

YANSEL MARRERO LEREBOURS

YESSENIA MARMOL

YOLETTE ETIENNE

Home Health

ALL WAYS HOMECARE INC

AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC

AMEDISYS SC LLC

BRILLIANT HOME HEALTH SOLUTIONS LLC

DOCTOR'S CHOICE HOME CARE LLC

FLORIDA NURSES HOME HEALTH AGENCY INC

GENUINE HEALTH HOME CARE

GEORGETOWN HOSPITAL HOME HEALTH LLC

HOME HEALTH SERVICES OF SOUTH FLORIDA INC

LHCG CCXXXIII LLC

LHCG CXVI  LLC

LHCG CXXXVII LLC

LHCG XXXIII LLC

MED-CARE HOME HEALTH SERVICES INC

NURSING PLUS LLC

RX HOME HEALTH SERVICES INC

TIMELESS HOME CARE LLC

TOMBALL TEXAS HOME CARE SERVICES LLC

USA HOME HEALTH SERVICES INC

                                                                                                                         

 

​

​​​​

​​​​

​

ACO participants in joint ventures between ACO professionals and hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals 

​

The current ACO REACH Model Participation Agreement is available here

Labs

AMERIPATH CINCINNATI INC

AMERIPATH FLORIDA LLC

AMERIPATH LUBBOCK 501A CORPORATION

AMERIPATH NEW YORK LLC

AMERIPATH TEXAS INC

CLEVELAND HEARTLAB INC

INSTITUTE FOR DERMATOPATHOLOGY INC

LABONE LLC

LABORATORY CORPORATION OF AMERICA

LABORATORY CORPORATION OF AMERICA HOLDINGS

MED FUSION LLC

OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

QUEST DIAGNOSTICS INCORPORATED

QUEST DIAGNOSTICS INCORPORATED MD

QUEST DIAGNOSTICS LLC

QUEST DIAGNOSTICS LLC IL

QUEST DIAGNOSTICS MASSACHUSETTS LLC

QUEST DIAGNOSTICS NICHOLS INSTITUTE

QUEST DIAGNOSTICS NICHOLS INSTITUTE INC

QUEST DIAGNOSTICS OF PENNSYLVANIA INC

SPECIALTY LABORATORIES INC

UNILAB CORPORATION

Hospice

VITAS HEALTHCARE CORPORATION OF FLORIDA

VITAS HEALTHCARE CORPORATION OF GEORGIA

VITAS HEALTHCARE OF TEXAS LP​

​​​​Dermatology

ALEJANDRO PEDROZO III MD PA

ALEJANDRO PEDROZO

​

Podiatry

GELLER HOROWITZ & AKHAVAN PA

ADRIAN AKHAVAN

JOANNA ARROYO-RIVERA

ACO Governing Body

ACO-Governing-Body_Table.png

Key ACO clinical and administrative leadership:

ACO Executive: Roger Rodriguez – Genuine Health Group, LLC

Compliance Official: Monica Nino – Genuine Health Direct, LLC

Medical Director: Jarrett Wentworth, MD – Dr Wentworth Jarrett, PA 

Clinical Leadership: Grace Herrera, RN, BSN, MBA – Genuine Health Group, LLC​

Quality Improvement: Ingrid Enamorado, CRC, CPMA – Genuine Health Group, LLC

​

Shared Savings and Losses​​​​​​

  • Performance Year 2024: ($4,340,899.94)

    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 0%

    • Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 0%
       

  • Performance Year 2023: $23,454,383.12 Gross/ $14,409,374.31 Net​

    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 30%

    • Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 70%

    ​

  • Performance Year 2022: $16,267,306.83 Gross/ $12,889,540.62 Net

    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 30%

    • Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 70%

​

  • Performance Year 2021: $5,174,328.13 Gross/ $3,318,705.58 Net

    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 30%

    • Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 70%​​​

​​​Quality Measure Performance​​

2024 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

Claims-Based Quality Measures

1.png
3.png

CAHPS: Weighted Patient Mix Adjusted Linearized Mean SSM Results

2.png

2023 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

Claims-Based Quality Measures

Claims-Based Quality Measures 2023
Table 3b 2023

Footnotes:

Points earned are calculated usin gthe Benchmark tiers CMS has set- refer to the table: Name

  1. The Initial Quality Score is calculated by dividing the Total Points Earned (sum of "Points Earned" column) by the Total Points Possible (sum of "Points Possible" column).

  2. CI/SEP points are assigned based on year over year improvement by measure and allocated by overall score. Our ACO met the requirememt and we granted that to all groups, if ACOS do not meet the requirment CMS multiples by .5

  3. Demographic Reporting Rate: This is your HEDR Reporting Rate based on Demographic Data reported to the Health Data Reporting Application for PY 2023.  

  4. The total score is the sum of the initial with the HEDR earned

  5. The Quality withhold you earned out of max 2% 

CAHPS: Weighted Patient Mix Adjusted Linearized Mean SSM Results

CAHPS 2023

Footnotes:

  1. SSM =  Summary survey measure

  2. SSM Score =  The mean of the weighted patient mix adjusted linearized means for all questions in the SSM. Higher values are better.

  3. Benchmarks for each SSM are calculated from pooled data from MIPS, the Shared Savings Program, and NG-ACOs from 2021 and 2019 combined with PY 2022 data from all REACH ACOs. SSM points earned for each measure are based on the REACH ACO's performance compared to the benchmarks.

  4. The final CAHPS Composite Score used in determining a REACH ACO's Total Quality Score is calculated by dividing the total SSM points earned by the total SSM points possible. CMMI will not assign SSM points for SSMs based on data from fewer than 20 survey respondents. These SSMs will be excluded from the calculation of the CAHPS Composite Score without negatively impacting the REACH ACO's CAHPS Composite Score. For example, if an ACO has 1 SSM (out of 8) with fewer than 20 respondents, they would only be scored on the remaining 7 SSMs; thus, their total SSM points possible would be 70.

  5. To receive a CAHPS Composite Score, an ACO must have SSM points assigned for at least 4 out of the 8 SSMs. ACOs with fewer than 4 SSM scores will see a dash (---) in the CAHPS Composite Score field.

  6. The mean SSM scores are calculated across Standard and New Entrant ACOs only.

  7. NR = Not reported; due to case minimum requirements, SSM results are not reported if fewer than 20 respondents answered the survey questions needed to calculate the SSM.

  8. A dash (---) is used to indicate SSMs with zero respondents.

  9. N/A = Not applicable; indicated if an ACO is exempt from the CAHPS Survey. An ACO is exempt from the CAHPS Survey if it does not have enough survey eligible beneficiaries to participate in the survey.

2022 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

Claims-Based Quality Measures

Claims-Based Quality Measures 2022

Footnotes:

  1. Volume is defined differently depending on the measure (index hospital stays for ACR and TFU, person-years for UAMCC and DAH).

  2. For Standard and New Entrant DCEs, the mean quality measure score for each measure is calculated across both Standard and New Entrant DCEs.

  3. For PY 2022, for the 1% of the Quality Withhold tied to performance, separate Quality Performance Benchmarks have been set for ACR and UAMCC. DCEs that meet the 30th percentile Quality Performance Benchmark threshold for either ACR or UAMCC will earn back the full 1% of the Quality Withhold based on their performance. The 30th percentile is therefore the highest Quality Performance Benchmark for any DCE. For example, for a DCE with a percentile rank of 75.0 for the UAMCC measure, the highest Quality Performance Benchmark met for UAMCC will be 30th and the DCE will receive a P4P Component Quality Score of 100%. DCEs that are below the 30th percentile Quality Performance Benchmark on both measures will have have their P4P Component Quality Score determined by a sliding scale based on their highest performing measure, so they can earn back a portion of the performance-based 1%. See Table 2b. below for the sliding scale thresholds for PY 2022.

  4. If a DCE met the 30th percentile benchmark for at least one of ACR and UAMCC measures, the P4P Component Quality Score will be 100%.  If the DCE did not meet the 30th percentile benchmark for at least one measure, this cell will show the highest sliding scale threshold met based on the highest performing measure.

  5. N/A = not applicable; a triple-dash (---) is used to indicate no eligible data

CAHPS: PY 2022 Patient Mix Adjusted Weighted Linearized Mean SSM Results

CAHPS: PY 2022 Patient Mix Adjusted Weighted Linearized Mean SSM Results

Footnotes:

  1. SSM =  Summary survey measure

  2. SSM Results =  The mean of the patient mix adjusted weighted linear scores for all questions in the SSM. Higher values are better. DCEs' 2022 results are provided for informational purposes and do not impact PY 2022 Total Quality Scores.

  3. NR = not reported; due to patient confidentiality, percentages are not reported if fewer than 11 respondents answered the answer categories needed to calculate the SSM.

  4. A dash (---) is used to indicate SSMs with zero respondents.

2021 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

2021 Quality Performance Results

ACO Public Reporting (MSSP)

ACO Name and Location

ACMG Health Systems, Inc

806 South Douglas Road, Suite 700

Coral Gables, FL  33134

​

ACO Primary Contact

Stephany Nino

(786) 878-5505

snino@genuinehealthgroup.com​

Organizational Information

​

2026 ACO Participants

ADDISON MIZNER MEDICAL LLC

AIZER HEALTH INC

BEHNAM BIRGANI DO PA

COMMUNITY HEALTH PROJECT, INC.

DAMIAN FAMILY CARE CENTER INC

DIA HEALTH PLLC

EAST HARLEM COUNCIL FOR HUMAN SERVICES INC

FATHIMA SYED MD PLLC

GOOD BUSINESS LLC

GRISEL MAC WILLIAMS MD PA

HOUSING WORKS HEALTH SERVICES III INC

HOUSING WORKS SERVICES II INC

HOUSING WORKS SERVICES INC.

IVAN ESPAILLAT MD PA

JEFFREY PAUL GALLY MD PA

LIFETIME FAMILY URGENT CARE LLC

MCDAVID M MAHAFFEY MD PA

MEDICAL CLINIC OF HOUSTON, LLP

PARTNERS IN INTERNAL MEDICINE PA

RODOLFO J CEPERO MD PA

SAMANTHA S LINDSAY MD PA

SIMCARE, PLLC

ACO participants in joint ventures between ACO professionals and hospitals:

No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

BoardMembers 2025.png

Key ACO Clinical and Administrative Leadership:

ACO Executive: Roger Rodriguez – Genuine Health Group, LLC

Compliance Officer: Monica Nino – Genuine Health Group, LLC

Medical Director: McDavid Mahaffey,  –  MD McDavid Mahaffey, MD PA

Clinical Operations: Grace Herrera, RN BSN, MBA

Quality Assurance/Improvement Officer: Ingrid Enamorado, CRC, CPMA

Associated Committees and Committee Leadership:

ACMG-Committee-2025.png

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Networks of individual practices of ACO professionals

​

ACO PC Flex PY25 Annual Spend Plan

 

Shared Savings and Losses

​

Amount of Shared Savings/Losses:

  • Performance Year 2024 $3,862,637

  • Performance Year 2023 $4,533,781

  • Performance Year 2022 $3,740,969

  • Performance Year 2021 $165,551

  • Performance Year 2020 $0

​

Shared Savings Distribution:

Third Agreement Period

​

  • Performance Year 2024
    Proportion invested in infrastructure: 20%
    Proportion invested in redesigned care processes/resources: 30%
    Proportion of distribution to ACO participants: 50%​
     

  • Performance Year 2023
    Proportion invested in infrastructure: 20%
    Proportion invested in redesigned care processes/resources: 30%
    Proportion of distribution to ACO participants: 50%​

​​

  • Performance Year 2022
    Proportion invested in infrastructure: 20%
    Proportion invested in redesigned care processes/resources: 30%
    Proportion of distribution to ACO participants: 50%​

​

  • Performance Year 2021
    Proportion invested in infrastructure: NA
    Proportion invested in redesigned care processes/resources: NA
    Proportion of distribution to ACO participants: NA

​

  • Performance Year 2020
    Proportion invested in infrastructure: NA
    Proportion invested in redesigned care processes/resources: NA
    Proportion of distribution to ACO participants: NA

​​​Quality Measure Performance​​

2024 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

QualityMeasures.png

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov​​

​

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

bottom of page