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Public Reporting

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ACO Name and Location

Genuine Health ACO, LLC

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

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ACO Primary Contact

Stephany Nino

(786)878-5505

snino@genuinehealthgroup.com

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Organizational Information
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2019 ACO Participants:

Adolfo Martinez
Aeshtor E. Bombino MD PA
Alfredo Melgar MD PA
American Family Health Center Inc
Arena Medical Group, LLC
Arnaldo Villafranca MD PA
Arturo R. Logrono MD PA
Barbara Ann Scherer MD PA
Barbara M. Muina MD PA
Behnam Birgani Do Pa
Birjis K. Alam MD PA
Broward Oncology Associates PA
Cabrera Medical Services Inc
Caps Medical Management LLC
Carlos A. Corrales MD LLC
Carlos Marill MD PA
Carlos R. Santos MD PA
Colony Springs Medical Center Inc
Doctors Plus Medical Center Inc
Donovan D. Taylor MD PA
Elena R. Valor MD PA
Emerald Hills Medical Center Inc
Enrique C. Fernandez MD PA
Florida Health Care Medical Group
George P. Azar Jr. MD PA
GGB MD PA
Herman A Nadal MD PA
Homestead Health and Wellness Center Inc
Humaira Khan MD PA
Innovative Health And Wellness LLC
James S. Prine MD PA
Jeffrey A. Loman MD PA
Joel D. Stein DO PA
Jorge Acosta MD
Jorge Barbeito
Jose M. Torres and Associates MD PA
Jose Orcasita-Ng PA
Josefina Hernandez
La Clinique 300 Inc
Lifetime Family Urgent Care LLC
Luis Geada
Luis H. Lugo Arrendell MD PA
Matthew C. Popkin MD PA
Max-Med Clinic Inc
Miami Gardens Medical PL
Miami Lakes Medical Center Associates PA
Miguel Rebollar PA
Mohammed I. Baig MD PA
Pompano Beach Community Medical Center Inc
Primary Care LLC
Prime Care Family Health Centers Inc
Primehealth Physicians LLC
Rafael Ason MD PA
Rajiv Chokshi
Richard A. McLean MD PA
Robert Odell
Rogelio J. Zaldivar MD PA
SMC Medical Center Inc
Sylvan Goldin Pa
United Medical Specialties Inc
Vanguard Medical Group LLC
Varki CancerCare Center PA
Vicente F. Franco MD PA
Victor Toledano MD PA
Wellcare Medical Clinic LLC
Wellness Medical Clinic And Geriatric Center Inc
William V. Jensen DO PA
Yevgeniya Golbraykh MD PA

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ACO participants in joint ventures between ACO professionals and hospitals:

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

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ACO governing body

Victor Toledano, M.D., Chair; 20% Voting Member; ACO Participant, Victor Toledano MD PA Antonio Wong, M.D., 20% Voting Member; ACO Participant, Doctors Plus Medical Center Inc Andrew Berkman, M.D., 20% Voting Member; ACO Participant, Florida Health Medical Group William Jensen, D.O., 20% Voting Member; ACO Participant, Pompano Beach Community Medical Center

Edward Orsi- 20% Voting Member and Medicare Beneficiary Representative

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Key ACO clinical and administrative leadership:

ACO Executive: Joseph L. Caruncho
Medical Director: Victor Toledano, M.D.
Compliance Official: Marc H. Auerbach, Esq.
Quality Assurance/Improvement Officer: Jenifer Montesino

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Associated committees and committee leadership:

Quality Assurance and Improvement Committee: Jenifer Montesino, Chairman

Utilization Committee: William V. Jensen, D.O., Chairman

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Types of ACO participants, or combinations of participants that formed the ACO:

Network of individual practices of ACO professionals

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Shared Savings and Losses:
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Amount of Shared Savings/Losses​

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Second Agreement Period

  • Performance Year 2019, $1,980,459  

  • Performance Year 2018, $359,860

  • Performance Year 2017, $0

 

First Agreement Period

  • Performance Year 2016, $2,626,062

  • Performance Year 2015, $0

  • Performance Year 2014, $0

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Shared Savings distribution

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Second Agreement Period

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Performance Year 2019

  • Proportion invested in infrastructure: 15%

  • Proportion invested in redesigned care processes/resources: 15%

  • Proportion of distribution to ACO participants: 70%

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Performance Year 2018

  • Proportion invested in infrastructure: N/A

  • Proportion invested in redesigned care processes/resources: N/A

  • Proportion of distribution to ACO participants: 100%

 

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

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First Agreement Period

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Performance Year 2016

  • Proportion invested in infrastructure: 0%

  • Proportion invested in redesigned care processes/resources: 0%

  • Proportion of distribution to ACO participants: 100%

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Performance Year 2015

  • Proportion invested in infrastructure: N/A

  • Proportion invested in redesigned care processes/resources: N/A

  • Proportion of distribution to ACO participants: N/A

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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

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Quality Performance Results

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

Payment Rule Waivers​

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  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:

    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.

 

  • Waiver for Payment for Telehealth Services:

    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

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