Introducing Monthly Capitation Payments For Your Medicare Fee-For-Service Patients

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See how Genuine Health Direct can enhance your practice’s monthly revenue – speak to our team about joining our inaugural group of primary care physicians.

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Call us at 786.878.5500, or send our team an email here.

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A Direct Contracting Entity (DCE)

 

Until now, monthly capitation payments for Medicare beneficiaries were only paid to doctors for their patients enrolled in managed care plans. But now, with Genuine Health Direct, you can receive capitation payments every month for your patients with traditional Medicare. Plus, our new Direct Contracting Entity, or DCE, will help participating doctors reduce overall healthcare costs, improve outcomes, and increase options for your patients.

Improve Your Practice By Joining Our DCE

  • Monthly capitation payments

  • Bonuses for Medicare savings

  • Exemption from burdensome MIPS reporting requirements

  • Support tools for your practice

What Is A DCE?

 

A DCE is a new care delivery model introduced by the Centers for Medicare and Medicaid Services (CMS). Direct Contracting Entities like Genuine Health Direct contract with CMS to deliver healthcare to fee-for-service Medicare beneficiaries aligned with participating physicians. CMS pays a monthly capitation fee to Genuine Health Direct, and in turn, we’re responsible for delivering the full scope of patient care – at full financial risk.

 

When we provide high-quality care for less than what CMS would have paid through traditional Medicare, we keep 100% of the savings and share those savings with our participating physicians.

A New Way To Share In The Savings 

 

Through Genuine Health Direct, primary care physicians can enjoy the stability, reliability, and consistency of monthly capitation payments for their aligned Medicare patients. When you join our DCE, say goodbye to claims denials and collections, and say hello to year-round support to facilitate voluntary alignment for your Medicare patients.

Click here for Frequently Asked Questions about Genuine Health Group.

DCE Public Reporting

DCE Name and Location

Genuine Health Direct

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

DCE Primary Contact

Stephany Nino

(786)878-5505

snino@genuinehealthgroup.com

Organizational Information

2022 DCE Participants:

ADAM ROSEN

ADOLFO MARTINEZ

ADRYANNA RUIZ

ALEJANDRO ROCA

ALFONSO MONGE

ALXEANDRA DORMOY

AMBROSE JOHN CHAZHIKATTU

ANTONIO MORA

ARMANDO CURRA

AUDREY ROBERSON

AURELIO MITJANS

BARBARA MARTINEZ

BARBARA SCHERER

BEHNAM BIRGANI

BIRJIS ALAM

BRIAN ZALIS

CARLOS CORRALES

CARLOS HARO

CARLOS RIVEROS

CARLOS ROJAS

CARMEN CABEZA ROMERO

CINDY MARIKA

DAYNA CLARKE-CAMERON

DIEGO SAAVEDRA

DOMINIC MAGGIO

EDGARDO REYES AYALA

ELENA VALOR

ENRIQUE FERNANDEZ

ERIC SMITH

ERNESTO IZQUIERDO

FARAH HORTA BONNIN

FELIX GUZMAN

FRANCIS SALAZAR

FRANK ARANDA

GAIELLE MAHER

GIANETTE RUVALCABA

GUILLERMO LOPEZ

HERNANDO CHONG

HUMAIRA KHAN

ISRAEL CABRERA

IVAN CARRASQUILLA

IVAN PATINO

IVETTE CARDONA RUELLE

JAIME ALAYO VILLALOBOS

JAMES HANUSA

JAMES PRINE

JEAN NOEL

JEETPAUL SINGH SARAN

JEFFREY ROSEN

JENNI GOLLETTI

JENNIFER BELTRAN

JENNIFER GUERRERO

JENNIFER MOKROSS

JENNIFER PROVINCE

JENNY MONTES DE OCA PINEDA

JESSICA WONG CANAVAL

JESUS RODRIGUEZ

JOEL ISOM

JONATHAN YOUSEF

JORGE ACOSTA

JORGE FLEITES

JORGE PEREIRA

JOSE COBIELLA

JOSE ORCASITA NG

JOSE TORRES

JOSEFINA HERNANDEZ

JOSEPH ARENA

JUAN ARTEAGA

JUAN CAMAYD

JULIET MARQUEZ

JULIO JORGE

KAREN RABEN

KYRA GOODMAN

LEONARDO RODRIGUEZ

LESLIE ORTIZ

LESTER SHALLOWAY

LEUNAM RODRIGUEZ

LIANET IBARRA

LILIAM PALACIOS

LUIS MOYA

MAGALIE SAMSON

MANUEL GONZALEZ

MARCO NOVA

MARIA CORTTI FERRARI

MARIA SORENSEN

MARIANNEE CARRATE

MARK KUTNER

MARTIN HIRIART

MAXIMO FERNANDEZ

MELISSA GREEN

MERCEDES VAZQUEZ

MICHAEL HOROWITZ

MICHAEL MCKENZIE

NAKATO KIBUYAGA-TRAVIS

NATASHA FAJARDO

NATASHA WILLIAMSON

NESTOR GUATY

OLGA LOPEZ

ORLANDO BENITEZ

RAFAEL ABREU

RAFAEL MESTRE

RAMIRO CORO

RAMON SANCHEZ

RENATO SEGURA

REYNOLD DUARTE MARTINEZ

RICARDO ZAMORA

RICHARD KOBY

RIGOBERTO FRANCO

RIZWANA SHAIKH

ROBERT GUTIERREZ

ROBERT HADDAD

ROBERT TOMCHIK

ROBERTO GARCIA RAMIREZ

ROCIO PESTANA

ROLANDO PADRO

ROXANA DELMONTE

SAMANTHA LINDSAY

SCOTT HALPERIN

SERGIO GARCIA

SETH JELINEK

SHEKHAR SHARMA

SHENASI ARANDA

SILVIA ROBALINO

SIMON WONG

SUSAN ADKINS

VENKATA BIREDDY

VERONICA CONEJO

VICENTE FRANCO

VIRGILIO DEL PINO

WENTWORTH JARRETT

WILFREDO GONZALEZ

YEVGENIYA GOLBRAYKH

2022 Preferred Providers

 

Labs

BIO-REFERENCE LABORATORIES INC                                                     FLORIDA CLINICAL LABORATORY INC                                                     GENEDX INC                                                                                               QUEST DIAGNOSTICS CLINICAL LABORATORIES INC                           QUEST DIAGNOSTICS INCORPORATED                                                   UNILAB CORPORATION      

                                                                                                       

Home Health

GENUINE HEALTH HOME CARE                                                                               

HOME HEALTH SERVICES OF SOUTH FLORIDA INC

MED-CARE HOME HEALTH SERVICES INC.                                                            

USA HOME HEALTH SERVICES INC    

                                                                                               

Infusion Pharmacy

MED-CARE INFUSION SERVICES INC

                                                                                                 

Cardiology

HUMBERTO MACHADO

DCE participants in joint ventures between DCE professionals and hospitals:

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

DCE Governing Body

  1. Annette Onorati: 12.5% Voting Member 

  2. Cesar Ortiz, CEO; 12.5% Voting Member; DCE Participant, PrimeHealth Physicians LLC 

  3. Francis Salazar MD; 12.5% Voting Member; DCE Participant, Primary Care LLC 

  4. John Santana, CEO; 12.5% Voting Member; DCE Participant, OnePlus Healthcare 

  5. Juan Aguerrebere, CPA, CFF; 12.5% Voting Member 

  6. Mark Kutner MD: 12.5% Voting Member: DCE Participant, PrimeHealth Physicians LLC 

  7. Orlando Lopez Fernandez MD; 12.5% Voting Member, GHG CMO 

  8. Slater Bayliss; 12.5% Voting Member; Consumer Advocate 

  9. TBD, 0% Voting Member; Medicare Beneficiary Representative 

Key DCE clinical and administrative leadership:

DCE Executive: Joseph L. Caruncho                                     

Medical Director: Jarrett Wentworth MD                                

Compliance Official: Manuel Lopez  

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

Network of individual practices of DCE professionals