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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Click here to complete an application for Genuine Health.

General Inquiries? 

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

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

2021 DCE Participants:

Adolfo Martinez MD

Arena Medical Group

Barbara Ann Scherer MD PA

Behnam Birgani Do PA

Birjis K Alam MD PA

C R Medical Group Inc

Cabrera Medical Services Inc

Carlos A Corrales MD LLC

Colony Springs Medical Center Inc

Donovan D Taylor MD PA

Dr Wentworth Jarrett PA

Elena R Valor MD PA

Emerald Hills Medical Center Inc

Enrique C Fernandez MD PA

Felix E Guzman MD PA

Gilda Maria De La Calle MD PA

Humaira Khan MD PA

Humberto C Machado Jr MD PA

Institute For Cardiovascular Disease PA

James Prine MD PA

Jf Primary Care MD PA

Joel D Stein Do PA

John V Williams MD PA

Jorge Acosta MD

Jose A Cobiella MD PA

Jose Orcasita-Ng PA

Jose Torres MD And Associates PA

Josefina Hernandez MD

Juan Camayd MD

Lifetime Family Urgent Care LLC

Lopez Medical Practice LLC

Mercedes J Vazquez MD PA

Miami Gardens Medical Pl

Miami Lakes Medical Center Associates PA

Primary Care LLC

Primehealth Physicians LLC

Rafael Abreu MD PA

Sg Primary Care MD LLC

Sylvan Goldin PA

United Medical Specialties Inc

Vanguard Medical Group LLC

Vicente F Franco MD PA

Virgilio Del Pino MD PA

Wellcare Medical Clinic LLC

Wellness Medical Clinic And Geriatric Center Inc

Yevgeniya Golbraykh MD PA

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

  • John Santana; 12.5% Voting Member; DCE Participant, OnePlus Healthcare

  • Francis Salazar, M.D., 12.5% Voting Member; DCE Participant, Primary Care LLC   

  • Jorge Fleites MD; 12.5% Voting Member; DCE Participant, JF Primary Care

  • Annette Onorati: 12.5% Voting Member

  • Orlando Lopez Fernandez MD; 12.5% Voting Member

  • Juan Aguerrebere; 12.5% Voting Member    

  • TBD, 12.5% Voting Member; Medicare Beneficiary Representative

  • Slater Bayliss; 12.5% Voting Member; Consumer Advocate             

Key DCE clinical and administrative leadership:

DCE Executive: Joseph L. Caruncho                                     

Medical Director: Jarrett Wentworth MD                                

Compliance Official: Stephany Nino   

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

Network of individual practices of DCE professionals

2021 Preferred Providers

Home Health

  • Genuine Health Home Care Services

  • One HomeCare