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Accountable Care Medical Group (ACMG) ACO

Accountable Care Medical Group (ACMG) is a Florida-based physician group that operates an Accountable Care Organization, or ACO. ACMG ACO serves the healthcare needs of patients enrolled in traditional Medicare, working towards improved outcomes and increased physician savings.

 

ACMG ACO joined Genuine Health Group in 2022. In addition to ACMG, Genuine Health Group’s business lines include Genuine Health Direct, Genuine Health Management, and Genuine Health At Home.

ACO Public Reporting

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

ACO Participants

ACO Participant in Joint Venture

A PRESTIGE WELLNESS CENTER PA

AGUSTIN MARTINEZ MD PA

CAMPBELL FAMILY PRACTICE

CAROLINA FOREST URGENT CARE LLC

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC

CHARLES RAINE

COMMUNITY MEDICINE FOUNDATION

COMMUNITY WELLNESS GROUP, LLC

EFFINGHAM MEDICAL PARTNERS, LLC

FAMILY HEALTH CENTERS, INC.

FAMILY PRACTICE OF JEFFERSONVILLE LLC

FLORIDA PHYSICIANS GROUP INC

GILBERTO JIMENEZ MD INC

GREEN NEAL

GRISEL MAC WILLIAMS MD PA

INTEGRAL MEDICINE GROUP INC

JEFFERSONVILLE FAMILY AND GERIATRIC MEDICINE, LLC

JOSEFINA LOZANO, MD, PLLC

LITTLE HAVANA ACTIVITIES & NUTRITION CENTERS OF DADE COUNTY, INC.

MEDICAL CENTER OF SANTEE LLC

MONICA LOMINCHAR MD INTERNAL MEDICINE AND PALMETTO WGT MGT INC

ORANGEBURG MEDICAL ASSOCIATES PA

PASTOR M. TORRES M.D. P.A.

PEDRO P CARBALLO MD PA

RAMON M GARCIA-SEPTIEN, MD ,PA

RONALD JOHNSON

SINGLETON HEALTH CENTER LLC

SOUTH STRAND INTERNISTS PA

THADDEUS BELL

VICTOR PAZOS MD PA

ACO Governing Body

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

Board Member

Title

Voting %

Member Type

ACO Participant Legal Business Name

Jenifer Montesino

Pedro Carballo

Humberto Hernandez

Rafael Iglesias

Monnieque Singleton

Wallace Brown

COO/Board Chair

CMO/Board Member

Board Member

Board Member

Board Member

Board Member

20%

20%

20%

20%

20%

0%

Voting Member

Voting Member

Voting Member

Voting Member

Voting Member

Medicare Beneficiary

-

Pedro P Carballo MD PA

Integral Medicine Group

Little Havana Activities & Nutrition Centers of Dade County

Singleton Health Center

-

Key ACO Clinical and Administrative Leadership:

ACO Executive: Joseph L. Caruncho

Compliance Officer: Manuel Lopez

Medical Director: Pedro P. Carballo, MD

Clinical Operations: Grace Giraldo, RN BSN, MBA

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

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Clinical

Quality

Grace Giraldo, RN BSN MBA, - chair

Ingrid Enamorado, CRC CPMA - chair

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

Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Performance Year 2022 $3,740,969

  • Performance Year 2021 $165,551

  • Performance Year 2020 $0

Shared Savings Distribution:

  • Third Agreement Period

         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

2022 Quality Performance Results:

Measure

Official Measure Set - Measure Name

Rate

SSP ACO Mean

001

134

236

318

110

226

113

112

438

370

321

479

484

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

Preventative Care and Screening: Screening for Depression and Follow-up Plan

Controlling High Blood Pressure

Falls: Screening for Future Fall Risk

Preventative Care and Screening: Influenza Immunization

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

Colorectal Cancer Screening

Breast Cancer Screening

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Depression Remission at Twelve Months

CAHPS for MIPS [3]

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

27.92

62.67

62.94

74.77

60.47

51.72

51.88

61.54

85.76

21.43

N/A

0.1374

34.98

10.71

76.97

76.16

87.83

77.34

79.27

75.32

78.07

86.37

16.03

N/A

0.1510

30.97

[1] A lower performance rate corresponds to higher quality.

 

[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.                                                                                                            

[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256).  

Measure ID

Measure Name

Rate

SSP ACO Mean

CAHPS-1

CAHPS-2

CAHPS-3

CAHPS-4

CAHPS-5

CAHPS-6

CAHPS-7

CAHPS-8

CAHPS-9

CAHPS-11

Getting Timely Care, Appointments, and Information

How Well Providers Communicate

Patient’s Rating of Provider

Access to Specialists

Health Promotion and Education

Shared Decision Making

Health Status and Functional Status

Care Coordination

Courteous and Helpful Office Staff

Stewardship of Patient Resources

85.01

94.38

92.52

80.85

59.66

59.80

74.11

85.54

93.49

27.23

83.96

93.47

92.06

77.00

62.68

60.97

73.06

85.46

91.97

25.62

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