
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
Organizational Information
ACO Participants
ACO Participant in Joint Venture
A PRESTIGE WELLNESS CENTER PA
AGUSTIN MARTINEZ M D P A
BAY CLINIC INC
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
COULTER CLINIC
EFFINGHAM MEDICAL PARTNERS, LLC
FAMILY HEALTH CENTERS, INC.
FAMILY PRACTICE OF JEFFERSONVILLE LLC
FLORIDA PHYSICIANS GROUP INC
GILBERTO JIMENEZ MD INC
GRACE MEDICAL GROUP
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
REARDEN INTERNAL MEDICINE & GERIATRICS LLC
RONALD JOHNSON
SINGLETON HEALTH CENTER LLC
SOUTH STRAND INTERNISTS PA
THADDEUS BELL
VICTOR PAZOS MD PA
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
N
N
N
N
ACO Governing Body
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
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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:
-
Third Agreement Period
Performance Year 2022- to be reported 09/2023
-
Second Agreement Period
Performance Year 2021 $165,551
-
First Agreement Period
Performance Year 2020 $0
Shared Savings Distribution:
-
Second Agreement Period
Performance Year 2021
-
Proportion invested in infrastructure: NA
-
Proportion invested in redesigned care processes/resources: NA
-
Proportion of distribution to ACO participants: NA
-
First Agreement Period
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
2021 Quality Performance Results:
Measure
Official Measure Set - Measure Name
Rate
ACO Mean
001
134
236
318
110
226
113
112
438
370
321
479
MCC1
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2
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 MIPS3
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2
25.10
77.48
67.17
89.11
62.24
85.71
59.03
62.33
81.72
0.00
N/A
0.1689
34.02
12.46
74.38
74.87
87.03
80.52
80.97
73.63
75.11
84.24
15.50
N/A
0.1540
33.99
[2] A lower performance rate corresponds to higher quality.
[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). See Table 4 for details on CAHPS for MIPS performance.
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:
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Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
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Waiver for Payment for Telehealth Services:
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Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
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