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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

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ACO Primary Contact

Stephany Nino

(786)878-5505

snino@genuinehealthgroup.com

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Organizational Information

2025 ACO Participants

A PRESTIGE WELLNESS CENTER PA

BEHNAM BIRGANI DO PA

EFFINGHAM MEDICAL PARTNERS, LLC

FLORIDA PHYSICIANS GROUP INC

GRISEL MAC WILLIAMS MD PA

INTEGRAL MEDICINE GROUP INC

IVAN ESPAILLAT MD PA

JEFFREY PAUL GALLY MD PA

JOSEFINA LOZANO, MD, PLLC

MEDICAL CLINIC OF HOUSTON, LLP

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

PEDRO P CARBALLO MD PA

RAMON M GARCIA-SEPTIEN, MD ,PA

ROMEO E ROJAS MD PA

VICTOR PAZOS MD PA

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ACO Governing Body

Board Member

Title

Voting %

Member Type

ACO Participant Legal Business Name

Jenifer Montesino

Pedro Carballo

Humberto Hernandez

Grisel MacWilliams MD

Victor Pazos MD

TBD

Board Chair

Board Member

Board Member

Board Member

Board Member

Board Member

20%

20%

20%

20%

20%

0%

Other

ACO Participant Rep

ACO Participant Rep

ACO Participant Rep

ACO Participant Rep

Medicare Beneficiary

NA

Pedro P Carballo MD PA

Integral Medicine Group

Grisel Mac Williams MD PA

Victor Pazos MD PA

NA

Key ACO Clinical and Administrative Leadership:

ACO Executive: Roger Rodriguez – Genuine Health Group, LLC

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

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Shared Savings and Losses

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Amount of Shared Savings/Losses:

  • Performance Year 2023 $4,533,781

  • Performance Year 2022 $3,740,969

  • Performance Year 2021 $165,551

  • Performance Year 2020 $0

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Shared Savings Distribution:

Third Agreement Period

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  • Performance Year 2023
    Proportion invested in infrastructure: 20%
    Proportion invested in redesigned care processes/resources: 30%
    Proportion of distribution to ACO participants: 50%​

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  • Performance Year 2022
    Proportion invested in infrastructure: 20%
    Proportion invested in redesigned care processes/resources: 30%
    Proportion of distribution to ACO participants: 50%​

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  • Performance Year 2021
    Proportion invested in infrastructure: NA
    Proportion invested in redesigned care processes/resources: NA
    Proportion of distribution to ACO participants: NA

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  • 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​

ACO participants in joint ventures between ACO professionals and hospitals:

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

2023 Quality Performance Results:​

Quality performance results are based on the CMS Web Interface collection type.

GHG_2023_Quality-Measure-Performance.jpg

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

[2] CAHPS for MIPS Survey is a composite measure, so numerator and denominator values are not applicable (N/A). The Reported Performance Rate column shows the CAHPS for MIPS Survey composite score. The CAHPS for MIPS Survey composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs). Refer to Table 5 for details on CAHPS for MIPS Survey performance.

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

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