2800 Ponce de Leon Boulevard

Suite 1480

Coral Gables, FL 33134

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Important Tags

Miami Accountable Care Organization  |  Miami ACO  |  Value-Based Care  |  Physician ACO

© 2017 Genuine Health Group

Public Reporting

ACO Name and Location

Genuine Health ACO, LLC

2800 Ponce de Leon Blvd., Suite 1480

Coral Gables, FL  33134

ACO Primary Contact

Stephany Nino

(786)878-5505

snino@genuinehealthgroup.com

Organizational Information

ACO Participants:

Elena R Valor MD PA

Clinique Medmanagement Group LLC

Matthew C Popkin MD PA

Doctors Plus Medical Center Inc

Altercare, LLC

Richard A McLean MD PA

Cardiovascular Specialists of South Florida PA

American Family Health Center Inc

Herman A Nadal MD PA

Vanguard Medical Group LLC

Aeshtor E Bombino MDPA

Midland Medical Broward Inc

Ortho Florida LLC

Lifetime Family Urgent Care Llc

FORT LAUDERDALE MEDICAL SURGICAL ASSOCIATES, INC

Varki CancerCare Center PA

Satya P Singh MD PA

Luis Geada

Veronica Gipps

Jorge Acosta MD

Angela M Rodriguez MD PA

Centro Medico Familiar Buen Pastor Inc

Gary Saff Pllc

Florida Heart Rhythm Specialists PLLC

Palm Access Llc

Wellcare Medical Clinic LLC

Kenneth H Zelnick Md Pa

Aklilu And Cobian Infectious Diseases Llc

Ricardo De Armas Palomera, MD PA

Adolfo Martinez

Josefina Hernandez

Rajiv Chokshi

Kumar Rajagopalan MD PA

Palm Vascular Center Of Broward, Llc

Carlos A Corrales MD LLC

Innovative Health And Wellness Llc

Valerie Solomon

Complete Home Care Of Broward County Llc

Dr Jason Evans PA

GGB MD PA

Jean Jacques Rajter, M.D.,P.A.

Arena Medical Group, LLC

Arnaldo Villafranca MD PA

Geriatrics And Adult Medicine Llc

Diab Agha Kidney and Hypertension Clinic, Inc.

Blue Water Pain Solutions PA

Floyd A Osterman, Jr., MD PA

Caps Medical Management LLC

Enrique C Fernandez MD PA

Jose Juan Diaz DO PA

Jorge Barbeito

Robert Odell

Juan Barroso

Villa Maria Nursing & Rehabilitation Center

Rafael Ason MD PA

Broward Eyecare Associates

St Johns Rehabilitation Hospital And Nursing Center Inc

Ronald M Tuttelman Mdpa

Emerald Hills Medical Center Inc

St. Anne's Nursing Center, St Anne's Residence Inc

Salvador Mora

Joel D Stein DO PA

Sylvan Goldin Pa

Berens Medical Center, Inc.

Broward Oncology Associates PA

Carlos Marill, Md, Pa

Jose Orcasita-Ng PA

Pompano Beach Community Medical Center Inc

La Clinique 300 Inc

Colony Springs Medical Center Inc

William V Jensen DO PA

Infectious Disease Consultants PA

Barbara Ann Scherer MD PA

George P. Azar Jr. MD PA

Mario A Delgado MD PA

Total Orthopaedic Care

Luis H Lugo Arrendell MD PA

Southeast Florida Hematology - Oncology Group, PA

Wayne J M Fraser Pa

Basilio Garciasellek D O P A

Rogelio J Zaldivar MD PA

Behnam Birgani Do Pa

Jose M Torres and Associates MD PA

Victor Toledano MD PA

Arturo R Logrono MD PA

Rsb Dermatology Inc

Max-Med Clinic Inc

Birjis K. Alam MD PA

Wellness Medical Clinic And Geriatric Center Inc

Acevedo Medical Care Group, Inc.

Kenneth E Bresky DO PA

Andrew G Logan Md Pa

Florida Health Care Medical Group

Carlos R Santos MD PA

Teresa Martinez Arroyo MD PA

Healing Touch C & C Inc

Infections Managed Inc

ACO participants in joint ventures between ACO professionals and hospitals:

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

ACO governing body

Victor Toledano, M.D., Chair; 20% Voting Member; ACO Participant, Victor Toledano MD PA

Antonio Wong, M.D., 20% Voting Member; ACO Participant, Doctors Plus Medical Center Inc

Carlos Lopez, 20% Voting Member; ACO Participant, Florida Health Medical Group

William Jensen, D.O., 20% Voting Member; ACO Participant, Pompano Beach Community Medical Center
Helen Baker, 20% Voting Member and Medicare Beneficiary Representative

Key ACO clinical and administrative leadership:

ACO Executive: Victor Toledano, M.D.
Medical Director: Victor Toledano, M.D.

Compliance Official: David Wagner MHCM
Quality Assurance/Improvement Officer: Antonio Wong, M.D.

Associated committees and committee leadership:

Quality Assurance and Improvement Committee: Antonio Wong, M.D., Chairman
Utilization Committee: William V. Jensen, D.O., Chairman

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

Network of individual practices of ACO professionals

Shared Savings and Losses:
Amount of Shared Savings/Losses​

Second Agreement Period

  • Performance Year 2017, $0

 

First Agreement Period

  • Performance Year 2016, $2,626,062

  • Performance Year 2015, $0

  • Performance Year 2014, $0

Shared Savings distribution

Second Agreement Period

Performance Year 2017

  • Proportion invested in infrastructure: N/A

  • Proportion invested in redesigned care processes/resources: N/A%

  • Proportion of distribution to ACO participants: N/A

First Agreement Period

Performance Year 2016

  • Proportion invested in infrastructure: 10%

  • Proportion invested in redesigned care processes/resources: 20%

  • Proportion of distribution to ACO participants: 70%

Performance Year 2015

  • Proportion invested in infrastructure: N/A

  • Proportion invested in redesigned care processes/resources: N/A

  • Proportion of distribution to ACO participants: N/A

Performance Year 2014

  • Proportion invested in infrastructure: N/A

  • Proportion invested in redesigned care processes/resources: N/A

  • Proportion of distribution to ACO participants: N/A

Quality Performance Results

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.    

 

Note: In the Quality Performance Results file(s) above, search for “PremierMD ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A46189 in the public use files on data.cms.gov.

Payment Rule Waivers

Yes, our ACO does use the SNF 3-Day Rule Waiver.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.