2800 Ponce de Leon Boulevard

Suite 1480

Coral Gables, FL 33134

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© 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

2018 ACO Participants:

Adolfo Martinez
Aeshtor E. Bombino MD PA
Alfredo Melgar MD PA
American Family Health Center Inc
Arena Medical Group LLC
Arnaldo Villafranca MD PA
Arturo R. Logrono MD PA
Barbara Ann Scherer MD PA
Barbara M. Muina MD PA
Behnam Birgani DO PA
Birjis K. Alam MD PA
Broward Oncology Associates PA
Cabrera Medical Services Inc
Caps Medical Management LLC
Carlos A. Corrales MD LLC
Carlos Marill MD PA
Carlos R. Santos MD PA
Colony Springs Medical Center Inc
Doctors Plus Medical Center Inc
Donovan D. Taylor MD PA
Elena R. Valor MD PA
Emerald Hills Medical Center Inc
Enrique C. Fernandez MD PA
Florida Health Care Medical Group
George P. Azar Jr. MD PA
GGB MD PA
Herman A. Nadal MD PA
Homestead Health and Wellness Center Inc
Humaira Khan MD PA
Innovative Health and Wellness LLC
James S. Prine MD PA
Jeffrey A. Loman MD PA
Joel D. Stein DO PA
Jorge Acosta MD
Jorge Barbeito
Jose M Torres And Associates MD PA
Jose Orcasita-Ng PA
Josefina Hernandez
La Clinique 300 Inc
Lifetime Family Urgent Care LLC
Luis Geada
Luis H. Lugo Arrendell MD PA
Matthew C. Popkin MD PA
Max-Med Clinic Inc

Miami Gardens Medical PL
Miami Lakes Medical Center Associates PA
Miguel Rebollar PA
Mohammed I. Baig MD PA
Pompano Beach Community Medical Center Inc
Primary Care LLC
Prime Care Family Health Centers Inc
PrimeHealth Physicians LLC
Rafael Ason MD PA
Rajiv Chokshi
Richard A. Mclean MD PA
Robert Odell
Rogelio J. Zaldivar MD PA
SMC Medical Center Inc
Sylvan Goldin PA
United Medical Specialties Inc
Vanguard Medical Group LLC
Varki CancerCare Center PA
Vicente F. Franco MD PA
Victor Toledano MD PA
Wellcare Medical Clinic LLC
Wellness Medical Clinic and Geriatric Center Inc
William V. Jensen DO PA
Yevgeniya Golbraykh MD PA

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 Andrew Berkman, M.D., 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: Joseph L. Caruncho
Medical Director: Victor Toledano, M.D.
Compliance Official: Marc H. Auerbach, Esq.
Quality Assurance/Improvement Officer: Jenifer Montesino

Associated committees and committee leadership:

Quality Assurance and Improvement Committee: Jenifer Montesino, 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 2018, $359,860

  • 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 2018

  • Proportion invested in infrastructure: N/A

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

  • Proportion of distribution to ACO participants: 70%

 

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: 0%

  • Proportion invested in redesigned care processes/resources: 0%

  • Proportion of distribution to ACO participants: 100%

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 “Genuine Health ACO, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2084 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.