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Introducing Monthly Capitation Payments For Your Medicare Fee-For-Service Patients

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See how Genuine Health Direct can enhance your practice’s monthly revenue – speak to our team about joining our inaugural group of primary care physicians.

Get To Know Us

Schedule a 10-minute intro call today.

Apply Today

Click here to complete an application for Genuine Health.

General Inquiries? 
Call us at 786.878.5500,
or email our team.

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ACO Realizing Equity, Access, and Community Health (REACH) Model 

 

Until now, monthly capitation payments for Medicare beneficiaries were only paid to doctors for their patients enrolled in managed care plans. But now, with Genuine Health Direct, you can receive capitation payments every month for your patients with traditional Medicare. Plus, our ACO will help participating doctors reduce overall healthcare costs, improve outcomes, and increase options for your patients.

Improve Your Practice By Joining Our ACO

  • Monthly capitation payments

  • Bonuses for Medicare savings

  • Exemption from burdensome MIPS reporting requirements

  • Support tools for your practice

What Is An ACO?

 

A REACH ACO is a new care delivery model introduced by the Centers for Medicare and Medicaid Services (CMS). Accountable Care Organizations like Genuine Health Direct contract with CMS to deliver healthcare to fee-for-service Medicare beneficiaries aligned with participating physicians. CMS pays a monthly capitation fee to Genuine Health Direct, and in turn, we are responsible for delivering the full scope of patient care – at full financial risk.

 

When we provide high-quality care for less than what CMS would have paid through traditional Medicare, we keep 100% of the savings and share those savings with our participating physicians.

A New Way To Share In The Savings 

 

Through Genuine Health Direct, primary care physicians can enjoy the stability, reliability, and consistency of monthly capitation payments for their aligned Medicare patients. When you join our ACO, say goodbye to claims denials and collections, and say hello to year-round support to facilitate voluntary alignment for your Medicare patients.

Click here for Frequently Asked Questions about Genuine Health Group.

ACO Public Reporting

ACO Name and Location

Genuine Health Direct

806 South Douglas Road, Suite 700
Coral Gables, FL 33134

ACO Primary Contact

Stephany Nino

(786) 878-5505

snino@genuinehealthgroup.com

Organizational Information

2023 ACO Participants & Preferred Providers:

ADAM NASSERY

ADAM ROSEN

ADOLFO MARTINEZ

ADRYANNA RUIZ

AJIT SINGH

ALBERT HUMPHREY

ALEJANDRO ROCA

ALEXANDRA SANTINI

ALEXANDRA SPERLING

ALFONSO MONGE

ALXEANDRA DORMOY

AMIEL LEVIN

ANDREA MCINTOSH

ANTONIO MORA

ARAM SARKISYAN

ARIANE CLERVEAU BEAUBOEUF

ARMANDO CURRA

ARNOLD CHA

AUDREY LIU

AUDREY ROBERSON

AURELIO MITJANS

ADDISON MIZNER MEDICAL LLC
ADULT MEDICINE OF LAKE COUNTY INC
AJIT SINGH MD PA
ALBERT HUMPHREY
AMIEL LEVIN MD PA
ANGEL'S MEDICAL COMPANY
ANTONIO MORA MD PA
ARENA MEDICAL GROUP LLC
AURELIO MITJANS MD PA

BARBARA MARTINEZ

BARBARA SCHERER

BARRY STREIT

BEHNAM BIRGANI

BIRJIS ALAM

BRENDA NGUYEN

BRUCE MANN

BARBARA ANN SCHERER MD PA
BEHNAM BIRGANI DO PA
BIRJIS K ALAM MD PA

CARLOS DELGADO

CARLOS DOMINGUEZ

CARLOS HARO

CARLOS NAVARRO

CARLOS RIVEROS

CARMEN CABEZA ROMERO

CHARLES LIEBER

CHRISTIAN GONZALEZ

CINDY MARIKA

CABRERA MEDICAL SERVICES INC
CARLOS DELGADO MD PA
CARLOS F VALLEJO MD PA
CARLOS L DOMINGUEZ MD PA
CENTRAL FLORIDA MEDICAL ASSOCIATES, INC
CENTRAL MEDICAL GROUP PA
CINDY MARIKA DO PA
CR MEDICAL GROUP INC

DANIELLE NEUMAN

DAVE WILLIAMS

DAVID NEUMAN

DAYNA CLARKE-CAMERON

DIEGO SAAVEDRA

DIGNA ESPINOSA

DOMINIC MAGGIO

DOUGLAS WEINER

DR JORGE TRAVIESO MD PA
DR WENTWORTH JARRETT PA

EDGARDO REYES AYALA

EDUARDO MENDEZ

EDUARDO REYES

EFROSINI BARISH

ELEANOR DAVINA

ELENA VALOR

ENRIQUE FERNANDEZ

ERIC SMITH

ERICA O DONNELL

EUFEMIA CANDO

EDUARDO A. REYES MD PA
ELENA R VALOR MD PA
EMERALD HILLS MEDICAL CENTER INC
ENRIQUE C FERNANDEZ MD PA

FARAH HORTA BONNIN

FELIX CHION FONG

FELIX GUZMAN

FELIX RAMIREZ LABRADA

FRANCIS SALAZAR

FRANK ARANDA

FELIX E GUZMAN MD PA

GAIELLE MAHER

GENE NEYTMAN

GIANETTE RUVALCABA

GILBERT LEUNG

GOSSIE HEATH MATHIS

GREGORY SINGLETON

GUILLERMO LOPEZ

GULNARA TALDIBAEVA-PUGLIESE

GILBERT LEUNG MD PA

HERNANDO CHONG

HIN CHRISTINE LEE

HUMAIRA KHAN

HUMBERTO MACHADO

HAMMOCK MEDICAL CENTER INC
HERNANDO GIRALDO MD INC
HUMAIRA KHAN MD PA

ISRAEL CABRERA

IVAN CARRASQUILLA

IVAN CASTANO

JAIME ALAYO VILLALOBOS

JAIME SAAP-NUNO

JAMES PRINE

JEAN-BAPTISTE PIERRE

JEANNETTE DE LA TORRE

JEFFREY CARA

JEFFREY ROSEN

JENNI GOLLETTI

JENNIFER GUERRERO

JENNIFER HUYNH

JENNIFER MOKROSS

JENNIFER PROVINCE

JENNY MONTES DE OCA PINEDA

JERRY LEVENTHAL

JESUS RODRIGUEZ

JOEL ISOM

JOHN HYLTON

JOHN YEE

JONATHAN YOUSEF

JORGE ACOSTA

JORGE BARCENAS

JORGE FLEITES

JORGE PEREIRA

JORGE PEREZ

JORGE TRAVIESO

JOSE COBIELLA

JOSE HERNANDEZ

JOSE TORRES

JOSEFINA HERNANDEZ

JOSEPH ARENA

JOSEPHINE CLINGAN

JUAN CAMAYD

JUAN OROZCO

JUAN PEREZ-ESPINOSA

JULIAN MARQUEZ

JULIO GONZALEZ

JULIO JORGE

JULIO ROSALES

JUVENAL MARTINEZ

JAMES S. PRINE, MD PA
JF PRIMARY CARE MD PA
JOHN BANCROFT HYLTON MD PA
JOSE A COBIELLA MD PA
JOSE M TORRES AND ASSOCIATES MD PA
JULIAN MARQUEZ MD PA
JUVENAL E MARTINEZ MD PA

KAREN RABEN

KARI TANNENBAUM

KEVIN BENDER

KYRA GOODMAN

LAURA ZITON

LEONARDO RODRIGUEZ

LESLIE HURWITZ

LESTER SHALLOWAY

LEUNAM RODRIGUEZ

LI KRUSZKA

LIANET IBARRA

LILIAM PALACIOS

LOUIS TUMMINIA

LUIS MOYA

LUZ LUQUE

LIFETIME FAMILY URGENT CARE LLC
LOPEZ MEDICAL PRACTICE LLC

MANUEL GONZALEZ

MARAY ROCHER

MARCO NOVA

MARIA CORTTI FERRARI

MARIA DE LA PENA

MARIA MUSTELIER

MARIA SORENSEN

MARK KUTNER

MARTIN HIRIART

MELISSA GREEN

MERCEDES VAZQUEZ

MICHAEL MCKENZIE

MICHELLE WEINER

MIGUEL DIAZ

MYRA CHOUDHRY-AKHTER

MANUEL PEREZ-ESPINOSA MD PA
MARAY ROCHER MD PA
MARCO A NOVA MD PA

MED-CARE MEDICAL CENTER INC

MEDI CLINICS PRIMARY CARE LLC

MEDICAL OFFICES OF SCOTT B HALPERIN PA

MERCEDES J VAZQUEZ MD PA

MIAMI GARDENS MEDICAL PL

NAKATO KIBUYAGA-TRAVIS

NANCY BOULOUTE

NASIRUDDIN NAZARALLY

NATASHA FAJARDO

NATASHA WILLIAMSON

NESTOR GUATY

NIKOLE CZAPP

NOAH BIGMAN

NANO HEALTH ASSOCIATES LLC
NEIGHBORMD OF ATLANTA LLC
NEIGHBORMD OF NEWNAN LLC
NEIGHBORMD OF SOUTH ATLANTA LLC

OLGA LOPEZ

ORMOND INTERNAL MEDICINE LLC

PAOLO MIMBELLA

PATRICIA VANDIEPEN

PAUL SCHWARTZ

PEDRO GARCIA

PRISCILLA LUONG

PALM BEACH PRIMARY CARE ASSOCIATES INC
PAUL M. SCHWARTZ MD PA
PERSONAL PHYSICIAN CARE PA
PERSONAL PHYSICIAN MANAGEMENT GROUP OF HALLANDALE, INC
PREMIER SOUTH MEDICAL GROUP PC
PRIMARY CARE LLC
PRIMEHEALTH PHYSICIANS LLC

RADHIKA BAWA

RAFAEL MESTRE

RAMIRO CORO

RAMON LEON

RAMON SANCHEZ

REGITHA SEBASTIAN

RENATO SEGURA

RICARDO DOMINGUEZ

RICHARD MARQUES

RICHARD SEIDELMAN

RIGOBERTO FRANCO

RIZWANA SHAIKH

ROBERT GUTIERREZ

ROBERT TOMCHIK

ROBERTO GARCIA DE VARONA

ROCIO PESTANA

ROLANDO PADRO

ROSA ESPINOSA

ROSA ZAPATA

RAMIRO CORO MD PA
RAMON HUGO SANCHEZ, MD PA
ROYAL CARE MEDICAL CENTER INC

SAMANTHA LINDSAY

SANDEE BRISTOW

SCOTT HALPERIN

SERGIO GARCIA

SHAZIA AHMED

SHEKHAR SHARMA

SHENASI ARANDA

SHEREN LEUNG

SHIRLEY NAGEL

SILVIA ROBALINO

SIMON WONG

STEVEN FIELDS

STEVEN MORRIS

SYED AHMED

SAMANTHA S LINDSAY MD PA
SANTEE FAMILY MEDICAL CENTER INC
SG PRIMARY CARE MD, LLC
STEVEN FIELDS MD PA
STEVEN MORRIS MD PA
SUNSHINE FAMILY HEALTHCARE, LLC

TUMMINIA INTERNAL MEDICINE PA

UNITED MEDICAL SPECIALTIES INC

VENKATA BIREDDY

VERONICA CONEJO

VERONICA DILLON

VICENTE FRANCO

VICTOR MARTINEZ

VIRGILIO DEL PINO

VANGUARD MEDICAL GROUP, LLC
VICENTE F. FRANCO MD PA
VIRGILIO DEL PINO MD PA
VOLUSIA MEDICAL CENTER LLC

WALDO ACEBO

WENTWORTH JARRETT

WILFREDO GONZALEZ

WILLIAM SHAPSE

WINNIE WONG

WALDO ACEBO MD PA
WELLCARE MEDICAL CLINIC LLC

YADAY REINA GARCIA

YEVGENIYA GOLBRAYKH MD PA

ZACHARY MIRSKY

Home Health

AMEDISYS HOME HEALTH OF SOUTH CAROLINA LLC.

AMEDISYS SC, LLC

GENUINE HEALTH HOME CARE

GEORGETOWN HOSPITAL HOME HEALTH LLC

HOME HEALTH SERVICES OF SOUTH FLORIDA, INC.

MED-CARE HOME HEALTH SERVICES, INC.

MHC AREA 6 LLC

MHC AREA 8, LLC

MHC AREA 9 LLC

USA HOME HEALTH SERVICES INC

XL- CARE AGENCY, INC. OF COLLIER

                                                                                                 

Hospice

VITAS HEALTHCARE CORPORATION OF FLORIDA

Infusion Pharmacy

MED-CARE INFUSION SERVICES INC                            

 

Labs

BIO-REFERENCE LABORATORIES INC

FLORIDA CLINICAL LABORATORY INC

LABORATORY CORPORATION OF AMERICA

LABORATORY CORPORATION OF AMERICA HOLDINGS

QUEST DIAGNOSTICS CLINICAL LABORATORIES INC

QUEST DIAGNOSTICS INCORPORATED

UNILAB CORPORATION

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

Board Member

Role

Voting %

Employer

Annette Onorati

Juvenal Martinez, MD

Gilbert Leung, MD

John Santana, CEO

Ramon Leon, MD

Slater Bayliss

Karen Kneitel

10

20

20

20

20

5

5

Population Health Alliance, LLC

Juvenal Martinez, MD, PA 

Gilbert Leung, MD, PA

OnePlus Healthcare

Ramon Leon, MD, LLC 

The Advocacy Group at Cardenas Partners

MEMBER

ACO PARTICIPANT

ACO PARTICIPANT

ACO PARTICIPANT

ACO PARTICIPANT

CONSUMER ADVOCATE

MEDICARE BENEFICIARY

Key ACO clinical and administrative leadership:

ACO Executive: Joseph L. Caruncho – Genuine Health Group, LLC

Compliance Official: Manuel Lopez – Genuine Health Direct, LLC

Medical Director: Jarrett Wentworth, MD – Dr Wentworth Jarrett, PA 

Clinical Leadership: Grace Giraldo, RN, BSN, MBA – Genuine Health Group, LLC​

Quality Improvement: Ingrid Enamorado, CRC, CPMA – Genuine Health Group, LLC

Shared Savings and Losses

  • Performance Year 2022: will be reported in September 2023
     

  • Performance Year 2021:  $5,174,328.13 Gross/$3,318,705.58 Net

    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 30%

    • Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 70%

Quality Measure Performance

  • Performance Year 2022:  will be reported in September 2023

  • Performance Year 2021: 

Measure

Official Measure Set - Measure Name

ACO Quality Measure Score

Mean Quality Measure Score

ACR

Risk-Standardized,
All-Condition Readmission

15.71

14.98

UAMCC

Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years)

28.46

30.75

* Data provided by Genuine Insights™

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