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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.

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Schedule a 10-minute intro call today.

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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

2024 ACO Participants & Preferred Providers:

ABEL ROJAS-PARRA

ADAM NASSERY

ADDISON MIZNER MEDICAL LLC

ADOLFO MARTINEZ

AGAPE HEALTH MEDICAL CENTER LLC

AGAPEMD LLC

AGATHE FRANCK

AJIT SINGH

AJIT SINGH MD PA

ALANA HOFFMAN

ALANNA COSTELLO

ALBERT HUMPHREY

ALEJANDRO GONZALEZ PEREZ

ALEXANDRA SPERLING

ALISON GLASSMAN

ALVARO CORNEJO COBO

AMANDEEP DHILLON

AMELIA BELL-HAWKINS

AMIEL LEVIN

AMIEL LEVIN MD PA

AMY ARREAZA

AMY IANNONE

ANA SERNA

ANDREA MCINTOSH

ANDREAS AHLAS

ANGEL PAGAN

ANGELA VILLATORO

ANIRUDH SHARMA

ANJANI HAGAN

ANN RADCLIFFE

ANNA CHERIYAN

ANNA GRIGGS

ANTONIO MORA

ANTONIO MORA MD PA

ARAM SARKISYAN

ARASH KHOSROVI-EGHBAL

ARCADIA MEDICAL ASSOCIATES PA

ARENA MEDICAL GROUP LLC

ARIANA LUNDQUIST

ARIANE CLERVEAU BEAUBOEUF

ARIEL BRITO GONZALEZ

ARLENIS BARROSO PEREZ

ASHTON CHASE

AUDREY LIU

AUDREY ROBERSON

AUDRIE ANNE BESOYAN

AURELIO MITJANS

AURELIO MITJANS MD PA

BALD EAGLE FAMILY MEDICINE

BARBARA ANN SCHERER MD PA

BARBARA SCHERER

BARRY STREIT

BEHNAM BIRGANI

BEHNAM BIRGANI DO PA

BHAKTI KHATRI

BIANCA TRISTAN

BIRJIS ALAM

BIRJIS K ALAM M D P A

BRENDA NGUYEN

BRIAN GOLDFARB

BRIANNA MYERS

BRUCE MANN

CABRERA MEDICAL SERVICES INC

CARLOS DELGADO

CARLOS DELGADO MD PA

CARLOS DOMINGUEZ

CARLOS F VALLEJO MD PA

CARLOS L DOMINGUEZ MD PA

CARLOS LAROCCA

CARLOS NAVARRO

CARLOS RIVEROS

CARMEN CABEZA ROMERO

CAROL STEWART-HAYOSTEK

CARRIE WOODS

CATHERINE MCDONALD

CENTRAL FLORIDA MEDICAL ASSOCIATES, INC

CENTRAL MEDICAL GROUP PA

CHARLA SPERRING

CHARLES IKE

CHARLES LIEBER

CHARLES YANES

CHARLES YANES MD PA

CHEYENNE RINCONES

CHRISTIAN GONZALEZ

CHRISTOPHER CORRIVEAU

CHRISTOPHER FINNILA

CHRISTOPHER NEVINS

CINDY MARIKA

CINDY MARIKA D O P A

CLINICA SIERRA VISTA

COLLIER HEALTH SERVICES, INC

CORAL SPRINGS MEDICAL GROUP INC

COULTER CLINIC

CR MEDICAL GROUP INC

CYNTHIA WILLIAMS

DANIEL JURICH

DANIEL SCHATZ

DANIELLE NEUMAN

DAVID NEUMAN

DAVID YUNIOR VELASCO PENA

DAWN STOECKER-SIMON

DAYNA CLARKE-CAMERON

DEBORAH NICASIO

DELFINO GARCIA

DEVAUGHN BELL

DIPESH DERAY

DOUGLAS WEINER

DR JORGE TRAVIESO MD PA

DR WENTWORTH JARRETT PA

DUYEN TRAN

E&J FAMILY HEALTH CENTER LLC

EDGARDO COLON-PINEIRO

EDUARDO A. REYES MD PA

EDUARDO MENDEZ

EDUARDO REYES

EDWIN CABAHUG

EMERALD HILLS MEDICAL CENTER INC

EMILY ROBB

ENRIQUE C FERNANDEZ MD PA

ENRIQUE FERNANDEZ

ERICA O DONNELL

ESMERALDA SCOTT

EUFEMIA CANDO

FELIX CHION FONG

FELIX E GUZMAN MD PA

FELIX GUZMAN

FELIX RAMIREZ LABRADA

FERISHTA GOUSSE

FLORIDA PRIMARY CARE PARTNERS LLC

FRANCES CAMILLE RABANAL

FRANKLIN COULTER

GABRIEL VILLACHICA

GILBERT LEUNG

GILBERT LEUNG MD PA

GLENDA CARDONA

GOSSIE HEATH MATHIS

GREGORY SINGLETON

GULNARA TALDIBAEVA-PUGLIESE

HAMMOCK MEDICAL CENTER INC

HANG MUNSAYAC

HARNEK SINGH

HECTOR ARREAZA

HERMINIA HAWKINS

HIN CHRISTINE LEE

HOLLIE DEWITT

HUMBERTO MACHADO

INCARE LLC

INCARE WINTERHAVEN LLC

INTEGRATIVE PRIMARY CARE OF EL PASO PLLC

IRVING AYALA-RODRIGUEZ

ISRAEL CABRERA

IVAN CASTANO

IVAN MUNOZ-ALMARAZ

JACQUELINE MAJELLA UY

JAMES POWERS

JAMES PRINE

JAMES S. PRINE, M.D. PA

JASDEEP GILL

JASON BECK

JASON GAJRAJ

JASPREET SAINI

JAVIER HERNANDEZ

JEAN-BAPTISTE PIERRE

JEANNETTE DE LA TORRE

JEFFREY CARA

JENNIFER GUSS

JENNIFER MEYER

JERRY LEVENTHAL

JESSE OLIVER

JESSICA TRAN

JESSIE JEAN MARIE

JF PRIMARY CARE MD PA

JHONATAN LEAL MENDOZA

JOEL ISOM

JOHN BANCROFT HYLTON M.D,P.A

JOHN HYLTON

JOHN PAULSEL

JOHN YEE

JONATHAN HERNANDEZ

JONATHAN MAGID

JONATHAN YOUSEF

JORGE ACOSTA

JORGE BARCENAS

JORGE FLEITES

JORGE M BARCENAS MD PA

JORGE PALOMINO VARGAS

JORGE PEREZ

JORGE RODRIGUEZ

JORGE RODRIGUEZ MD PA

JORGE TRAVIESO

JOSE A COBIELLA MD PA

JOSE COBIELLA

JOSE HERNANDEZ

JOSE M TORRES AND ASSOCIATES MD PA

JOSE RIZADY FLORES

JOSE TORRES

JOSEFINA HERNANDEZ

JOSEPH ARENA

JOSEPH GANEY

JOSEPH GUERNSEY

JOSEPHINE CLINGAN

JOSEPHINE GABRILLO

JOT PREET SAHI

JUAN CAMAYD

JUAN OROZCO

JUAN PEREZ-ESPINOSA

JULIAN MARQUEZ

JULIAN MARQUEZ MD PA

JULIO GONZALEZ

JULIO ROSALES

JULIUS SANCHEZ

JUVENAL E MARTINEZ MD PA

JUVENAL MARTINEZ

KALILA BANKS

KARI TANNENBAUM

KATHERINE SCHLAERTH

KATIE NUNEZ

KELLY OBRIEN

KENNETH MIDONECK

KETTY CHERY

KEVIN BENDER

KEVIN OUMA

KHALID RAUF

KRISTEN MOTLEY

KRYSTAL BERMUDEZ

KULBIR GILL

KULBIR PANNU

KULJIT SIDHU

LAKERA DUNCOMBE-JONES

LAURA SEVERYN

LAURA ZITON

LAZARA HURTADO INFANTE

LENNI FUGAZY

LENNIE ORNELAZ

LESLIE HURWITZ

LIANNELYS GARCIA

LIFETIME FAMILY URGENT CARE LLC

LOPEZ MEDICAL PRACTICE LLC

LUZ LUQUE

MANUEL BORREGO

MANUEL PEREZ-ESPINOSA MD PA

MARAY ROCHER

MARAY ROCHER MD PA

MARCO A NOVA MD PA

MARCO NOVA

MARCOS ZARAGOZA

MARGARITA STEWART

MARIA CECILIA ROSALES

MARIA DE LA PENA

MARIA MUSTELIER

MARIE JOSEPH

MARLENE GONZALEZ

MARLOWE MARINAS

MARSHA CHENG

MARTIN POLIAK

MARTIN WHITE

MATTHEW BEARE

MATTHEW LENZ

MAYRA TOVAR CASTRO

MCDAVID M MAHAFFEY MD PA

MCDAVID MAHAFFEY

MED-CARE MEDICAL CENTER INC

MEDICAL CLINIC OF HOUSTON, LLP

MEDICAL OFFICES OF SCOTT B HALPERIN PA

MELANIE CLARO

MELESSA MATTIS

MELVIN GALINATO

MERCEDES J VAZQUEZ MD PA

MERCEDES VAZQUEZ

MIAMI GARDENS MEDICAL PL

MICHELLE THOMAS

MICHELLE WEINER

MIGUEL DIAZ

MILIE MARIE TOLENTINO

MIRNA WAIDELE PA C INC

MOHAMED GAJRAJ

NAMDEEP GREWAL

NANCY BOULOUTE

NATASHA WILLIAMSON

NAVEEN PADDU

NEERAJ JUNEJA

NEIGHBORMD OF ATLANTA LLC

NEIGHBORMD OF NEWNAN LLC

NEIGHBORMD OF SOUTH ATLANTA LLC

NINA LUNDBERG

NOAH BIGMAN

NYKIA PEACE

ODALYS PENA

OLGA LOPEZ

OLGA MEAVE

OLIVIA HAYOSTEK

ORESTES A PAVIA SANCHEZ

ORMOND INTERNAL MEDICINE LLC

PALM BEACH PRIMARY CARE ASSOCIATES INC

PAOLO MIMBELLA

PATRICIA VANDIEPEN

PAUL M. SCHWARTZ MD PA

PAUL MURRY

PAUL SCHWARTZ

PAULA BEDO

PERSONAL PHYSICIAN CARE P A

PERSONAL PHYSICIAN MANAGEMENT GROUP OF HALLANDALE, INC

PHILLIP DAVIS

PHILLIP G DAVIS M D P A

PRAMJEET AHLUWALIA

PRISCILLA LUONG

RADHIKA BAWA

RAMIRO CORO

RAMIRO CORO MD PA

RAMON HUGO SANCHEZ, M.D., PA

RAMON LEON

RAMON LEON MD LLC

RAMON SANCHEZ

REGITHA SEBASTIAN

REINIER RAMIREZ

RENATO SEGURA

RICARDO DOMINGUEZ

RICARDO DOMINGUEZ MD PA

RICHARD MARQUES

RICHARD SEIDELMAN

RIDDHI BODANI

RIZWANA SHAIKH

ROBERTO GARCIA DE VARONA

ROBERTO URQUIZA

ROBERTO URQUIZA M D P A

ROBERTO VELAZQUEZ AMADOR

ROLANDO PADRO

ROSA ESPINOSA

ROYAL CARE MEDICAL CENTER INC

RUSSELL RADOFF

RYLAN MCQUADE

SABIA ST FLEUR

SABITHA PABBATHI

SAMANTHA LINDSAY

SAMANTHA S LINDSAY MD PA

SAMIR DAWOD RAJIHA

SANDEE BRISTOW

SANTEE FAMILY MEDICAL CENTER INC

SARAH GEIGER

SARAH PRESLAR

SCOTT HALPERIN

SERGIO GARCIA

SG PRIMARY CARE MD, LLC

SHARON LI

SHAZIA AHMED

SHEKHAR SHARMA

SHEREN LEUNG

SHILKA BABU

SIMON WONG

SIMRANJEET KAUR

SLAVISA MARKOVIC

SOPHIE TANG

SOUTHWEST HCP ACCESS PA

SOUTHWEST MEDICAL GROUP PA

STEVEN FIELDS

STEVEN FIELDS MD PA

STEVEN MORRIS

STEVEN MORRIS M D P A

STEVEN SAITO

SUCCURA DAVIS

SUKHDEEP DHALIWAL

SUNDAY IRENE

SUNSHINE FAMILY HEALTHCARE, LLC

SUZANNE LASEK NESSELQUIST

SYED AHMED

TANA PARKER

TEJAL SHAH

TERRANCE MCGILL

THOMAS LUX

TIFFANY BRYANT

TONY HEDGES

TONY UONG

TXONG HER

UKAMAKA ONYIA

UNITED MEDICAL SPECIALTIES INC

VANGUARD MEDICAL GROUP, LLC

VERNA MARQUEZ

VERONICA DILLON

VICENTE F. FRANCO M.D.,P.A.

VICENTE FRANCO

VICTOR MARTINEZ

VICTOR STEWART

VIERGELA JOSEPH

VIRGILIO DEL PINO

VIRGILIO DEL PINO MD P A

VOLUSIA MEDICAL CENTER LLC

WA VUE

WAEL ALOKEH

WALTER BEW

WELLCARE MEDICAL CLINIC LLC

WENTWORTH JARRETT

WILLIAM SHAPSE

YADAY REINA GARCIA

YEVGENIYA GOLBRAYKH

YEVGENIYA GOLBRAYKH MD PA

YUNIOR MARTINEZ DUENAS

ZACHARY MIRSKY

ZORANA GRUJIC

ZULFIQAR HASHIM

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: $16,267,306.83 Gross/ $12,889,540.62 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%

  • 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:

Claims-Based Quality MeasureResults.png

Footnotes:

1. Volume is defined differently depending on the measure (index hospital stays for ACR and TFU, person-years for UAMCC and DAH).

2. For Standard and New Entrant DCEs, the mean quality measure score for each measure is calculated across both Standard and New Entrant DCEs.

3. For PY 2022, for the 1% of the Quality Withhold tied to performance, separate Quality Performance Benchmarks have been set for ACR and UAMCC. DCEs that meet the 30th percentile Quality Performance Benchmark threshold for either ACR or UAMCC will earn back the full 1% of the Quality Withhold based on their performance. The 30th percentile is therefore the highest Quality Performance Benchmark for any DCE. For example, for a DCE with a percentile rank of 75.0 for the UAMCC measure, the highest Quality Performance Benchmark met for UAMCC will be 30th and the DCE will receive a P4P Component Quality Score of 100%. DCEs that are below the 30th percentile Quality Performance Benchmark on both measures will have have their P4P Component Quality Score determined by a sliding scale based on their highest performing measure, so they can earn back a portion of the performance-based 1%. See Table 2b. below for the sliding scale thresholds for PY 2022.

4. If a DCE met the 30th percentile benchmark for at least one of ACR and UAMCC measures, the P4P Component Quality Score will be 100%.  If the DCE did not meet the 30th percentile benchmark for at least one measure, this cell will show the highest sliding scale threshold met based on the highest performing measure.

N/A = not applicable; a triple-dash (---) is used to indicate no eligible data

CAHPS-2022.png

Notes:

1. SSM =  Summary survey measure

2. SSM Results =  The mean of the patient mix adjusted weighted linear scores for all questions in the SSM. Higher values are better. DCEs' 2022 results are provided for informational purposes and do not impact PY 2022 Total Quality Scores.

3. NR = not reported; due to patient confidentiality, percentages are not reported if fewer than 11 respondents answered the answer categories needed to calculate the SSM.

4. A dash (---) is used to indicate SSMs with zero respondents.

  • Performance Year 2021:

2021.png
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