Introducing Monthly Capitation Payments For Your Medicare Fee-For-Service Patients
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
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Monthly capitation payments
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Bonuses for Medicare savings
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Exemption from burdensome MIPS reporting requirements
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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
Organizational Information
2023 ACO Participants & Preferred Providers:
ADAM NASSERY
ADAM ROSEN
ADOLFO MARTINEZ
ADONIS PARDO
ADRYANNA RUIZ
AJIT SINGH
ALBERT HUMPHREY
ALEJANDRO ROCA
ALEXANDRA SANTINI
ALEXANDRA SPERLING
ALFONSO MONGE
ALINA ALVAREZ
ALXEANDRA DORMOY
AMIEL LEVIN
ANDREA MCINTOSH
ANTONIO MORA
ARAM SARKISYAN
ARIANE CLERVEAU BEAUBOEUF
ARMANDO CURRA
ARNOLD CHA
AUDREY LIU
AUDREY ROBERSON
AURELIO MITJANS
BARBARA MARTINEZ
BARBARA SCHERER
BARRY STREIT
BEHNAM BIRGANI
BIRJIS ALAM
BRENDA NGUYEN
BRIAN ZALIS
BRUCE MANN
CARLOS CORRALES
CARLOS DELGADO
CARLOS DOMINGUEZ
CARLOS HARO
CARLOS LAROCCA
CARLOS NAVARRO
CARLOS RIVEROS
CARMEN CABEZA ROMERO
CHARLES LIEBER
CHRISTIAN GONZALEZ
CINDY MARIKA
DANIELLE NEUMAN
DAVID NEUMAN
DAVID YUNIOR VELASCO PENA
DAYNA CLARKE-CAMERON
DENISE JOSEPH-EXINORD
DIEGO SAAVEDRA
DIGNA ESPINOSA
DOMINIC MAGGIO
DOUGLAS WEINER
EDGARDO REYES AYALA
EDUARDO MENDEZ
EDUARDO REYES
EFROSINI BARISH
ELEANOR DAVINA
ELENA VALOR
ENRIQUE FERNANDEZ
ERIC SMITH
ERICA O DONNELL
EUFEMIA CANDO
FARAH HORTA BONNIN
FELIX CHION FONG
FELIX GUZMAN
FELIX RAMIREZ LABRADA
FRANCIS SALAZAR
FRANK ARANDA
GAIELLE MAHER
GENE NEYTMAN
GIANETTE RUVALCABA
GILBERT LEUNG
GOSSIE HEATH MATHIS
GREGORY SINGLETON
GUILLERMO LOPEZ
GULNARA TALDIBAEVA-PUGLIESE
HERNANDO CHONG
HIN CHRISTINE LEE
HUMAIRA KHAN
HUMBERTO MACHADO
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 ORCASITA NG
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
KAREN RABEN
KARI TANNENBAUM
KEVIN BENDER
KYRA GOODMAN
LAURA ZITON
LEONARDO RODRIGUEZ
LESTER SHALLOWAY
LEUNAM RODRIGUEZ
LI KRUSZKA
LIANET IBARRA
LIANNELYS GARCIA
LILIAM PALACIOS
LOUIS TUMMINIA
LUIS MOYA
LUZ LUQUE
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
NAKATO KIBUYAGA-TRAVIS
NANCY BOULOUTE
NASIRUDDIN NAZARALLY
NATASHA FAJARDO
NATASHA WILLIAMSON
NESTOR GUATY
NIKOLE CZAPP
NOAH BIGMAN
OLGA LOPEZ
PAOLO MIMBELLA
PATRICIA VANDIEPEN
PAUL SCHWARTZ
PEDRO BOSCH
PEDRO GARCIA
PRISCILLA LUONG
RADHIKA BAWA
RAFAEL MESTRE
RAMIRO CORO
RAMON LEON
RAMON SANCHEZ
REGITHA SEBASTIAN
RENATO SEGURA
RICARDO DOMINGUEZ
RICHARD KOBY
RICHARD MARQUES
RICHARD SEIDELMAN
RIGOBERTO FRANCO
RIZWANA SHAIKH
ROBERT GUTIERREZ
ROBERT TOMCHIK
ROBERTO GARCIA DE VARONA
ROCIO PESTANA
ROLANDO PADRO
ROSA ESPINOSA
ROSA ZAPATA
SAMANTHA LINDSAY
SANDEE BRISTOW
SCOTT HALPERIN
SERGIO GARCIA
SHAZIA AHMED
SHEKHAR SHARMA
SHENASI ARANDA
SHEREN LEUNG
SHIRLEY NAGEL
SILVIA ROBALINO
SIMON WONG
STACEY SHELDON
STEVEN FIELDS
STEVEN MORRIS
SYED AHMED
VANN BETH SHULER
VENKATA BIREDDY
VERONICA CONEJO
VERONICA DILLON
VICENTE FRANCO
VICTOR MARTINEZ
VIRGILIO DEL PINO
WALDO ACEBO
WENTWORTH JARRETT
WILFREDO GONZALEZ
WILLIAM SHAPSE
WINNIE WONG
YADAY REINA GARCIA
YEVGENIYA GOLBRAYKH
ZACHARY MIRSKY
Infusion Pharmacy
MED-CARE INFUSION SERVICES INC
Cardiology
HUMBERTO MACHADO
Hospice
VITAS HEALTHCARE CORPORATION OF FLORIDA
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
Cesar Ortiz, CEO
Francis Salazar, MD
John Santana, CEO
Mark Kutner, MD
Slater Bayliss
TBD
20
20
20
20
20
0
0
Population Health Alliance, LLC
PrimeHealth Physicians, LLC
Primary Care, LLC
OnePlus Healthcare
PrimeHealth Physicians, 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
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Performance Year 2022: will be reported in September 2023
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Performance Year 2021: $5,174,328.13 Gross/$3,318,705.58 Net
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Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries- 30%
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Proportion of Shared Savings distributed to ACO Participant Providers and Preferred Providers- 70%
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Quality Measure Performance
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Performance Year 2022: will be reported in September 2023
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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™