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.
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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
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ACO Primary Contact
Stephany Nino
(786) 878-5505
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Organizational Information
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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
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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
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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
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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:
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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™