Public Reporting Information
ACO Name and Location
Pacific Accountable Care, LLC
15611 Pomerado Road
Suite 400
Poway, California 92064
ACO Primary Contact
|
Primary Contact Name |
Claudia Hernandez |
|
Primary Contact Phone Number |
858-675-3204 |
|
Primary Contact Email Address |
admin@pacificaccountablecare.com |
|
Pacific Accountable Care |
844-544-4054 |
Organizational Information
ACO Participants:
|
ACO Participants |
ACO Participant in Joint Venture (Enter Y or N) |
||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
MARCELO RIVERA |
N | ||
| MELISSA HURD MEDICAL CORPORATION | N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N | ||
|
N |
||
| WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP | N | ||
ACO Governing Body:
|
Member |
Member's Voting Power - Expressed as a percentage or number |
Membership Type |
ACO Participant Legal Business Name/DBA, if Applicable |
||
|
Last Name |
First Name |
Title/Position |
|||
|
Balikian, M.D. |
Philip |
Manager |
1 |
ACO Participant Representative |
Arch Health Partners |
| Curran, M.D. | Perrin | Manager | 1 | ACO Participant Representative | Perrin Curran |
|
Lee |
Joon |
Manager |
1 |
ACO Participant Representative |
Palomar Health |
| Maletz, M.D. | Louis | Manager | 1 | ACO Participant Representative | Arch Health Partners |
| Paz, M.D. | Alejandro | Manager | 1 | ACO Participant Representative | Graybill Medical Group Inc. |
| Rivera, M.D. | Marcelo | Manager | 1 | ACO Participant Representative | Marcelo Rivera |
| Rodriguez, M.D. | George | Manager | 1 | ACO Participant Representative | Graybill Medical Group Inc. |
| Wells, M.D. | Todd | Manager | 1 | ACO Participant Representative | Arch Health Partners |
| Leahy | Mary Ellen | Manager | 1 | Medicare Beneficiary Representative | N/A |
| Vacant | Manager | 1 | ACO Participant Representative | Vacant | |
Key ACO Clinical and Administrative Leadership:
|
Joon Lee |
ACO Executive |
|
Louis Maletz, MD |
Medical Director |
|
Heather Stamps |
Compliance Officer |
| Fritz Steen, RN | Quality Assurance/Improvement Officer |
Associated Committees and Committee Leadership:
|
Committee Name |
Committee Leader Name and Position |
|---|---|
|
Nominations Committee |
Belinda Dure-Smith, MD |
| Quality Improvement Committee | Louis Maletz, MD |
| Finance Committee | Amanda Pape, CFO |
| Network (Strategy) Committee | Louis Maletz, MD |
Types of ACO Participants, or Combinations of Participants, Who Formed the ACO:
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2021, $ 2,937,640
- Performance Year 2020, $2,721,004
- First Agreement Period
- Performance Year 2019, $ 0
- Performance Year 2019, $ 0
- Performance Year 2019, $ 2,630,942
-
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2020
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 35%
- Performance Year 2020
- First Agreement Period
- Performance Year 2019
- 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 2018
- 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 2017
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 35%
- Performance Year 2019
Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
|
Measure # |
Measure Name |
Rate |
ACO Mean |
|
318 |
Falls: Screening for Future Fall Risk |
57.75 |
87.03 |
|
110 |
Preventive Care and Screening Influenza Immunization |
55.39 |
80.52 |
|
226 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
57.14 |
80.97 |
|
134 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
33.59 |
74.38 |
|
113 |
Colorectal Cancer Screening |
47.36 |
73.63 |
|
112 |
Breast Cancer Screening |
42.69 |
75.11 |
|
001 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
19.90 |
12.46 |
|
236 |
Hypertension (HTN): Controlling High Blood Pressure |
63.46 |
74.87 |
|
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
79.07 |
84.24 |
|
370 |
Depression Remission at Twelve Months |
N/A |
N/A |
|
321 |
CAHPS for MIPS |
N/A |
N/A |
|
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups |
0.1447 |
0.1540 |
|
MCC1 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACO's (MCC) |
30.59 |
33.99 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Payment Rule Waivers
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- Waiver for Payment for Telehealth
Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
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