Public Reporting Information
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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 |
Organizational Information
ACO Participants:
|
ACO Participants |
ACO Participant in Joint Venture |
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N | ||
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N | ||
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N | ||
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N | ||
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N | ||
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N | ||
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N | ||
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N | ||
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N | ||
| MICHELLE GONZALES M.D., P.C. | N | ||
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N | ||
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N | ||
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N | ||
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N | ||
| WARING COURT PEDIATRIC AND ADULT MEDICAL GROUP | N | ||
ACO Governing Body:
|
Member First Name |
Member Last Name |
Member Title/Position |
Member's Voting Power (Expressed as a percentage) |
Membership Type |
ACO Participant Legal Business Name, if Applicable |
|
Perrin
|
Curran, M.D. |
Manager |
20% |
ACO Participant Representative |
Perrin Curran
|
| Marcelo | Rivera, M.D. | Manager | 20% | ACO Participant Representative | Marcelo Rivera |
|
Mayhar |
Ajir, D.O. |
Manager |
20% |
ACO Participant Representative |
Carlsbad Village Family Practice |
| Elaheh | Etedali, D.O. | Manager | 20% | ACO Participant Representative | Carlsbad Village Family Practice |
| Arthur | Barter | Manager | 2% | Medicare Beneficiary Representative | N/A |
| Heather | Punak | Manager | 0% | ACO Participant Representative | Palomar Health Medical Group |
Key ACO Clinical and Administrative Leadership
|
ACO Executive |
Andrew Tokar
|
| Medical Director | Mayhar Ajir, M.D. |
|
Compliance Officer |
Perrin Curran, M.D. |
| Quality Assurance/Improvement Officer |
Mary Kay Payne |
Associated Committees and Committee Leadership:
|
Committee Name |
Committee Leader Name and Position |
|---|---|
|
Nominations Committee |
VACANT |
| Quality Improvement Committee | VACANT |
| Finance Committee | Heather Punak, CFO |
| Network (Strategy) Committee | VACANT |
Types of ACO Participants, or Combinations of Participants, That 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 2023, $3,223,089
- Performance Year 2022, $4,677,455
- Performance Year 2021, $2,937,640
- Performance Year 2020, $2,721,004
- First Agreement Period
- Performace Year 2019, $0
- Performance Year 2018, $0
- Performance Year 2017, $2,630,942
-
Shared Savings Distribution:
- Second Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 35%
- Performance Year 2022
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 35%
- Performance Year 2021
- Proportion invested in infrastructure: 50%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 35%
- 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 2023
- 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
2023 Quality Performance Results:
Quality performance results are based on CMS Web Interface Measure Set collection type.
|
Measure # |
Measure Name |
Collection Type |
Rate |
Current Year Mean Performance Rate (SSP ACOs) |
|
Quality ID# 001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) |
Web Interface |
14.74 |
9.84 |
|
Quality ID# 134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
Web Interface |
35.93 |
80.97 |
|
Quality ID# 236 |
Controlling High Blood Pressure |
Web Interface |
64.68 |
77.80 |
|
Quality ID# 110 |
Preventative Care and Screening: Influenza Immunization |
Web Interface |
60.00 |
70.76 |
|
Quality ID# 226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
Web Interface |
63.16 |
79.29 |
|
Quality ID# 113 |
Colorectal Cancer Screening |
Web Interface |
60.42 |
77.14 |
|
Quality ID# 112 |
Breast Cancer Screening |
Web Interface |
70.21 |
80.36 |
|
Quality ID# 438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
Web Interface |
82.23 |
87.05 |
|
Quality ID# 370 |
Depression Remission at Twelve Months |
Web Interface |
4.26 |
16.58 |
|
Quality ID# 321 |
CAHPS for MIPS |
Web Interface |
3.68 |
6.25 |
|
Measure # 479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups |
Web Interface |
0.1556 |
0.1553 |
|
Measure #484 |
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions |
Web Interface |
31.50 |
35.39 |
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov
Payment Rule Waivers
- Waiver for Payment for Telehealth
Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f).
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