Public Reporting Information

ACO Name and Location

Pacific Accountable Care, LLC
15611 Pomerado Rd.
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)

ALFREDO QUINONEZ MD, INC.

N

ANDRES ZIMMERMANN

N

ARCH HEALTH PARTNERS

N

BRUCE J. SACHS MD PROFESSIONAL CORPORATION

N

CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES INC.

N

CLINICAS DE SALUD DEL PUEBLO INC.

N

GRAYBILL MEDICAL GROUP INC.

N

IMPERIAL VALLEY MULTI-SPECIALTY MEDICAL GROUP INC.

N

JOHN CLANCY DO AND TARA LEIGH CLANCY DO MEDICAL CORPORATION

N

JOSEPH CASTREJON MD, PC

N

MARCELO R. RIVERA MD, INC.

N

MARCELO RIVERA

N

MICHELLE GONZALES MD PC

N

MINIMALLY INVASIVE SURGEONS OF NORTH COUNTY INC.

N

NEIL L. HALIM, MD INC.

N

PALOMAR HEALTH

N

PERRIN CURRAN

N

SHAFI KHALID MD, PC

N

VISTA COMMUNITY CLINIC

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		Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Balikian, M.D.	Philip	Manager	1	ACO Participant Representative	Arch Health Partners
Curran, M.D.	Perrin	Manager	1	ACO Participant Representative	Perrin Curran
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
Vacant		Manager	1	ACO Participant Representative	Vacant

Key ACO Clinical and Administrative Leadership:

Vacant	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%
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%

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.