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
Melisa Hurd Medical Corporation
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

First Name

Last Name

Title/Position

Todd

Wells, MD

Manager

10%

ACO Participant Representative

PHMG

 

Louis Maletz, MD Manager 10% ACO Participant Representative Arch Health Partners

David

 

Carty, MD

Manager

10%

ACO Participant Representative

Arch Health Partners

Perrin Curran, MD Manager 10% ACO Participant Representative Perin Curran
Cibu Panicker, MD Manager 10% ACO Participant Representative Vista Community Clinic
Alejandro Paz, MD Manager 10% ACO Participant Representative Graybill Medical Group Inc.
Marcelo Rivera, MD Manager 10% ACO Participant Representative Marcelo Rivera
George Rodriguez,MD Manager 10% ACO Participant Representative Graybill Medical Group
Vacant   Manager 10% ACO Participant Representative N/A
Mary Ellen  Leahy Manager 10% Medicare Beneficiary Representative N/A
 

 

Key ACO Clinical and Administrative Leadership:

Todd Wells, MD

 

Interim CEO and Chair

Louis Maletz, MD

Medical Director

Heather Stamps

Compliance Officer

Louis Maletz, MD 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 Heather Punak, 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 2022, $4,677,455
    • Performance Year 2021, $2,937,640
    • Performance Year 2020, $2,721,004
  • First Agreement Period
    • Performance Year 2019, $ 0
    • Performance Year 2018, $ 0
    • Performance Year 2017, $ 2,630,942
       
  • Shared Savings Distribution:

  • Second Agreement Period
    • 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%
  • 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

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

 

Measure #

Measure Name

Collection Type

Rate

ACO Mean

001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control 

CMS Web Interface

23.28

10.71

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

CMS Web Interface

34.82

76.97

236

Controlling High Blood Pressure

CMS Web Interface

62.57

76.16

318

Falls: Screening for Future Fall Risk

CMS Web Interface

59.11

77.34

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

47.36

73.63

226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

CMS Web Interface

35.71

79.27

113

Colorectal Cancer Screening

CMS Web Interface

46.59

75.32

112

Breast Cancer Screening

CMS Web Interface

55.93

78.07

438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

86.29

86.37

370

Depression Remission at Twelve Months

CMS Web Interface

7.89

16.03

321

CAHPS for MIPS

CAHPS for MIPS Survey

N/A

N/A

479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1567

0.1510

484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions

Administrative Claims

27.62

30.97

 

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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