Public Reporting Information

FY 2024 Public reporting v6 04.19.2024.p[...]
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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

BRUCE J. SACHS MD PROFESSIONAL CORPORATION

N

CARLSBAD VILLAGE FAMILY PRACTICE MEDICAL ASSOCIATES INC.

N

CLINICAS DE SALUD DEL PUEBLO INC. (DBA: Innercare)

N

IMPERIAL VALLEY MULTI-SPECIALTY MEDICAL GROUP INC.

N

JOSEPH CASTREJON MD, PC

N

MARCELO R. RIVERA MD, INC.

N

MARCELO RIVERA

N

MICHELLE GONZALES MD, PC

N

NEIL L. HALIM, MD INC.

N

PALOMAR HEALTH

N

PERRIN CURRAN

N

SHAFI KHALID MD, PC

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		Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Perrin	Curran, MD	Manager	10%	ACO Participant Representative	Perrin Curran
Marcelo	Rivera, MD	Manager	10%	ACO Participant Representative	Marcelo Rivera
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative
VACANT		Manager	10%	ACO Participant Representative	N/A
VACANT		Manager	10%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership

Ryan Olsen	Interim CEO and Chair
Perrin Curran, MD	Medical Director
Heather Stamps	Compliance Officer
Staci Holt	Quality Assurance/Improvement Officer

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 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 Set

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	57.05	87.83
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	59.11	77.34
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	27.61	30.97
CAHPS-1	Getting Timely Care, Appointments and Information		79.00	83.96
CAHPS-2	How well Providers Communicate		92.87	93.47
CAHPS-3	Patient's Rating of Provider		93.91	92.06
CAHPS-4	Access to Specialists		77.85	77.00
CAHPS-5	Health Promotion and Education		58.60	62.68
CAHPS-6	Shared Decision Making		60.73	60.97
CAHPS-7	Health Status and Functional Status		72.05	73.06
CAHPS-8	Care Coordinator		84.11	85.46
CAHPS-9	Courteous and Helpful Office Staff		90.61	91.97
CAHPS-11	Stewardship of Patient Resources		23.17	25.62

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) .