Public Reporting Information

FY 2024 Public reporting .pdf
Adobe Acrobat document [215.5 KB]

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

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

ALFREDO QUINONEZ M.D., 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 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, MD	Manager	20%	ACO Participant Representative	Perrin Curran
Marcelo	Rivera, MD	Manager	20%	ACO Participant Representative	Marcelo Rivera
Mahyar	Ajir, DO	Manager	20%	ACO Participant Representative	Carlsbad Village Family Practice
Elaheh	Etedali, DO	Manager	20%	ACO Participant Representative	Carlsbad Village Family Practice
Arthur	Barter	Manager	20%	Medicare Beneficiary Representative	N/A
Heather	Punak	Manager	0%	ACO Participant Representative	Palomar Health Medical Group

Key ACO Clinical and Administrative Leadership

CEO	Andrew Tokar
Chair	Mayhar Ajir, MD
Medical Director	Perrin Curran, MD
Compliance Officer	Heather Stamps
Quality Assurance/Improvement Officer	Staci Holt

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
- Performace 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	Rate	ACO Mean
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	23.28	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	34.82	76.97
Quality ID# 236	Controlling High Blood Pressure	62.57	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	57.05	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	59.11	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	35.71	79.27
Quality ID# 113	Colorectal Cancer Screening	46.59	75.32
Quality ID# 112	Breast Cancer Screening	55.93	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.29	86.37
Quality ID# 370	Depression Remission at Twelve Months	7.89	16.03
Quality ID# 321	CAHPS for MIPS	N/A	N/A
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	0.1567	0.1510
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	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) .