Public Reporting Information

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

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 H. CLANCY DO AND TARA LEIGH CLANCY DO MEDICAL CORPORATION
N
JOSEPH CASTREJON MD PC
N
MARCELO R. RIVERA MD INC.
N

MARCELO RIVERA 

N
MELISSA HURD MEDICAL CORPORATION 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

Balikian, M.D.

Philip

Manager

1

ACO Participant Representative

Arch Health Partners

Curran, M.D. Perrin Manager 1 ACO Participant Representative Perrin Curran

Lee

Joon

Manager

1

ACO Participant Representative

Palomar Health

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

 

Key ACO Clinical and Administrative Leadership:

Joon Lee

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.

 

 

 

 

 

 
 

 

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