ACO Name and Location

California Clinical Partners Accountable Care Organization, LLC

1155 S. Congress Ave
West Palm Beach, FL 33406

ACO Primary Contact

Contact Name:
Gianna Trombino
Primary Contact Phone Number:
(561) 762-1086
Primary Contact Email Address:

gtrombino@advancedaco.com

Public Reporting PDF

ACO PARTICIPANTS

ACO Participants ACO Participant in Joint Venture
Abayomi A. Odubela, M.D. A Professional Corporation N
Abid Hussain MD PC N
Alwin William Bagingito MD INC N
Ana Reyna N
Atiga Family Practice N
Citrus Valley Medical Center N
Corona Medical Center, A Professional Corporation N
David R. Jensen MD, A Professional Corporation N
David Zebrack DO INC N
Douglas F. Carrasco DO INC N
Galleria Medical Clinic INC N
Garrison Family Medical Group N
Grace Family Health, INC N
H Kolli MD Medical Corporation N
Hemchand Kolli, MD INC N
Hizon Medical Corporation N
Ira R. Braverman, M.D. INC N
Irineo Tiangco N
Kamran Qureshi N
Livingwater’s Medical Clinic, INC N
Metro Family Physicians Medical Group Inc N
Pamela Desilva N
Patricia Ann Bogema DO INC N
Peter Strutz N
Radhey S. Bansal, MD. INC N
Richard Uhler N
Riverside Medical Clinic INC N
Rocio Flores N
Rupal B, Shah MD., INC N
Russel Greif N
Salvatore Tarantino N
San Diego Internist and Ped. N
Sharna Shachar N
Sivalingam Medical Corporation, INC N
Southern California Physician Network, INC N
Sylvia A Gisi, M.D. INC N
Timothy Killeen N
Troy Niguidula MD INC N
Venu Prabaker MD INC N

ACO Governing Body

ACO ID: A4709
ACO Legal Business Name: California Clinical Partners Accountable Care Organization, LLC

Member Last Name
Member First Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
Bansal
Radhey
Voting Member*
6.66%
ACO Participant Representative
Radhey S. Bansal, MD. INC
2
Berry
Ravi
Voting Member*
6.66%
ACO Participant Representative
Riverside Medical Clinic INC
3
Castillo
Ruben
Voting Member*
6.66%
Medicare Beneficiary Representative
N/A
4
Gisi
Sylvia
Voting Member*
6.66%
ACO Participant Representative
Silvia A. Gisi, M.D. INC
5
Hizon
Jerry
Voting Member*
6.66%
ACO Participant Representative
Hizon Medical Corporation
6
Jemmoua
Karmal
Voting Member*
6.66%
Stake Holder
N/A
7
Kwon
Tony
Voting Member*
6.66%
ACO Participant Representative
Riverside Medical Clinic
8
Lori
Lane
Voting Member*
6.66%
Stake Holder
N/A
9
Odubela
Abayomi
Voting Member*
6.66%
ACO Participant Representative
Abayomi Odubela, M.D. A Professional Corporation
10
Phillips
Lily
Voting Member*
6.66%
ACO Participant Representative
Grace Family Medical Group
11
Prabaker
Venu
Voting Member*
6.66%
ACO Participant Representative
Venu Prabaker MD INC
12
Desilva
Pamela
Voting Member*
6.66%
ACO Participant Representative
Pamela Desilva
13
Tiangco
Irineo
Voting Member*
6.66%
ACO Participant Representative
Galleria Medical Clinic
14
Yun
Jonathan
Voting Member*
6.66%
ACO Participant Representative
Livingwater’s Medical Clinic
15
Neet
Brad
Voting Member*
6.66%
Stakeholder
N/A

Key ACO clinical and administrative leadership

Position
Name
ACO Executive
David Klebonis
Medical Director
Gerardo Hizon
Compliance Officer
David Klebonis
Quality Assurance/Improvement Officer
Thomas J. Leach

Types of ACO Participants, or combinations of participants, that formed the ACO

A network of individual practices of ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

— Performance Year 2021 $21,125,675.47

— Performance Year 2020 $15,379,221

— Performance Year 2019 $5,115,885

Shared Savings Distribution

First Agreement Period

  • Performance Year 2021 $21,125,675.47
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — Proportion of distribution to ACO participants: 50%
  • Performance Year 2020 $11,534,415.75
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — Proportion of distribution to ACO participants: 50%
  •  Performance Year 2019 $3,836,914
  • — Proportion invested in infrastructure: N/A
  • — Proportion invested in redesigned care processes/resources: N/A
  • — Proportion of distribution to ACO participants: 50%

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

ACO Quality Measure Measure Name Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 9.77 12.46
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 84.34 74.38
Measure #: 236 Controlling High Blood Pressure 76.04 74.87
Measure #: 318 Falls: Screening for Future Fall Risk 87.12 87.03
Measure #: 110 Preventative Care and Screening: Influenza Immunization 84.28 80.52
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 95.00 80.97
Measure #: 113 Colorectal Cancer Screening 77.14 73.63
Measure #: 112 Breast Cancer Screening 80.49 75.11
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 89.64 84.24
Measure #: 321 CAHPS for MIPS N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1646 01.540
Measure #: MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 27.60 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 75.75 84.67
CAHPS-2 How Well Providers Communicate 90.66 93.56
CAHPS-3 Patient’s Rating of Provider 90.72 92.19
CAHPS-4 Access to Specialists 74.81 78.80
CAHPS-5 Health Promotion and Education 52.51 61.61
CAHPS-6 Shared Decision Making 52.71 60.89
CAHPS-7 Health Status and Functional Status 71.51 71.78
CAHPS-8 Care Coordination 80.52 85.66
CAHPS-9 Courteous and Helpful Office Staff 85.95 91.88
CAHPS-11 Stewardship of Patient Resources 13.44 24.71

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.

Payment Rule Waivers

  • • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    •  Yes, our ACO does use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
  • Waiver for Payment for Telehealth Services:
    • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
      CFR 425.612(f) and 42 CFR 425.613.