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:
Karla D. Cruz Rivera
Primary Contact Phone Number:
(787) 342-1454
Primary Contact Email Address:

Kcruz@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
Sivalingam
Kanagaratnam
Voting Member*
6.66%
ACO Participant Representative
Sivalingam Medical Group INC.
14
Tiangco
Irineo
Voting Member*
6.66%
ACO Participant Representative
Galleria Medical
15
Yun
Jonathan
Voting Member*
6.66%
ACO Participant Representative
Livingswater’s Medical Clinic

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

Second Agreement Period

— Performance Year N/A

First Agreement Period

— Performance Year 2019 $5,115,885

Shared Savings Distribution

Second Agreement Period

— N/A

First Agreement Period

— 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%

2019 Quality Performance Results:

ACO Quality Measure Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 83.22 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 93.13 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 92.46 92.69
ACO-4 CAHPS: Access to Specialists 82.30 81.54
ACO-5 CAHPS: Health Promotion and Education 53.15 60.44
ACO-6 CAHPS: Shared Decision Making 58.14 62.78
ACO-7 CAHPS: Health Status/Functional Status 74.39 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 22.52 26.17
ACO-45 CAHPS: Courteous and Helpful
Office Staff		 91.01 92.84
ACO-46 CAHPS: Care Coordination 85.96 86.89
ACO-8 Risk Standardized, All Condition Readmission 15.31 14.86
ACO-38 All-Cause Unplanned
Admissions for Patients with
Multiple Chronic Conditions		 53.15 58.15
ACO-43 Ambulatory Sensitive
Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))		 1.86 1.87
ACO-13 Falls: Screening for Future Fall
Risk		 50.58 84.04
ACO-14 Preventive Care and
Screening: Influenza Immunization		 60.50 74.77
ACO-17 Preventive Care and Screening: Tobacco Use:
Screening and Cessation Intervention		 50.00 78.04
ACO-18 Preventive Care and
Screening: Screening for
Depression and Follow-up Plan		 45.16 70.40
ACO-19 Colorectal Cancer Screening 54.52 70.76
ACO-20 Breast Cancer Screening 70.55 73.84
ACO-42 Statin Therapy for the
Prevention and Treatment of Cardiovascular Disease		 74.60 82.17
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 13.25 13.88
ACO-28 Controlling High Blood Pressure 68.73 75.04

Please note, the ACO-40 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:
    •  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.