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
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

Second Agreement Period

— Performance Year 2020 $15,379,221

First Agreement Period

— Performance Year 2019 $5,115,885

Shared Savings Distribution

Second Agreement Period

— 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%

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%

2020 Quality Performance Results:

ACO Quality Measure Measure Name Rate ACO Mean
ACO-8 Risk Standardized, All Condition Readmission 14.96 15.07
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 43.87 49.50
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator(PQI #91)) 0.92 0.95
ACO-13 Falls: Screening for Future Fall Risk 72.83 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 70.04 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 73.08 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 59.02 71.46
ACO-19 Colorectal Cancer Screening 64.44 72.59
ACO-20 Breast Cancer Screening 70.33 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 80.83 74.05
ACO-27 Diabetes: Hemoglobin A1c Poor Control (>9%) 19.57 14.70
ACO-28 Controlling High Blood Pressure 68.95 72.87

Please note, the ACO-40 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.