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
LINDA S FALCONIO M.D., INC N
JOHN R PEDROTTY JR MD A PROF CORP N
MARIA THERESA VILLA N
RENATO DE LA ROSA M D INC N
PINNACLE MEDICAL GROUP HICKS PC N
VALERIE C ALTAVAS MD A MEDICAL CORPORATION N
IRA R. BRAVERMAN, M. D. INC. N
CITRUS VALLEY MEDICAL ASSOCIATES INC N
IRINEO TIANGCO N
ABID HUSSAIN MD PC N
DOUGLAS F. CARRASCO M.D. INC. N
GRACE FAMILY HEALTH, INC. N
H KOLLI MD MEDICAL CORPORATION N
HEMCHAND KOLLI, MD INC N
LIVINGWATER’S MEDICAL CLINIC, INC. N
SOUTHERN CALIFORNIA PHYSICIAN NETWORK, INC N
ALWIN WILLIAM BAGINGITO MD INC N
ABAYOMI A. ODUBELA, M.D., A PROFESSIONAL CORPORATION N
DAVID R JENSEN MD A PROFESSIONAL CORPORATION N
CORONA MEDICAL CENTER, A PROFESSIONAL CORPORATION N
PATRICIA ANN BOGEMA DO INC N
DAVID ZEBRACK DO INC N
HIZON MEDICAL CORPORATION N
SIVALINGAM MEDICAL CORPORATION, INC. N
RUPAL B, SHAH, MD., INC N
VENU PRABAKER MD INC N
KAMRAN QURESHI N
RADHEY S. BANSAL, MD. INC N
RIVERSIDE MEDICAL CLINIC INC N
SYLVIA A GISI, M.D. INC. N
TROY H NIGUIDULA MD INC N
GALLERIA MEDICAL CLINIC INC N
KEN ROTH MD & ROLF EHLERS MD SAN DIEGO INTERNAL MEDICINE ASSOC N
TIMOTHY J KILLEEN MD INC N
SHARNA B SHACHAR MD A PROFESSIONAL MEDICAL CORPORATION N
ROLANDO A ATIGA MD A PROFESSIONAL CORPORATION N
RM FLORES, MD INC N
RICHARD E UHLER DO, INC N
METRO FAMILY PHYSICIANS MEDICAL GROUP INC N
PETER D STRUTZ, MD A MEDICAL CORPORATION N
CARING PHYSICIANS MEDICAL GROUP, INC. N
RUSSELL GREIF N
DESILVA MEDICAL, INC. N
RIC GARRISON N
JASON A. BLACK M.D., INC. N
GABRIEL T FABELLA MD INC N
BRIDGET R. BRIGGS, M.D. INC. N
MD CARE AND ASSOCIATES INC N
MARIA FLORA TRIMOR TAMORIA 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 2020 $15,379,221

— Performance Year 2019 $5,115,885

Shared Savings Distribution

First 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%
  •  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-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.