About ACMG

Accountable Care Medical Group of FL, Inc.

6355 NW 36th St, Suite 604, Virginia Gardens, FL 33166

ACMG was created, as a logical response to a number of observations regarding the health care system in Florida and the opportunity provided in the Medicare Shared Savings Program (MSSP) for ameliorating the negative aspects of the system,

We are a network of individual practices of ACO professionals.
  • First, despite pontifications and allusions to the contrary, there has been limited to no history of collaboration among major stakeholders within the Florida health care system. indeed, limited coalitions of community stakeholders have emerged, however, the system itself historically and currently reflects periodic epic battles between insurance companies and hospitals, with almost recognizable commitment among stakeholders to truly achieve "seamless care". As a result, Florida's health care system has been highlighted as fragmented, hospital- centric, with limited observable examples of coordination and integration of care between providers, and excessive utilization and costs particularly among Medicare patients with multiple chronic conditions.
  • Second, both practicing physicians and patients have become the casualties of the battles waged in Florida health care system dominated predominantly by hospitals. Patients have been forced to move from comprehensive to catastrophic health plans, limiting their opportunities to access true preventive care and the assistance necessary to effectively coordinate care for their chronic diseases. As well, community-based practicing physician have become a prize target for acquisition by major hospital systems, with the intent to further their efforts to remain the dominate cost center in the system, particular with reference to Medicare expenditures.
  • Third, the recent emphasis placed on the development of ACOs in the Medicare Share Savings Program as a viable approach to system reform provides an opportunity for higher levels of collaboration among primary care and specialty providers and the preservation of their independent practices outside of the dominant control of hospitals.
  • Finally, true reform in the Florida health care system can only result when physicians rise to the challenge of reform, and become "...a constructive force and a trustworthy partner for the continual improvement of health and healthcare for all Americans." The undeniable fact is that the heart of medical care is in-bedded in the physician and the preservation of the doctor-patient relationship and not within the walls of a given institution.

ACMG's Executive Team:

ACMG has been organized by a Team of Healthcare Management professionals with over 50 years of
combined experience in the Healthcare Industry who pooled together a network of individual and group practices in a partnership arrangement to create the ACO. With expertise in areas such as: Managed Care Performance
Metrics, Practice Management, Disease Management, Case Management, Quality Metrics and Standards, and Healthcare IT Platform implementation. Although, ACMG has been newly formed to meet the requirements of the Medicare Shared Savings Program, the history of ACMG represents the combined experience of the ACO Executive Team.

ACMG's Mission and Goals:

Mission; is to implement a physician directed and reality based patient-centric care coordination interventions that enhance the quality of care provided to Medicare beneficiaries while at the same time combats the pronounced escalation of Medicare Program costs.

Goals; for care coordination to be consistent with the contemporary movement toward reducing fragmentation and escalating costs within the health care system, and more specifically the published aims of the CMS Innovations Center and MSSP of "Better Health Care, Improved Outcomes, and Reduced Costs". These Goals include:
  • Reducing unnecessary use of health services (hospitalizations, emergency room visits) due to modifiable causes (e.g., change in risk behaviors, medication compliance, reduction in risks for falls, medication management to avoid poly-pharmacy).
  • Facilitating a collaborative relationship between patients, primary care providers, specialist providers, and their care manager and care coaches, through a partnership or team based approach to care coordination, including effective integration and coordination of avoidable health, mental health, and social services personnel and resources.
  • Establishing and continually reinforcing collaborative communication among primary care physicians, specialty physicians, hospitalists, care coordinators and care transition coaches regarding where care is delivered (emergency department, urgent care facility, hospital, physician's office, patient's home or another setting), specialist assessments and treatments, and care planning.
  • Reducing unnecessary disparities in the delivery of healthcare services provided high risk patients through complex care coordination and proactive coordination of services and assistance in navigating the health, mental, and social service systems.
  • Improving the health and the quality of life of patients through intervention programs that identify, inform, and educate patients, family members, providers and other partners in healthcare.
  • Facilitating the development of effective self-management skills and enhanced empowerment among patients presenting with complex chronic morbidities.
  • Improving appropriate medication adherence, self-monitoring, and appropriate lifestyle changes.
  • Improving clinical outcomes through compliance with nationally recognized and accepted evidence- based clinical practice guidelines for prevention, coordination of high-risk health behaviors, and treatment of chronic conditions.
  • Implementing an integrated technology platform that supports continuity of care and enables access to medical history and critical patient data to all stakeholders, including patients and their family members.
  • Integrating clinical care and services with non-clinical community interventions (e.g., personal care services; meals and wheels).
  • Measuring and tracking the outcome performance and outcome improvements yielded by the interventions through clinical and outcome evaluations based on the administration of widely recognized reliable and valid measures and methodologies.
Primary Contact:

Ms. Chris Pertierra T: 786.427.1937 E-mail: Cpertierra@Acmgroupfl.com

    Contact Information

6355 NW 36th St. Suite 604
Virginia Gardens, FL 33166

Phone: 305-400-4849

Data@AcmgroupFL.com

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Copyright 2015 Accountable Care Medical Group of Florida, Inc. For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.