Medicare Shared Savings Program Participation Waiver Notification
The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws that may otherwise limit innovations by ACO’s participating in the Medicare Shared Savings Program (“MSSP”). In accordance with the ACO Participation Waivers set forth in 76 Fed. Reg. 67992 (Nov. 2, 2011), Accountable Care Medical Group of Florida, Inc. (“ACMG”) seeks waiver protection for the arrangement described below:
ACMG participates in the Medicare Shared Savings Program (MSSP) and certain waivers available to it through the MSSP. Specifically, ACMG has utilized the MSSP Participation Waivers in connection with the following program. ACMG’s governing body made a bona fide determination that the arrangement between ACMG, its Participants and Laboratory Corporation of America Holdings (“LabCorp”) are reasonably related to the purposes of the MMSP. As part of its efforts to: (1) promote better care for individuals; (2) promote better health for populations; and (3) lower growth expenditures, ACMG has contracted with LabCorp to assist in the implementation and on-going operation of care coordination in general and for the treatment and prevention ACMG’s Medicare beneficiaries with chronic kidney disease. The care coordination support will help ACMG ACO facilitate its efforts to implement case management and care coordination of its MSSP attributed lives. As ACMG implements the program across its ACO beneficiary population, ACMG will promote the better health of populations and lower growth expenditures. (76 Fed. Reg. at 68000 and 68002).
Accountable Care
Medical Group of Florida, Inc.
806 South Douglas Road, Suite 700
Coral Gables, FL 33135
Primary Contact Name |
Stephany Nino |
Primary Contact Phone Number |
786-878-5505 |
Primary Contact Email Address |
snino@genuinehealthgroup.com |
ACO PARTICIPANTS | JOINT VENTURE |
Addison Mizner Medical LLC | No |
Adult Medicine Of Lake County Inc | No |
Albert Humphrey, MD | No |
Amicus Medical Center LLC | No |
Angel'S Medical Company | No |
Boyton Medical Group Inc | No |
Caps Medical Management LLC | No |
Carlos Delgado MD PA | No |
Carlos L Dominguez MD PA | No |
Central Medical Group, P.A. | No |
Deerfield Medical Group LLC | No |
Dr Jorge Travieso M D P A | No |
Empire Healthcare Consultants Inc | No |
Erica O Donnell | No |
Florida Institute Of Health Ltd Lllp | No |
Francisco J Mora MD PA | No |
Gilbert Leung, M.D., P.A. | No |
Gregory Singleton | No |
Hammock Medical Center Inc | No |
Ivan Castano | No |
John Bancroft Hylton M.D,P.A | No |
Jose David Suarez, M.D., P.A. | No |
Julian Marquez MD PA | No |
Juvenal E. Martinez, M.D., P.A. | No |
Manuel Perez-Espinosa MD PA | No |
Med-Care Medical Center Inc | No |
Medical Center Of Winston Towers Inc | No |
Nano Health Associates LLC | No |
Orangeburg Family Physicians, PA | No |
Ormond Internal Medicine LLC | No |
Physicians Associates PA | No |
Raypar Inc | No |
Royal Care Medical Center, Inc. | No |
Santee Family Medical Center, Inc. | No |
Steven Fields MD PA | No |
University Primary Care LLC | No |
Volusia Medical Center LLC | No |
Waldo Acebo, M.D., P.A. | No |
Member |
Member's Voting Power – Expressed as a percentage or number |
Membership Type |
ACO Participant Legal Business Name/DBA, if Applicable |
||
Last Name |
First Name |
Title/Position |
|||
Montesino |
Jenifer |
COO and Board Chair |
10% |
Voting Member |
- |
Suarez, MD |
Jose |
CMO and Board Member |
10% |
ACO Participant and Voting Member |
Jose David Suarez, M.D., P.A. |
Marquez, MD |
Richard |
Board Member |
10% |
ACO Participant and Voting Member |
Addison Mizner Medical, LLC |
Leung, MD |
Gilbert |
Board Member |
10% |
ACO Participant and Voting Member |
Gilbert Leung, M.D., P.A. |
O'Donnell, MD |
Erica |
Board Member |
10% |
ACO Participant and Voting Member |
Erica O'Donnell MD |
Zeiger |
Sandi |
Board Member |
10% |
ACO Participant and Voting Member |
Central Medical Group, P.A. |
Acebo, MD |
Waldo |
Board Member |
10% |
ACO Participant and Voting Member |
Waldo Acebo M.D., P.A. |
Marquez, MD |
Julian |
Board Member |
10% |
ACO Participant and Voting Member |
Julian Marquez MD |
Martinez, MD |
Juvenal |
Board Member |
10% |
ACO Participant and Voting Member |
Juvenal Martinez MD PA |
Singleton, MD |
Gregory |
Board Member |
10% |
ACO Participant and Voting Member |
Gregory Singleton, MD |
Sternberg |
Fred |
Board Member |
0% |
ACO Participant and Voting Member |
ACO Beneficiary Representative |
Joseph L. Caruncho |
ACO Executive |
Jose Suarez |
Medical Director |
Manuel Lopez |
Compliance Officer |
Ingrid Enamorado |
Quality Assurance/Improvement Officer |
Committee Name |
Committee Leader Name and Position |
---|---|
Executive |
Joseph L. Caruncho, Chair |
Information and Technology |
Sean Leimbach, Chair |
Medical Standards and Quality |
Dr. Jose David Suarez, Chair |
Compliance Officer |
Manuel Lopez, JD, Chair |
Preventive Health |
Grace Giraldo, RN BSN MBA, Chair |
Third Agreement Period
Second Agreement Period
First Agreement Period
Third Agreement Period
Performance Year 2020
Second Agreement Period
Performance Year 2019
Performance Year 2018
Performance Year 2017
First Agreement Period
Performance Year 2016
Performance Year 2015
Performance Year 2014
2020 Quality Performance:
Please note, the ACO-40 Depression Remission at 12 months quality measure is notincluded in public reporting due to low sample size.
Note: In the Quality Performance Results file(s) above, search for “Accountable Care Medical Group of Florida, Inc.” or “ACMG” to view the quality performance results. This ACO can also be found by using the ACO ID A2033 in the public use files on data.cms.gov.