Public Reporting

Public Reporting

ACO Name and Location

Broward Guardian, LLC
3109 Stirling Road, Suite 101
Hollywood, Florida 33312

ACO Primary Contact

Richard Ashenoff, II
Executive Director
rashenoff@mhs.net
954-265-6674

Organizational Information

ACO Participants ACO Participant in Joint Venture
Advanced Wellness Consultants, LLC 
Alexandra Da Rocha Hensly, MD, PLLC N
Altius Medical Center, LLC 
AMCA Medical Services, Inc. 
American Family Health Center, Inc. 
Anling Health, LLC 
AOC Healthcare Center 
Bahta and Associates, Inc. N
Banu Medical Practice PA N
Barry C. Pevner, MD, PA N
Bennett A. Lewis, DO, PA 
Beth and Howard Braver, MD, PA N
Brazilian Clinic, LLC 
Bright Care Family Medical Corp. 
Brigitte A. Semexant, DO, PA N
Broward Health Medical Group 
Calata Medical Group, Inc. 
Calzada Primary Care, PA N
Cardiac & Veinworx, LLC N
Care For Your Medical Center Margate, LLC N
Cleopatra Gordon Pusey, MD, PA
Clinic 2 You Health Care Network, LLC 
Comprehensive Cardiology Consultants, LLC N
Comprehensive Health & Wellness Center, PA N
Coradin Health, LLC 
CGQ Healthcare, PA 
Dauris Figueras, MD, PA N
Delcin Health Center N
Dov S. Linzer, MD, LLC N
DRIP, NP, LLC 
Eisman & Eisman, MD, PA N
Emilio Pando, MD, PA N
Evergreen Medical Center, PA N
Family Medical Center of Hollywood, PA N
Family Medical Group of Kendall 
Family Practice of Davie, Inc. N
Gedeon Medical Center 
Healthstone Primary Care Partners, LLC N
Hector Fabregas, MD, PA N
Hernando Giraldo, MD, Inc.
Howard M. Graubard, MD, PA N
IJ Rizo Elite Healthcare, LLC N
Isaac Medical Group N
J&J Comprehensive Medical Care, LLC N
Jeffrey Rothstein, DO, PA N
John V. Williams, MD, PA 
Joshua Z. Steiner, DO, PA N
Juan Carlos Rondon, MD, PA N
Labiste Medical and Wellness Center, Inc. 
Leonard J. Hoenig, MD, PA N
Leslie Shawn, DO, PA N
Medical Center International, Inc. N
Metropolitan Health Care Group, Inc. 
My Family Physicians, Inc. N
My Wellness, NP, LLC 
Nancy Pyram-Bernard, DO, LLC Lice Source Services & SFFHRC N
North Broward Hospital District N
Nu Vitality Hydration and Wellness 
Prangnuan Durand, DO, PA N
Primary Care, LLC 
Primary Care Specialist of South Florida, PA
Primary Medical Physicians, LLC 
Priority Health MD, Inc. N
Reliable Medical Services, LLC 
RGPMD, LLC N
Ronald G. Kludo, PA 
Ronoel Penlaver, MD, PA 
Saad Mirza, MD, PA N
Safecare Medical Center, Inc. N
Salei Primary Care, Inc.
Seneca Healthcare & Wellness Center, LLC N
Sole Health, LLC N
South Broward Hospital District N
South Florida Sports and Preventative Medicine, Inc. 
Spiller Heart Institute, LLC N
Steven R. Linzer, DO, PA N
Stormy's Primary Care and Wellness Medspa, LLC 
TPHT, Inc. N
Thakur, MD, PA N
Total Healthcare of South Florida, Inc. N
Unihealth Primary Care, LLC N
Vital Urgent Care, LLC 
Vivian Bilasano, MD, LLC N
Wayne H. Case, MD, PA N
Wayne N. Evancho, DO, PA N
Wellness Medical Clinic and Geriatric Center, Inc. N
West Broward Internal Medicine, PLLC N
West-Ky Abrams, DO, PA N
Yanely Pineiro Puebla, PA 
Yaneth Trujillo, MD, PA N

ACO Governing Body

Member Last Name Member First Name Title/Position Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Steiner, DO Joshua Board Chair 1 of 8 Voting Member ACO Participant Representative – Joshua Z. Steiner, DO PA
Beaufort, MD Je-Anne Vice Chair 1 of 8 Voting Member ACO Participant Representative – South Broward Hospital District
Case-Diaz, MD Cheryl Board Member 1 of 8 Voting Member ACO Participant Representative – Wayne H. Case, MD, PA
Chiapone, MD Ting Board Member 1 of 8 Voting Member ACO Participant Representative – Safecare Medical Center, Inc.
Macaluso, MD Tom Board Member 1 of 8 Voting Member Chief Quality Officer, Memorial Healthcare System
Nguyen, MD Nga Board Member 1 of 8 Voting Member ACO Participant Representative – South Broward Hospital District
Ramsaran, MD Chris Board Member 1 of 8 Voting Member ACO Participant Representative – South Broward Hospital District
Reydel Margaret Board Member 1 of 8 Voting Member ACO Beneficiary Representative

Key ACO Clinical and Administrative Leadership

Name Title
Richard Ashenoff II ACO Executive
Dr. Sadia Ali Medical Director
Denise Dicesare Compliance Officer
Dr. Sadia Ali Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Quality and Information Technology Committee Dr. Sadia Ali, Chair
Terri Thompson, Co-Chair

Types of ACO Participants, or Combinations of Participants that Formed the ACO

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period
  • Performance Year 2022, $6,247,904
Second Agreement Period
  • Performance Year 2021, $8,146,899
  • Performance Year 2020, $5,938,258
  • Performance Year 2019, $6,241,418
  • Performance Year 2018, $3,129,467
  • Performance Year 2017, $3,729,407
First Agreement Period
  • Performance Year 2016, $3,115,928
  • Performance Year 2015, $5,220,484
  • Performance Year 2014, $0

Shared Savings Distribution

Third Agreement Period
  • Performance Year 2022
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 65%
Second Agreement Period
  • Performance Year 2021
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2020
    • Proportion invested in infrastructure: 22%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 68%
  • Performance Year 2019
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2018
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2017
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
First Agreement Period
  • Performance Year 2016
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2015
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2014
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2022 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control1 18.39 10.71
ACO-134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 88.09 76.97
ACO-236 Controlling High Blood Pressure 86.61 76.16
ACO-318 Falls: Screening for Future Fall Risk 87.58 87.83
ACO-110 Preventative Care and Screening: Influenza Immunization 66.98 77.34
ACO-226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 80.00 79.27
ACO-113 Colorectal Cancer Screening 60.78 75.32
ACO-112 Controlling High Blood Pressure 72.61 75.11
ACO-438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.68 84.24
ACO-370 Depression Remission at Twelve Months 27.50 15.50
ACO-321 CAHPS for MIPS3 N/A N/A
ACO-479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1653 0.1510
ACO-484 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 34.61 30.97

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

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.

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