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
Alexandra Da Rocha Hensly, MD, PLLC N
Bahta and Associates, Inc. N
Banu Medical Practice PA N
Barry C. Pevner, MD, PA N
Beth and Howard Braver, MD, PA N
Brigitte A. Semexant, DO, PA N
Calzada Primary Care, PA N
Cardiac & Veinworx, LLC N
Care For Your Medical Center Margate, LLC N
Cleopatra Gordon Pusey, MD, PA
Comprehensive Cardiology Associates, LLC N
Comprehensive Health & Wellness Center, PA N
Darius Figueras, MD, PA N
Delcin Health Center N
Dov S. Linzer, MD, LLC N
Eisman & Eisman, MD, PA N
Emilio Pando, MD, PA N
Evergreen Medical Center, PA N
Family Medical Center of Hollywood, PA N
Family Practice of Davie, Inc. N
Healthstone Primary Care Partners, LLC N
Hector Fabregas, MD, PA N
Howard M. Graubard, MD, PA N
Internal Medicine Specialty Associates, PA N
Isaac Medical Group N
J&J Comprehensive Medical Care, LLC N
Jeffrey Rothstein, DO, PA N
Joshua Z. Steiner, DO, PA N
Juan Carlos Rondon, MD, PA N
Leonard J. Hoenig, MD, PA N
Leslie Shawn, DO, PA N
Medical Center International, Inc. N
My Family Physicians, Inc. N
Nancy Pyram-Bernard, DO, LLC Lice Source Services N
North Broward Hospital District N
Prangnuan Durand, DO, PA N
Reyes Reyes, PA N
RGPMD, LLC N
Saad Mirza, MD, PA N
Safecare Medical Center, Inc. N
Seneca Healthcare & Wellness Center, LLC N
Sole Health, LLC N
South Broward Hospital District N
Spiller Heart Institute, LLC N
Steven R. Linzer, DO, PA N
TPHT, Inc. N
Thakur, MD, PA N
Total Healthcare of South Florida, Inc. N
Unihealth Primary Care, LLC N
Van Buren Medical Center, Inc. N
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
Yaneth Trujillo, MD, PA N

ACO Governing Body

Member Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
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

Richard Ashenoff II ACO Executive
Dr. Daniel Edelman Medical Director
Denise Dicesare Compliance Officer
Dr. Daniel Edelman Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Quality and Information Technology Committee Dr. Daniel Edelman, 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, $3,729,517
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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