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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