ACO Reporting
Required ACO public reporting
ACO Name and Location
ACO Primary Contact
Primary Contact Name
Mary Olsovsky
Primary Contact Phone Number
Primary Contact Email Address
Organizational Information
| ACO PARTICIPANTS | ACO Participant in Joint Venture (Enter Y or N) |
| ALAN R NILI DO A PROFESSIONAL CORPORATION | N |
| ANAHEIM CARDIOLOGY MEDICAL GROUP INC | N |
| ASHISH BHAVSAR, M.D., INC. | N |
| CCOC, INC. | N |
| FRANK ROSE | N |
| Franklin Lowe Md, A Professional Medical Corporation | N |
| Gabriel Carabulea, M.D., Inc. | N |
| HELEN STOSEL MD INC | N |
| Is Gujral Md | N |
| Jason J Pang Md Inc | N |
| JOHN LUSTER | N |
| Judy L Bourget Md Inc | N |
| Katherine Manasson M.D., Inc | N |
| Mark Galbraith MD Inc | N |
| Mark Zaremba, MD | N |
| MARYAM RAHNEMUN MD INC | N |
| Michael D. Moran, M.D., Inc. | N |
| Michael Fitzgibbons MD | N |
| Mission Hills Medical Group Inc | N |
| Orange Family Medicine Inc | N |
| Pacific Crest Medical Group Inc | N |
| Paloma Medical Group Inc | N |
| Proprius Health Medical Group PC | N |
| RAVEEN R. ARORA MD FACC | N |
| RONALD MANDEL | N |
| SAN CLEMENTE INTERNAL MEDICAL GROUP INC | N |
| SOUTH COAST MEDICAL GROUP FAMILY AND SPORTS MEDICINE | N |
| Suma Oommen MD, Inc. | N |
| TLC Allergy And Asthma Associates, Inc | N |
| YOUR FAMILY CARE CENTER INC | N |
ACO governing body
| Member Last Name | Member First Name | Member Title / Position | Member’s Voting Power – Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable |
| Rovzar | Michael | CEO/Voting Member | 25% | ACO Participant Representative | Paloma Medical Group |
| Kading | Albert | Voting Member | 15% | Medicare Beneficiary Representative | N/A |
| Fitzgibbons | Michael | Voting Member | 20% | ACO Participant Representative | Michael Fitzgibbons MD |
| Chang | William | Voting Member | 20% | ACO Participant Representative | Paloma Medical Group |
| Cullen | Steven | Voting Member | 20% | ACO Participant Representative | San Clemente Internal Medical Group |
Key ACO clinical and administrative leadership:
| Michael Rovzar | ACO Executive |
| Michael Rovzar | Medical Director |
| Mary Olsovsky | Compliance Officer |
| Mary Olsovsky | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| Quality Assurance and Process Improvement | William Chang, MD, Chair |
| Patient Experience | Albert Kading, Beneficiary Representative, Chair |
| Medical Cost and Provider Network | Michael Fitzgibbons, MD, Chair |
| Finance and Compensation | Michael Rovzar, MD, Chair |
| Utilization and Management | William Chang, MD, Chair |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses
First Agreement Period
- Performance Year 2018, $0
- Performance Year 2019, $0
- Performance Year 2020, $0
- Performance Year 2021, $0
- Performance Year 2022, $0
Shared Savings Distribution
First Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
2022 Quality Performance Results
Quality performance results are based on CMS Web Interface
| ACO# | Measure Name | Collection Type | Rate | ACO Mean |
| 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | CMS Web Interface | 6.69 | 10.71 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 70.13 | 76.97 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 71.75 | 76.16 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 80.72 | 87.83 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 75.29 | 77.34 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 90.00 | 79.27 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 54.89 | 75.32 |
| 112 | Breast Cancer Screening | CMS Web Interface | 59.66 | 78.07 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 53.60 | 86.37 |
| 321 | CAHPS for MIPS3 | CAHPS for MIPS Survey | N/A | N/A |
| 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | Administrative Claims | 0.1440 | 0.1510 |
| 370 | Depression Remission at Twelve Months | Administrative Claims | 85.71 | 16.03 |
| CAHPS -1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 87.68 | 83.96 |
| CAHPS -2 | How Well Providers Communicate | CAHPS for MIPS Survey | 92.87 | 93.47 |
| CAHPS -3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.95 | 92.06 |
| CAHPS -4 | Access to Specialists | CAHPS for MIPS Survey | 73.67 | 77.00 |
| CAHPS -5 | Health Promotion and Education | CAHPS for MIPS Survey | 57.31 | 62.68 |
| CAHPS -6 | Shared Decision Making | CAHPS for MIPS Survey | 56.60 | 60.97 |
| CAHPS -7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.73 | 73.06 |
| CAHPS -8 | Care Coordination | CAHPS for MIPS Survey | 85.44 | 85.46 |
| CAHPS -9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 90.97 | 91.97 |
| CAHPS -11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 26.75 | 25.62 |
