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 |
| KAIROS HEALTH CLINICS | 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 |
| Newport Center Medical Group | 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 | 15% | ACO Participant Representative | Michael Fitzgibbons MD |
| Chang | William | Voting Member | 15% | ACO Participant Representative | Paloma Medical Group |
| Kays | Bradley | Voting Member | 15% | ACO Participant Representative | Newport Center Medical Group |
| Cullen | Steven | Voting Member | 15% | 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 | Bradley Kays, 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 | Bradley Kays, 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
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
2021 Quality Performance Results
Quality performance results are based on CMS Web Interface
ACO# | Measure Name | Rate | ACO Mean |
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | 16.40 | 12.46 |
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | 67.15 | 74.38 |
236 | Controlling High Blood Pressure | 67.07 | 74.87 |
318 | Falls: Screening for Future Fall Risk | 85.18 | 87.03 |
110 | Preventative Care and Screening: Influenza Immunization | 86.35 | 80.52 |
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96.15 | 80.97 |
113 | Colorectal Cancer Screening | 56.35 | 73.63 |
112 | Breast Cancer Screening | 65.62 | 75.11 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 84.86 | 84.24 |
321 | CAHPS for MIPS3 | N/A | N/A |
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | 0.1558 | 0.1540 |
MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | 30.31 | 33.99 |
CAHPS -1 | Getting Timely Care, Appointments, and Information | 85.57 | 84.67 |
CAHPS -2 | How Well Providers Communicate | 93.96 | 93.56 |
CAHPS -3 | Patient’s Rating of Provider | 93.43 | 92.19 |
CAHPS -4 | Access to Specialists | 78.55 | 78.80 |
CAHPS -5 | Health Promotion and Education | 61.03 | 61.61 |
CAHPS -6 | Shared Decision Making | 60.16 | 60.89 |
CAHPS -7 | Health Status and Functional Status | 71.98 | 71.78 |
CAHPS -8 | Care Coordination | 86.77 | 85.66 |
CAHPS -9 | Courteous and Helpful Office Staff | 90.07 | 91.88 |
CAHPS -11 | Stewardship of Patient Resources | 34.41 | 24.71 |
“Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.”
