Prime Healthcare ACO

Prime Healthcare ACO, LLC
3300 E. Guasti Road
3rd Floor
Ontario, California 91761

Primary Contact:

Primary Contact Name : Alan Smith
Primary Contact Phone Number : (775) 770-7227
Primary Contact Email Address : asmith@primehealthcare.com

ACO Participants

ACO Participant in Joint Venture

  • High Desert Heart Institute Medical Corporation
  • N
  • Wadie Alkhouri
  • N
  • Archana Shende Md Inc
  • N
  • Theodore Mazer
  • N
  • Thomas Young
  • N
  • Sambin Wang
  • N
  • Anthony Borgia
  • N
  • Michael H. Michalski, Md, A Medical Corporation
  • N
  • North Vista Hospital Inc
  • N
  • Pacific Health Systems
  • N
  • Ian Purcell, Md Apc
  • N
  • Northern Heart & Vascular Institute Inc Medical Associates
  • N
  • Elahe Toulouie, Md, Inc
  • N
  • Prime Healthcare Services-Sherman Oaks, Llc
  • N
  • Mohamed H. Khan, M.D., Inc
  • N
  • Tim Gurtch Md, Inc.
  • N
  • Prime Healthcare Services Iii, Llc
  • N
  • Ashkan Soleymani, Dpm, Inc
  • N
  • Nancy Conley Md Family Medicine
  • N
  • Michael L. Farley, D.O., A Medical Corporation
  • N
  • Prime Healthcare Anaheim Llc
  • N
  • Prime Healthcare Huntington Beach
  • N
  • Prime Healthcare La Palma Llc
  • N
  • Alvarado Hospital Llc
  • N
  • Prime Healthcare Paradise Valley
  • N
  • South Meadows Endoscopy Center, Llp
  • N
  • Paradise Valley Medical Group, Inc.
  • N
  • Abhinav Sinha, M.D., Pc
  • N
  • Ramin Hazany
  • N
  • William I. Han, M.D. Inc
  • N
  • Frank Yoo
  • N
  • Duane Bridges
  • N
  • Sumana & Ananthram Reddy Md Inc
  • N
  • Prime Healthcare Centinela Llc
  • N
  • Passion Medical Associates Llc
  • N
  • Ramin Ashtiani, Md A Professional Corporation
  • N
  • Prime Healthcare Services Encino Llc
  • N
  • Prime Healthcare Services - San Dimas Llc
  • N
  • Prime Healthcare Services Garden Grove Llc
  • N
  • Prime Healthcare Services Shasta Llc
  • N
  • Shasta Regional Medical Group Inc
  • N
  • Dr. Sunny Bhatia M.D. Inc.
  • N
  • Elijah Mobley, M.D. Inc
  • N
  • Kaushik V. Patel, Md, Inc
  • N
  • Stephen Casey Md Inc
  • N
  • Afshin Saadat Md Inc
  • N
  • Advanced Endoscopy Consultants
  • N
  • Metcalf, Tiller & Chen, Inc
  • N
  • Southern California Cardiology Medical Group Inc
  • N
  • Larry I Emdur Do Phd
  • N
  • Reddiwandla Seenu Reddy, M.D., Inc.
  • N
  • John Wilkinson
  • N
  • Alvarado Orthopedic Medical Group, Inc.
  • N
  • Kumara Prathipati, M.D.,Inc
  • N
  • Theodore Mazer, Md
  • N
  • Desert Valley Hospital Inc
  • N
  • Fariborz Shams, D.O., Inc.
  • N
  • Gerard C. Arcilla Md, Inc
  • N
  • Roderick A Comunale Ii Md Inc
  • N
  • Desert Valley Medical Group Inc
  • N
  • Manorama M Reddy M.D Inc
  • N
  • Akther Kotha
  • N
  • Joel Q. Velasquez, M.D. Incorporated
  • N
  • University Square Medical Clinic Inc
  • N
  • Roman B. Cham, Md Inc
  • N
  • Healthcare Medical Group Of La Mesa
  • N
  • Om Sood Md A Professional Med Corp
  • N
  • Michael J. Oleary, Md, Inc
  • N
  • Veritas Health Services Inc
  • N
  • Inland Physicians Service Inc
  • N
  • Reliant Radiology Medical Group A Professional Corporation
  • N
  • Enrique Espinosa-Melendez Md Inc
  • N
  • Pueblo Medical Center Inc
  • N
  • Wadie Alkhouri Md
  • N
  • Jonardi Handoko
  • N
  • Krishna J Mohan Md Inc
  • N
  • John Wilkinson
  • N
  • High Desert Nephrology Medical Association
  • N
  • Said Jacob
  • N
  • Richard Mooney, Md. Inc.
  • N
  • Kibrom G Asrat Dpm Apc
  • N
  • North Vista Physicians Pc
  • N
  • Prime Healthcare Services Reno Llc
  • N
  • Saint Marys Medical Group Inc
  • N
  • Steven D Macina Do A Professional Medical Corporation
  • N
  • High Desert Pathology Medical Group
  • N
  • Owais Zaidi Medical Corporation
  • N
  • Valley Cardiology And Vascular Associates Inc
  • N
  • Alvarado Physicians Medical Group
  • N
  • Paul Nguyen, M.D., Ltd.
  • N
  • Pulmonary Consultants And Wellness Center Inc. Pc
  • N
  • Rana Ashwani Bahl, M.D., Inc.
  • N
  • Kent Brusett
  • N
  • James Liu
  • N
  • Oscar Guzman, M.D.
  • N
  • Howard Staniloff
  • N
  • Ron Dunchok, M.D.
  • N
  • James Gonzalez
  • N
  • Stephen Edney
  • N
  • Paul Beck, M.D.
  • N
  • Cyrus Nasserian, M.D.
  • N
  • Varick Bernstein Md Ltd
  • N
  • Ronald Smith
  • N
  • Hamid Rabiee, Md
  • N
  • Ramin Hazany
  • N
  • Karl Sun
  • N
  • Nilesh Patel
  • N
  • Sabah Kadhium
  • N
  • Siskiyou Medical Group Pc
  • N
  • Shasta Orthopaedics & Sports Medicine
  • N
  • James Gonzalez
  • N
  • Rnc Medical Group, Inc.
  • N
  • Critical Care Cardiology Medical Corp
  • N
  • Saint Marys Urgent Care Llc
  • N
  • Reno Endoscopy Center,Llp
  • N
  • Carson Endoscopy Center,Llp
  • N
  • Gastroenterology Consultants, Ltd.
  • N
  • Ronald Smith
  • N
  • Stephen Edney
  • N
  • Vegas Valley Primary Care
  • N
  • Bernard K. Addo-Quaye, Md, Pc
  • N
  • Clinica Medica Del Pueblo
  • N
  • Habib A. Ismail, M.D., Inc.
  • N
  • Kevin Bernstein, M.D., Llc
  • N
  • Epic Medical Group Inc.
  • N
  • Redding Urologic Assocs
  • N
  • B V Chandramouli Md Inc
  • N
  • Alvarado La Mesa Urology Medical Group, Inc.
  • N
  • John P Anderson Md Russell M Perry Md And Mark A Sharzer Md A Med Crp
  • N
  • Fernando A Zamudio Md Inc
  • N
  • Michael P. Koumjian, Md, A Professional Corporation
  • N
  • Mohsen Ali
  • N
  • Franklin G Cabebe M D Inc
  • N
  • Zuhair O Yahya Md Inc
  • N
  • Leon Bachoura, M.D., Inc.
  • N
  • John H. Choie,Md A Professional Corporation
  • N
  • Centinela Radiology Medical Group
  • N
  • Coast Gastroeneterology Medical Group
  • N
  • California Kidney Specialists
  • N
  • Neelakantan Ramineni Md Inc
  • N
  • Naji Bouz Md Inc & N Kassar Md Inc Ptrs
  • N
  • Thomas Johnson Md
  • N
  • Said Jacob, M.D.
  • N
  • Shorr, Smith & Hurst Mds
  • N
  • Medical Associates Of Westchester
  • N
  • Century Eye Care Medical Center, Inc.
  • N
  • Sabah Kadhium
  • N
  • May Medical Management Corporation
  • N
  • Habib Moussa Bashoura Md Inc
  • N
  • Hourany Medical Corporation
  • N
  • Nilesh Patel
  • N
  • Mahipal M. Shah, M.D.,P.C.
  • N
  • Rohinder Kaur Sandhu M.D., Inc.
  • N
  • East Valley Glendora Hospital L P
  • N

No participants are involved in a joint venture between ACO Professionals and hospitals.

Prime ACO Governing Body:

Member

Reddy, MD Prem, Chairperson
Dutton Ted, Voting Member
Patel, MD Paryus, Vice-Chair/Voting Member
Bhatia, MD Sunny, Voting Member
Lally, DO James, Voting Member
Bryan, MD Richard, Voting Member
Sabo, MD Victor, Voting Member
Sarian Mike, President | Non-Voting Member
Smith Alan, Secretary | Non-Voting Member
Bradley Linda, Voting Member
Lidholm Helen, Voting Member
Doan Christopher, Chief Compliance Counsel | Non-Voting Member

Member's Voting Power

1
1
1
1
1
1
1
0
0
1
1
0

Membership Type

Other (Chairman, Voting Member)
Medicare Benficiary Representative
ACO Participant Representative
ACO Participant Representative
ACO Participant Representative
ACO Participant Representative
ACO Participant Representative
Other | Non-Voting Member
Other | Non-Voting Member
ACO Participant Representative
ACO Participant Representative
Other | Non-Voting Member

ACO Participant TIN Legal Business Name/DBA, if Applicable

N/A
N/A
| PULMONARY CONSULTANTS AND WELLNESS CENTER
| Epic Cardiology
| Inland Physicians Service, Inc.
| Saint Mary's Medical Group, Inc.
| Desert Valley Medical Group
N/A
N/A
| PRIME HEALTHCARE CENTINELA, LLC
| PRIME HEALTHCARE SERVICES – RENO, LLC
N/A

Key Clinical and Administrative Leadership

  • ACO Executive: Alan Smith
  • Medical Director: Paryus Patel, M.D.
  • Compliance Officer: Christopher Doan
  • Quality Assurance/Improvement Officer:Harsha Upadhyay

Associated committees and committee leadership

  • Finance and Contracting Committee: Alan Smith, Chief Financial Officer
  • Governance Committee: Christopher Doan, Chief Complaince Counsel
  • Quality Improvement and Assurance Committee : Dr. Sunny Bhatia, M.D., Chief Medical Officer, Division I
  • Information Technology Committee: Linda Bradley, Chief Executive Officer

Types of ACO Participants or Combinations of Participants Who formed the ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Hospital employing ACO professionals

Shared Savings/Losses:

Amount of Shared Savings/Losses

  • First Agreement Period
    • o Performance Year 2016, $0

Shared Savings Distribution

  • First Agreement Period
    • o Performance Year 2016
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2016 Quality Performance Results:

ACO#

ACO-1
ACO-2
ACO-3
ACO-4
ACO-5
ACO-6
ACO-7
ACO-34
ACO-8
ACO-35
ACO-36
ACO-37
ACO-38
ACO-9
ACO-10
ACO-11
ACO-39
ACO-13
ACO-14
ACO-15
ACO-16
ACO-17
ACO-18
ACO-19
ACO-20
ACO-21
ACO-42
ACO-27
ACO-41
ACO-28
ACO-30
ACO-31
ACO-33

Measure Name

CAHPS: Getting Timely Care, Appointments, and Information
CAHPS: How Well Your Providers Communicate
CAHPS: Patients’ Rating of Provider
CAHPS: Access to Specialists
CAHPS: Health Promotion and Education
CAHPS: Shared Decision Making
CAHPS: Health Status/Functional Status
CAHPS: Stewardship of Patient Resources
Risk Standardized, All Condition Readmission
Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)
All-Cause Unplanned Admissions for Patients with Diabetes
All-Cause Unplanned Admissions for Patients with Heart Failure
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)
Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)
Percent of PCPs who Successfully Meet Meaningful Use Requirements
Documentation of Current Medications in the Medical Record
Falls: Screening for Future Fall Risk
Preventive Care and Screening: Influenza Immunization
Pneumonia Vaccination Status for Older Adults
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
Colorectal Cancer Screening
Breast Cancer Screening
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
Statin therapy for the Prevention and Treatment of Cardiovascular Disease
Diabetes Mellitus: Hemoglobin A1c Poor Control
Diabetes: Eye Exam
Hypertension (HTN): Controlling High Blood Pressure
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)

Rate

74.49
90.95
90.14
82.29
58.82
78.22
70.13
25.55
14.72
18.07
68.98
86.11
71.27
7.58
10.81
51.40
83.15
38.57
41.89
41.26
45.45
63.50
39.79
39.74
44.77
47.01
47.43
50.79
13.78
51.95
63.28
54.55
63.39

ACO Mean

80.51
93.01
92.25
83.49
60.32
75.40
72.30
26.97
14.70
18.17
53.20
75.23
59.81
9.27
14.53
82.72
87.54
64.04
68.32
69.21
74.45
90.98
53.63
61.52
67.61
76.79
77.72
18.24
44.94
70.69
85.05
88.67
79.67

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

Note: In the Quality Performance Results file(s) above, search for “Prime Healthcare ACO, LLC” or “Prime Healthcare ACO” to view the quality performance results. This ACO can also be found by using the ACO ID A54062 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

Contact Prime Healthcare ACO

Phone Number:

(844) 505-4228

Address:

3300 E. Guasti Road, 3rd Floor
Ontario, CA 91761