ACO Name and Location

Caribbean Accountable Care, LLC Previous Names: N/A Torre Chardón 350 Chardón Avenue, Suite 500 Hato Rey, PR 00918

ACO Primary Contact

Primary Contact Name Dr. Diego Rosso

Primary Contact Phone Number (787) 622-3000

Primary Contact Email Address diego.rosso@cac-pr.com

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)

Alejandro Medina N

Juanita Hernández N

Elias Martínez de Pena N

Alan Zarruk Sánchez N

Ricardo Jiménez N

Ismenio Millan Aponte N

Victor Polanco Sánchez N

Clara Acosta N

Amanda Fernández Muñoz N

Ismael Jusino McDougall N

Ismael Mercado N

Miguel Santiago Vega N

Carlos Acevedo Rego N

Pedro Carrazana Pérez N

Eduardo Trejo Derivet N

Rafael Ruiz De La Uz N

Centro de Medicina Integral de Manatí, Inc N

Jomarie Rivera N

Francisco Batlle Batlle N

Mitchell Matundan Marasigan N

Edgardo Bermúdez N

Ismael Colón Calderón N

Frank López Vizcarrondo N

Justino Betancourt N

José Soba N

Oscar Rodríguez N

Melvyn Acosta Ruiz N

Robert Engel N

Lourdes Montano Rivera N

Edith Torres Rodriguez N

Jorge Torres Martínez N

Nisislay Ramos Rodríguez N

Kevin Toro N

Rafael Díaz N

Gladys Perez Vega N

Carlos Morales Pagán N

Jose Meléndez Ramírez N

Héctor Ruiz N

Raymond Tasch Ramírez N

Loida Miranda N

Julio Sepúlveda Franco N

Jose Alcazar Sabathie N

Félix Del Río N

Eric Figueroa Ríos N

Jorge Alfonso Medina N

Steven Rodríguez Monge N

Pablo Robles Cortés N

Iniabel Ramos Ruiz N

José Pérez García N

Ingrid González N

Julio Mantero Hormazábal N

Wilmer Sánchez N

Digno Peguero Bodden N

Néstor Flores N

Roberto Encarnación Marte N

Axel Vélez Santiago N

Ricardo Ortíz N

Edwin Rodríguez Allende N

Isamarie Veguilla Hernández N

Madelaine Berríos N

Nelson Medina N

Elba López N

Jesús Amparo N

David Molina González N

Antolin Padilla N

Rafael Cepeda Lara N

Alberto Rosario Maldonado N

Santiago Báez Torres N

Nestor Frontera-Tacoronte N

Vanessa Rodriguez Mier N

José Esteras N

Mirzia Laboy N

José A Marrero García N

Gerardo Vendrell N

Carlos Planell Dosal N

Carlos Lopez-Ascencio N

Jorge Rodríguez N

Luis Siaca Colón N

Yanira Fernández Esteves N

Luis Correa N

Heidi Ayala Cardona N

Alvin Torres N

Edgar Quintero Maldonado N

Anselmo Fuentes Aponte N

Ivette Rosario Robles N

Ismael Maldonado Torres N

Juan García N

José Torres N

Edwin Figueroa Delgado N

Idalia Borrero N

Luis Montalvo N

Gustavo Cedeño N

Victor Hernández Alón N

Maria Domínguez N

Rafael L. Marrero N

Roberto García N

Sixto Alvarez Rodríguez N

Marcelino Cintrón N

Ivette Ruiz Rodríguez N

Zinnia Picart N

Elizabeth Carcache N

Luis Rodríguez N

Abelardo Vargas N

Eduardo Umpierre Vela N

Manuel Fernós Suárez N

Raúl Acosta N

Luis Rivera Guilbe N

Juan Ferrán N

Félix Meléndez Ortíz N

Wilfredo Alonso N

Francisco Loubriel Ortíz N

Luis Delvalle N

Pedro Berríos Ortíz N

Glorieli Ghigliotti N

Melissa Rodríguez Moreno N

Ricardo López Vélez N

Rafael Machín N

Raúl Chardón Burgos N

Armando Wiscovitch Vélez N

José Rodríguez Ubarri N

José Torres Torres N

Raúl Morales Borges N

Lumen Vera Colón N

Carlos Rodríguez Velázquez N

José López Rodríguez N

Juan Ortíz Matos N

Osvaldo Colón N

David Rodríguez De León N

Nannette Berríos N

Jose Ballester Echegaray N

Angie Rosado N

María Rodríguez N

José Villamil Rodríguez N

José Rolón Marina N

Emilio Del Toro Agrelot N

José Morales N

Carlos Vergne N

Edwin Rodríguez Ramos N

José Rovira Díaz N

René Hernández N

Alma Arana Martir N

Josefina Ortiz Rivera N

Jorge Meaux N

Carmen Tocuyo N

Francisco del Río Ferrer N

Roberto Ruiz López N

José Angleró Ramos N

José Cordero N

Victor López Llavona N

Nilda Alvarez Martínez N

José Morales Barreto N

Alicia Feliberti Irizarry N

Balbino Ayala Rosa N

Héctor Hernández Hern N

Harry Seda Vila N

Carlos Benítez Ríos N

Edgardo Figueroa-Muñiz N

Yasmin Fuentes Santiago N

Migdoel Vázquez Davis N

Carmen Sánchez-López N

Joaquín Pales Aguiló N

Brenda Pérez Valentín N

Juan Montes Ruiz N

Segundo González Del Rosario N

Carlos Rodríguez Duve N

Carlos Negrón-Olmo N

Francisco Correa Jusino N

Nidza Gómez Colón N

Aurelio Collado Pacheco N

Ramón F Torrado Frías N

Hiram Pabón N

Vanessa Vargas N

José Rolón Miranda N

Evelyn Castillo Delgado N

José Torres Varela N

Jaime Rodríguez N

Ivan Acosta N

Cecilio Hernández Latorre N

Domingo Feliú Rosado N

Carlos Rosario Sepulveda N

David Reyes Cruz N

Ismael Bague Candelaria N

Jose Sepúlveda Laboy N

Florencio Díaz N

Humberto Olivencia N

Pedro Ceballos Ventura N

Nicolás Alicea Cuevas N

Ana Otero N

Carlos Nieves Martínez N

Jorge Cedeño Espaillat N

Jossepp Berry Polanco N

Ernesto Laboy N

Luis Torrella-Ruiz N

José Mulero Fernández N

Néstor González Rodríguez N

Sadi Ramírez N

Nelson Rivera Rivera N

Yamil Mateo N

Migdonio Camacho N

Anamari Sánchez Collazo N

Carlos Pérez N

Sylvette Deleón N

Jellytza Maldonado N

Mario Castillo Maldonado N

Luis Peña Figueroa N

Esther Villanueva Valdés N

Daniel Ruiz Soler N

Mario Santaella Maldonado N

Ivonne Benabe N

Manuel Zavala N

Awilda Franco-Matta N

Daled Bahri N

Jorge Rivera Vargas N

Ruth Rivera N

Francisco Nadal N

Ariel Cruz Igartua N

Sebastián Infanzón Santos N

Rafael Campos N

Carmen Vargas N

Wallace Belmont N

Jorge Ortiz Ramos N

Juan Chaparro N

Yezmin Bolanos Hernández N

Awilda Solís Díaz N

Carmen Franceschini Pascual N

Sandra Ríos N

Salvador López Rojas N

Humberto Herrera Céspedes N

Carlos Guevara N

Juan Roman Feliciano N

Lysander Borrero N

Octavio Jordan López N

Ferdinando Maldonado Terrón N

Enrique Maldonado Torres N

Aníbal Moreno N

Arnaldo Zapata N

Urda Santiago Rodríguez N

Edgar del Toro Román N

Fabián Velázquez López N

Tomás Jordan López N

Juan Pillot Costas N

Victor Vivoni N

Angel Loyola N

Humberto Acosta N

Porfirio Rodríguez N

Angelo Coppola Muñoz N

Rolando Colón Martínez N

Ana Padro-Díaz N

Gabriel Torres N

Antonio Sotomayor-Sierra N

Lydia Vélez Rivera N

Benjamín Velázquez López N

Víctor Rodríguez Venegas N

Edwin Valentín N

Víctor Venegas N

Ivette Lebrón Nieves N

Jorge Méndez N

Arnaldo Reyes Ortiz N

Antonio Flores N

Francisco Chico Fuertes N

Zacarias Alamo Maldonado N

Milagros Moreno N

Fausto Lugo Rodríguez N

Iveliza Rivera N

Luis Piñeiro Montalvo N

Luz Acevedo Vargas N

Juan Ruiz N

Linda S Cruz Montes N

Joaquín Dávila Cintrón N

José Pastrana N

Victor Reyes N

Carlos Robles N

Jaime Claudio Villamil N

Erlando Méndez N

William García N

Larry Van Daalen N

Carlos Torres Torres N

Surilo Acosta Cadena N

Samuel Rivera Natal N

José Lozada N

Ausberto Alejandro Benítez N

Angel Montes N

Joaquin Dávila Quiñones N

Germán Rodríguez N

Luz López N

Marie González Colón N

Carlos A Cepero Ayende N

Jorge Méndez Colón N

José Ayala N

Raúl A Rodríguez Almodovar N

José Santana N

Reynaldo Gómez Adrover N

María Tirado Otero N

Rafael Martínez Rodríguez N

Rubén Santiago-Lugo N

Edwin Camilo N

Arturo Torres Borges N

Nydia López Díaz N

Samuel Castro Rivera N

Lynnette Ortiz Toro N

Roberto Rosado N

Carmen López N

Carlos Domínguez N

Adriano Martínez Rivera N

Anthony Linares N

Nelson Serrano N

Luz Marrero Maldonado N

Angel Gelpí Guzmán N

Edison Vélez N

Diego Mejías Franqui N

Efraín Marcantoni N

Jorge Rodríguez Mart N

Ferdinand Marín N

Vidal Febles N

Carmen Padilla Ortiz N

José Vivaldi N

Harvey Lebrón N

Efraín Vargas N

Luis Negrón N

Miguel Magraner Suárez N

Carlos Cidre N

José Marrero Nieves N

Pedro Román Eyxarch N

José Quiñones N

Thomas Jiménez Hernández N

Mario Haddad N

María Narváez Rivera N

Freddy Quiñonez N

Zaida Laureano Rodríguez N

Rafael Vásquez Pelyhe N

Magin Casanova N

Hildeberto Blasco N

Julio Cordero N

Pedro Granados González N

Rafael Ruiz N

Jorge Meléndez García N

José Méndez Jiminian N

Ernesto Marrero De Gracia N

Raymond Martínez Aponte N

Ramón Sosa García N

Diego Colón N

Marie Muntaner Rodríguez N

Obed Rene García N

Edgardo Báez Ayala N

Juan de la Rosa Díaz N

Eileen Díaz Cabrera N

Luis Meléndez N

Francisco Rodríguez Michel N

Ricardo Rodríguez Delgado N

Edgar Ramos Méndez N

Luis Moreno N

Mónica Montana N

Virgilio Polonio N

Zorymar Echevarría Medina N

Manuel Mateo López N

Néstor Aponte-Reyes N

Esteban Pérez Bailon N

Fernando García Cruz N

Waldemar Paoli Breban N

George Fahed N

Cynthia Ruiz N

Martín Martinó Berio N

Jorge Méndez López N

Joyce Vargas-González N

Jaime Ledesma Morales N

Patricia Matos N

Caridad González N

Pedro J Amador N

Alberto Torres N

Luz Ruiz Vélez N

Wilfredo Pérez N

Osvaldo Castro N

Fares Cid Mansur N

Edgardo Marrero Pérez N

Nelson Aldiva N

Francisco Rivera Rodríguez N

Javier Lugo N

Waldemar Rivera Jiménez N

Yonathan Rivera N

Adney Nieves Méndez N

Manuel Guerrero Jiménez N

Yussef Galib Frangie N

Greida Quintero Paz N

Silvio Martínez Ruiz N

Eduardo Miralles Alonso N

Orlando Llavona González N

Francisco Fontanet N

Lisette Vásquez N

Carlos González Fuentes N

Ricardo Colón N

Pedro Ramos Canseco N

Aníbal Rosado Vidro N

Jerimer Rodríguez Vélez N

Héctor Irizarry N

Antonio Olivencia-Echeandía N

José Santos N

Dolores Reyes Lara N

Lázaro Roig N

María Lago N

Hospital General De Castañer Inc. N

Servicios De Salud Del Norte N

Centro Cardiovascular De San Germán, C.S.P. N

Caribbean Pulmonary Medical Society, C.S.P. N

Oficina Médica Dr. Polanco C.S.P. N

Dr. Ronaldo Martínez García Health Services, C.S.P. N

Lares Medical Center Inc. N

Medicina Interna LMG, C.S.P. N

Dajaos Medical Center, C.S.P. N

Grupo Médico del Noreste N

Mmr Instituto De Medicina De Familia N

Bisono Internal Medicine Services P.S.C. N

Policlínica Las Américas Medical Center, Inc. N

Juan C Velasco Cervilla MD C.S.P. N

Mrp Medical Services C.S.P. N

Medlar Medical Services C.S.P. N

Consultorio Medico Dr. Jose A. Acevedo P.S.C. N

Francisco Mendez Lopez Md C.S.P. N

Internal Medicine Integrated Services P.S.C. N

Asomante Medical Group N

CDT GMSP Inc. N

Dra Madeline Fernández González C.S.P. N

Instituto Cardiovascular de Coamo C.S.P. N

Alianza Medica del Caribe N

Dento-Medics, C.S.P. N

Centro Medicina Primaria Vega Alta N

Centro Cardiovascular De La Montana, C.S.P. N

Rs Medical Service Corp. N

Cordero & Sepúlveda Inc. N

Centro Especializado Medicina Interna N

Centro Especialista De Medicina Del Este C.S.P. N

EAST-WEST MEDICAL CENTER, P.S.C. N

Bella Vista Medicine Office P.S.C. N

Servicios Médicos Santiago, C.S.P. N

Clínica Familiar Dr Edwin Olmeda C.S.P. N

RJBV Internal Medicine P.S.C. N

San Patricio Gastroenterology P.S.C. N

Cdt. Centro De Servicios Médicos Integrados, Inc. N

Al Ramos MD C.S.P. N

Policlínica Dr. Luis Rodriguez Carrasquillo, P.S.C. N

Dr Ramón A Vélez Arce C.S.P. N

LHM, C.S.P. N

Institute Of Pulmonary Diseases C.S.P. N

Spm Doctors Services Group P.S.C. N

Physician Hmo Inc. N

Barreras Medical Group C.S.P. N

Beatriz Medical Center N

Luis Paz Medical Services P.S.C. N

Grupo Médico Sur-Med N

Consultorio Médico Clínico Dr. Gómez Adrover P.S.C. N

Centro De Medicina Primaria Y Preventiva Del Dr. Cristóbal Méndez, Inc.

N

REP Medical Serv C.S.P. N

Servicios Médicos Integrados de Lajas C.S.P. N

D Ann Medical Esthetique, P.S.C.D N

JVT Medical Center, LLC N

Preventive Medical Care Services, P.S.C. N

Jp Internal & Cardiovascular Medicine, P.S.C. N

Mesomed P.S.C. N

David Badillo MD P.S.C. N

Primary Internal Care P.S.C. N

Centro de Medicina Familiar Especializada C.S.P. N

Dr. Osorio C.S.P. N

Heal Medical Center P.S.C. N

Serrano Pulmonary Services, LLC N

HJ Medical Services LLC N

MV Healthcare C.S.P. N

Domenech Figueroa Rivera MD C.S.P. N

Guayama Family Practice LLC N

JRC Servicios Médicos C.S.P. N

Centro Médico Familiar Corp N

Policlínica Dra. Janice Sánchez C.S.P. N

VBM Medicine P.S.C. N

Jorge Rivera Torres MD P.S.C. N

ACO governing body:

Member Member's Voting Power – Expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, if

Applicable

Last Name First Name Title/Position

Montalvo Raul Chairman 9.0% Other – ACO President

NA

Aguilu Viviana Member 0.0% Other – Treasurer/Finance Committee Chairman

NA

Viel Eyminel Member 0.0% Other – ACO legal, Secretary

NA

Plumey Myra Member 4.0% Other – ACO Compliance Officer

NA

Toro Ismael Member 9.0% ACO Participant Representative

CDT GMSP INC

Torrellas Luis Member 9.0% ACO Participant Representative

Luis Torrellas Ruiz

Rosado Angie Member 8.0% ACO Participant Representative

Angie Rosado Droz

Torres Tania Member 8.0% ACO Participant Representative

CDT GMSP INC

Ayala Jose Member 8.0% ACO Participant Representative

Jose Ayala Berrios

Cruz Ariel Member 8.0% ACO Participant Representative

Medicos de Familia Imf, Csp

Mulero Jose Member 8.0% ACO Participant Representative

Jose Mulero Fernandez

Rodriguez Luis Member 8.0% ACO Participant Representative

Luis Rodriguez

Rodriguez Edwin Member 6.0% ACO Participant Representative

Dr. Edwin F. Rodriguez Allende, Csp

Gonzalez Segundo Member 6.0% ACO Participant Representative

Segundo Gomnzalez

Morales Luis Member 9.0% Medicare Beneficiary Representative

NA

Polonio Virgilio Member 0.0% Other – Non Participant Provider

NA

Key ACO clinical and administrative leadership:

Raul Montalvo-Orsini ACO Executive

Dagmar Rivera-Pizarro Medical Director

Myra Plumey Compliance Officer

Amarylis Delgado Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position

Quality and Utilization Dr. Dagmar Rivera, Medical Director

Finance Viviana Aguilu, AVP Finance

Operations and Compliance Myra Plumey, Compliance Officer

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

o Performance Year 2017, $2,663,450

Shared Savings Distribution

First Agreement Period

o Performance Year 2017

Proportion invested in infrastructure: 10%

Proportion invested in redesigned care processes/resources: 10%

Proportion of distribution to ACO participants: 80%

Quality Performance Results

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean

ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 78.64 80.60

ACO-2 CAHPS: How Well Your Providers Communicate 95.17 93.13

ACO-3 CAHPS: Patients’ Rating of Provider 95.88 92.31

ACO-4 CAHPS: Access to Specialists 82.69 83.32

ACO-5 CAHPS: Health Promotion and Education 63.45 62.30

ACO-6 CAHPS: Shared Decision Making 77.04 75.85

ACO-7 CAHPS: Health Status/Functional Status 64.42 73.05

ACO-34 CAHPS: Stewardship of Patient Resources 40.83 25.68

ACO-8 Risk Standardized, All Condition Readmission 15.30 15.01

ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.61 18.46

ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 50.68 53.95

ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 63.98 79.16

ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

47.19 61.74

ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

1.71 1.93

ACO-11 Use of Certified EHR Technology 100.00 98.48

ACO-12 Medication Reconciliation 71.88 75.32

ACO-13 Falls: Screening for Future Fall Risk 37.80 74.38

ACO-44 Imaging Studies for Low Back Pain 81.25 67.32

ACO-14 Preventive Care and Screening: Influenza Immunization 30.30 72.52

ACO-15 Pneumonia Vaccination Status for Older Adults 17.35 72.92

ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

66.42 70.69

ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

80.93 90.48

ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

10.03 61.98

ACO-19 Colorectal Cancer Screening 40.59 64.58

ACO-20 Breast Cancer Screening 59.02 70.05

ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

60.07 79.89

ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 33.67 16.74

ACO-41 Diabetes: Eye Exam 26.84 50.37

ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.64 71.47

ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

47.55 86.86

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

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data

Note: In the Quality Performance Results file(s) above, search for “Caribbean Accountable Care, LLC” or “Caribbean Accountable Care, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A47448 in the public use files on data.cms.gov.

Payment Rule Waivers

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