About Us

Premier ACO Physicians Network, LLC
Previous Names: N/A
10833 Valley View Street
Suite 300
Cypress, CA 90630

ACO Primary Contact

Primary Contact Name Hema Kissoon
Primary Contact Phone Number (561) 405-0071
Primary Contact Email Address Hema.Kissoon@tenethealth.com

Organizational Information

ACO Participants ACO Participant in Joint Venture
Ajay G. Meka MD Inc. N
Alicia G Nugas, M.D., Inc. N
Anthony J Sotelo, MD N
Consultorio Medico Latino Medical Center N
Dr. Linda Hsu, A Professional Corp. N
Good Life Medical Group, Inc. N
Harold W. Seifer, M.D. & Michael Freund, M.D., Inc. N
Joseph Au, MD N
Loan T Truong Md Inc N
Loida Constantino, MD N
ProHealth Partners, A Medical Group, Inc N
Reginald Yeske MD N
Robby Ayoub MD Prof Medical Corporation N
Robert Melikian, MD N
Shirish B. Patel, MD N
Srividiya Venkataraman, MD, Inc. N
St John Medical Group, Inc N
Tzong-Yueh Hwang, MD N
Wellcare Medical Group N
Agape Family Medical Center N
Amarjeet Kapoor, MD N
Covenant Grace Medical Center N
David M. Truong, M.D. A   Professional Corporation N
Dien Van Pham, MD N
Hanson Wong N
John Prosser N
Manuel F. Mendoza M.D. Inc. N
Ngoc Nguyen N
Pioneer Medical Group, Inc N
Sobha Sunderrajan, MD N
JULIE SHERMAN N
LOIDA P CONSTANTINO MD INC

N

First Name

Member

Last Name

Member Member

Title/Position

 Member's Voting Power: expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if applicable
Shah Mansoor Physician/Chairman 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
Saeed Khalid Physician/Medical Director 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
DeJong Clayton Physician 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
Allswang Barry Physician 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
Yeske Reginald Physician 7.69% ACO Participant Representative Reginald Yeske MD
Licuanan Jessee Physician 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
Patel Shirish Physician 7.69% ACO Participant Representative  
Chung Winston Physician 7.69% ACO Participant Representative ProHealth Partners, A Medical Group
Ayoub Robby Physician 7.69% ACO Participant Representative Robby T Ayoub MD Prof Medical Corp
Hugh Peter Physician 7.69% ACO Participant Representative Good Life Medical Group, Inc
Venkataraman Srividiya Physician 7.69% ACO Participant Representative Srividiya Venkataraman, MD, Inc
Maison Beverly Officer 7.69% ACO Participant Representative Premier Health Plan Services, Inc
Gibson Linda Medicare Beneficiary 7.69% Medicare Beneficiary Representative N/A
Costanza Donna Officer (Conifer) 0% Community Stakeholder N/A
Boullon Rob Officer 0% Community Stakeholder N/A
Yue David Officer 0% Community Stakeholder N/A

Key ACO clinical and administrative leadership:

  • ACO Executive: Hema Kissoon
  • Medical Director: Khalid Saeed
  • Compliance Officer: Lisa Crutchfield
  • Quality Assurance/Improvement Officer: Hema Kissoon 

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
N/A N/A

 

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:

  • Third Agreement Period
    • Performance Year 2019, $1,031,362
  • Second Agreement Period
    • Performance Year 2018, $2,642,280
    • Performance Year 2017, $0
    • Performance Year 2016, $0
  • First Agreement Period
    • Performance Year 2015, $0
    • Performance Year 2014, $0
    • Performance Year 2013, $0

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Second Agreement Period
      • Performance Year 2018
        • Proportion invested in infrastructure: 25%
        • Proportion invested in redesigned care processes/resources: 25%
        • Proportion of distribution to ACO participants: 50%
      • Performance Year 2017
        • 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 2016
        • Proportion invested in infrastructure: N/A
        • Proportion invested in redesigned care processes/resources N/A
        • Proportion of distribution to ACO participants: N/A
      • First Agreement Period
        • Performance Year 2015
          • 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 2014
          • 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 2013
          • 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

2019 Quality Performance Results:

ACO # Measure Name Rate ACO Mean
ACO1 CAHPS: Getting Timely Care,  Appointments, and Information 84.11 85.86
ACO2 CAHPS: How Well Your Providers Communicate 95.07 94.11
ACO3 CAHPS: Patients’ Rating of Provider 92.43 92.69
ACO4 CAHPS: Access to Specialists 82.67 81.54
ACO5 CAHPS: Health Promotion and Education 58.29 60.44
ACO6 CAHPS: Shared Decision Making 58.51 62.78
ACO7 CAHPS: Health Status/Functional Status* 72.18 73.79
ACO34 CAHPS: Stewardship of Patient Resources 22.9 26.17
ACO45 CAHPS: Courteous and Helpful Office Staff 91.87 92.84
ACO46 CAHPS: Care Coordination 85.11 86.89
ACO8 Risk-Standardized,All Condition Readmission 16.05 14.86
ACO38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 63.68 58.15
ACO43 Ambulatory Sensitive Condition Acute Composite 1.65 1.87
ACO13 Falls: Screening for Future Fall Risk 75.94 84.04
ACO14 Preventive Care and Screening: Influenza Immunization 75.25 74.77
ACO17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84.38 78.04
ACO18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 65.85 70.40
ACO19 Colorectal Cancer Screening 75.57 70.76
ACO20 Breast Cancer Screening 80.68 73.84
ACO42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 75.05 82.17
ACO40 Depression Remission at Twelve Months* 7.69 13.58
ACO27 Diabetes: Hemoglobin A1c Poor Control (>9%) 21.18 13.88
ACO28 Controlling High Blood Pressure 71.65 75.04

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

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, our ACO does not use the SNF 3-Day Rule Waiver