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 Gladys Cortes
Primary Contact Phone Number 305-632-2214
Primary Contact Email Address Gladys.Cortes@tenethealth.com

Organizational Information

ACO participants:

 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Robert Melikian, MD  N
Loida P Constantino, MD Inc.  N
Srividya Venkataraman, MD Inc.  N
Dr. Linda Hsu, A Professional Corp.  N
St John Medical Group, Inc.  N
Robby T Ayoub, MD Prof Medical Corp.  N
Good Life Medical Group, Inc.  N
Alicia G Nugas, MD Inc.  N
Ajay G meka MD, Inc.  N
Shirish B Patel, MD Inc.  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
ProHealth Partners, A Medical Group  N
Tzong-Yueh Hwang, MD  N
Wellcare Medical Group  N
Julie Sherman  N
Reginald Yeske, MD  N
Anthony J Sotelo, MD  N
Joseph Au, MD  N
Loan T Truong, MD Inc.  N
Harold W. Seifer, MD & Michael Freund, MD Inc.  N
Consultorio Medico Latino Medical Center  N

ACO governing body:

 Member Name Title/Position Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Shah, Mansoor Physician/Chairman 8%  ACO Participant Representative  ProHealth Partners, A Medical Group
Saeed, Khalid Physician/Medical Director  8%  ACO Participant Representative  ProHealth Partners, A Medical Group
De Jong, Clayton Physician  8% ACO Participant Representative ProHealth Partners, A Medical Group
Allswang, Barry Physician  8%  ACO Participant Representative ProHealth Partners, A Medical Group
Yeske, Reginald Physician  8%  ACO Participant Representative Reginald Yeske, MD
Licuanan, Jesse Physician  8% ACO Participant Representative ProHealth Partners, A Medical Group
Meka, Ajay Physician  8% ACO Participant Representative  Ajay G Meka, MD
Ayoub, Robby Physician  8%  ACO Participant Representative Robby T Ayoub, MD Inc.
Hugh, Peter Physician  8%  ACO Participant Representative  Good Life Medical Group, Inc.
Venkataraman, Srividiya Physician  8%  ACO Participant Representative  Srividiya Venkataraman, MD, Inc.
Maison, Beverly Officer  8%  ACO Participant Representative  Premier Health Plan Services, Inc.
Gibson, Linda Medicare Beneficiary  8%  ACO Participant Representative  
Clark, Robin Officer  0%  Community Stakeholder  
Costanza, Donna Officer  0%  Community Stakeholder  
Boullon, Rob Officer  0%  Community Stakeholder  
Yue, David Officer  0%  Community Stakeholder  

Key ACO clinical and administrative leadership:

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

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

  • 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

  • Second Agreement Period
    • 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

2017 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 82.70 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 92.79 93.13
ACO-3 CAHPS: Patients' Rating of Provider 93.30 92.31
ACO-4 CAHPS: Access to Specialists 85.50 83.32
ACO-5 CAHPS: Health Promotion and Education 59.37 62.30
ACO-6 CAHPS: Shared Decision Making 75.03 75.85
ACO-7 CAHPS: Health Status/Functional Status 69.50 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 26.30 25.68
ACO-8 Risk-Standardized, All Condition Readmission 14.96 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 17.46 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 59.70 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.58 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 57.32 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91) 1.77 1.93
ACO-11 Use of Certified EHR Technology 100.00 98.48
ACO-12 Medication Reconciliation 42.18 75.32
ACO-13 Falls: Screening for Future Fall Risk 42.57 74.38
ACO-44 Imaging Studies for Low Back Pain 68.97 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 42.82 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 40.23 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 68.69 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 72.63 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 24.40 61.98
ACO-19 Colorectal Cancer Screening 35.42 64.58
ACO-20 Breast Cancer Screening 46.37 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 67.07 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 33.96 16.74
ACO-41 Diabetes: Eye Exam 14.44 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 70.67 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 6588 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 Click Here
  • For 2016 Quality Performance Results Please Click Here
  • For 2015 Quality Performance Results Please Click Here
  • For 2014 Quality Performance Results Please Click Here
  • For 2013 Quality Performance Results Please Click Here

Note: In the Quality Performance Results file(s) above, search for “Premier ACO Physicians Network, LLC" to view the quality performance results. This ACO can also be found by using the ACO ID A46707 in the public use files on data.cms.gov.

Payment Rule Waivers

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