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 Joseph Egan
Primary Contact Phone Number 248-809-3689
Primary Contact Email Address Joseph.egan@tenethealth.com

Organizational Information

ACO participants:

 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Loida Constantino, MD  N
Srividiya Venkataraman, MD, Inc.  N
Dr. Linda Hsu, A Professional Corp.  N
St John Medical Group, Inc  N
Robert Melikian, MD  N
Robby Ayoub MD Prof Medical Corporation  N
Amarjeet Kapoor, MD  N
Good Life Medical Group, Inc.  N
Alicia G Nugas, M.D., Inc.  N
Dien Van Pham, MD  N
Ajay G. Meka MD Inc.  N
Joseph Au, MD  N
Shirish B. Patel, MD  N
Sobha Sunderrajan, MD  N
Tzong-Yueh Hwang, MD  N
ProHealth Partners, A Medical Group, Inc  N
 ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Pioneer Medical Group, Inc  N
Wellcare Medical Group  N
Agape Family Medical Center  N
John Prosser  N
Anthony J Sotelo, MD  N
Hanson Wong  N
Ngoc Nguyen  N
Loan T Truong Md Inc  N
David M. Truong, M.D. A Professional Corporation  N
Harold W. Seifer, M.D. & Michael Freund, M.D., Inc.  N
Reginald Yeske MD  N
Birinder Brara, MD  N
Consultorio Medico Latino Medical Center  N
Manuel F. Mendoza M.D. Inc.  N
Covenant Grace 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 President 10%  Physician Representative  Lakewood Primary Care Medical Group
Saeed, Khalid Medical Director  10%  Physician Representative  Lakewood Primary Care Medical Group
De Jong, Clayton Member  10% Physician Representative ProHealth Partners Medical Group
Allswang, Barry Member  10%  Physician Representative ProHealth Partners Medical Group
Yue, David Member  10%  Physician Representative Agape Family Medical Group
Yeske, Reginald Member  10%  Physician Representative Reginald Yeske MD
Licuanan, Jesse Member  10% Physician Representative Jesse J Licuanan MD, A Medical Corporation
Patel, Sanat Member  10% Physician Representative  Pioneer Medical Group
Moultrie, Angelyn Member  10%  Physician Representative Pioneer Medical Group
Manocha, Lovelesh Member  10%  Medicare Beneficiary   
Egan, Joseph Officer  0%  Participant  

Key ACO clinical and administrative leadership:

Joseph Egan ACO Director
Khalid Saeed Medical Director
Melanie Roberts Compliance Officer
Sahana Sharan Quality Assurance/Improvement Officer

Associated committees and committee leadership:

>
Committee Name Committee Leader Name and Position
Quality Management Committee Khalid Saeed MD, Chair
Utilization Management Committee Khalid Saeed MD, Chair
Credentialing Committee Khalid Saeed MD, Chair
Peer Review Committee Khalid Saeed MD, Chair
Case Management Committee Robin Tufono RN, Chair
Compliance Committee Melaine Roberts, 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

  • Second Agreement Period
    • 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.