Advanced Premier Physicians ACO
Advanced Premier Physicians ACO
1210 N Jefferson St, Suite D
Anaheim, California 92807
ACO Primary Contact :
Phone : (714)-602-9760
Email : firstname.lastname@example.org
AHMAD HAJJ MD INC
BAE OH AND TAKAHASHI INC
BENJAMIN I SONG MD INC
BIOLOGICAL LABORATORY, INC.
CENTER FOR PRIMARY CARE MEDICAL GROUP INC
CERRITOS EYE MEDICAL CENTER, INC.
CHAEWON SONG, MD, INC
CHIN G. KIM, M.D., INC.
CRAIG B CARTER MD FACS
DAVID S KIM MEDICAL INC
DIGESTIVE DISEASE CONSULTANTS OF ORANGE COUNTY INC
DR. JASON S. PAEK M.D.
DR. JOHN SHIN KIM M.D.
FELIX R. GAW, M.D., INC.
FRIENDS MEDICAL GROUP INC.
HELEN H. KANG, M.D., A PROFESSIONAL MEDICAL CORPORATION
HO S BAE MD INC
HONG S. KIM, M.D., INC
INDUS HEALTHCARE, INC.
JONATHAN T NGUYEN MD,INC.
JOSEPH K. SONG, M.D., INC
JRHEEM.D. A PROFESSIONAL CORPORATION
KENNETH K. KIM, M.D.
LA TOWN MEDICAL GROUP, INC.
MOON M. OH MD, INC
MR. SANG HYO PARK MD
MRS. CHARLENE Y SONG M.D
PAUL M CHOI.,M.D. CALIFORNIA MEDICAL CORP
PETER C LEE M.D.
PHILLIP C AHN M.D, A MEDICAL CORP
PHYSICIANS IMMUNODIAGNOSTIC LABORATORY, INC.
QUALITY CARE IPA INLAND EMPIRE, INC
RAYMOND A SLEIMAN A MEDICAL CORP
RAYMUNDO S BAUTISTA, MD, PROF CORP
SAMUEL K. LEE, M.D., INC.
SHADY CANYON MEDICAL GROUP
SHIN MRI LLC
SHIN WOOK KANG MEDICAL CENTER INC
SJ BYEON MEDICAL CORPORATION
SOO WOONG KANG MD INC
STEVEN G. KHWARG, M.D. PROF. CORP.
SU YONG PAK, M.D. INC
SUNG-NAE BYUN, M.D. MEDICAL GROUP, INC.
SUNG-UN JUSTIN PARK M.D., INC.
SURGICAL INSTITUTE OF GARDEN GROVE, LLC.
THE FIRST MEDICAL CENTER, INC.
TRIUNE HOME HEALTH PROVIDER INC
VERITAS HEALTH SERVICES, INC.
WESTWOOD MEDICAL GROUP, INC.
WON K YU MD MPH INC
WOORI PHARMACY , INC.
WOOSUNG AHN, M.D., INC
ACO Participants in Joint Ventures between ACO Professionals and Hospitals.
PRIME HEALTHCARE ANAHEIM, LLC
PRIME HEALTHCARE LA PALMA, LLC
PRIME HEALTHCARE SERVICES – GARDEN GROVE LLC
PRIME HEALTHCARE SERVICES – SAN DIMAS LLC
PRIME HEALTHCARE SERVICES III, LLC
ACO Governing Body
- Kenneth Kim, M.D., CEO, ACO Participant
- Paul Chang, M.D., CFO, ACO Participant
- Byun Sung-Nae, M.D., Secretary, ACO Participant
- Hong Hoon, M.D., MedicalDirector/Compliance Officer, ACO Participant
- Robert Ha, M.D., Compliance Director, ACO Participant
- Chaewon Song, M.D., Chairman of the Board, ACO Participant
- Albert Chang, M.D., Member of Board ,ACO Participant
- John Kim, M.D., : Member of Board, ACO Participant
- Jason Paek, M.D., Member of Board, ACO Participant
- Ho Bae, M.D., Member of Board, ACO Participant
- John House, M.D., Member of Board, Beneficiary
Key Clinical and Administrative Leadership Personnel
Key Clinical and Administrative Leadership
CEO : Kenneth Kim, M.D.
CFO : Paul Chang, M.D.
- Secretary : Byun Sung-Nae, M.D.
- MedicalDirector/Compliance Officer : Hong Hoon, M.D.
- Compliance Director : Robert Ha, M.D.
- Chairman of the Board : Chaewon Song, M.D.
Types of ACO participants, or combinations of participants, that formed the ACO
Network of individual practices of ACO professionals
Hospital employing ACO professionals
Shared Savings and Losses:
Amount of Shared Savings/Losses
Performance Year 1 : Not in operations
Performance Year 2014 : Not in operations
How Shared Savings Are Distributed
PARTICIPANT/PARTICIPANT SHARED SAVINGS PROGRAM
(NOTE: This Shared Savings Program was approved by CMS as part of the ACO MSP Application)
A. The ACO is budgeting 55% of shared savings to reward the ACO participants and will use 25% of the savings to reinvest in the ACO’s infrastructure
and redesign processes of care and 20% to establish reserves for future investments, incentives and future participation in the next Contract Period
when it will probably have to participate in Track 2 risk sharing which includes sharing in both savings or loss.
B. The Shared Savings will be allocated as follows:
– For the ACO Participants: Forty percent (40%) of the shared saving bonus toward reporting and improving on the 33 quality measures set by CMS.
In Performance year 1 (2014), since CMS is only requiring ACOs to do complete and timely reporting of the quality measures, ACO will have
the same expectation of Participants, specifically for 22 measures (since CMS will be collected and calculated by CMS). In Performance Year 1,
only participants who submit complete and timely reporting of the required quality measures will receive a bonus. Starting Performance Years 2 and 3,
the ACO will only award this bonus to those Participants who meet or exceed CMS’s benchmark for pay for performance bonus and are compliant
with all the processes required by CMS.
– Equal distribution of fifteen (15%) shared savings bonus to each of the contracted Participants.
– Twenty-five percent (25%) of the shared savings bonus will be allocated to investing in data systems allow for tracking quality measures and giving feedback
to Participants. In addition, the ACO will assist contracted Participants to install or supplement their Electronic Health Records (EHRs) and encourage patients
to communicate with their physicians over the Web or by e-mail, create a blended patient registry for all chronic conditions that identifies patients with multiple
chronic conditions, focus case management by diagnosis and high impact patients and integrate case management with planned visits and point-of-care information
from disease registries. The remaining twenty percent (20%) will be reserved to allow the ACO to transition to Track 2 (risk sharing of both savings and losses)
in the following contract period.
C. We believe that our ACO will meet the goals of the Shared Savings Program for the following reasons:
– Incentivizing participants to monitor quality indicators and improve performance will require Participants to involve their Medicare patients in more preventive care
and self-management which has the potential to improve quality while containing costs, particularly for chronic disease care. Participants are motivated to encourage
day-to-day chronic disease care by patients or by family beneficiaries, adherence to prescribed medications, frequent physician visits, active communication with
physicians and nurses regarding symptoms and problems prompt and consistently maintaining diet and exercise programs.
– Our Participants have been working closely with our primary care network for many years and play an integral part in the case management and care coordination for
our patients. The ACO wants to improve coordination care among the multiple participants who may treat high-risk patients and encourage them to better communicate
about treatments and prescriptions a patient has received with the goal of decreasing duplication of services.
Quality Performance Results:
Medicare Shared Savings Program Perfomance Year 2015 Quality and Financial Results: